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Affidavit of Waiver

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Emmanuel Salibay
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1K views1 page

Affidavit of Waiver

Uploaded by

Emmanuel Salibay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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R e p u b l i c o f t h e P h i l i p p i n e s)

C i t y o f I l i g a n) Sc.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF WAIVER
I, _______, Filipino, and a resident of Brgy. Masipag, Macalalon,
Quezon, after having duly sworn to an oath as required by law, hereby depose
and say:

1] That I am the daughter of the late, ________ who died


on ______ at ________;

2] That my late mother, __________ died reaching the age


of seniority hence, a beneficiary of mortuary/death claims and/or
any claim before the Office of the Senior Citizens’ Affairs,
_______

3] That I, being the daughter of the late, __________,


hereby waive, relinquish, quitclaim and renounce any and all of
my rights and interest, whatsoever over the said claim arising from
the death of my mother in favor of brother, -__________;

4] That I am executing this affidavit to attest to the above


facts and for such other legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4th


day of October 2022 in ______.

______________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of ____ in


_________.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2023.

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