Republic of the Philippines )

Province of Tarlac )
Municipality of Camiling ) s.s.

WAIVER OF RIGHTS
We, ___________, __ years old, married, Filipino citizen, and a resident of
__________________, Philippines, ___________, __ years old, married, Filipino
citizen, and a resident of ________________, Philippines, and ___________, __
years old, single, Filipino citizen, and a resident of ____________________,
Philippines, after having been duly sworn to in accordance with law, do hereby
depose and state THAT:

1. We are the sons of the late ________________ (_____, for brevity),

who passed away on ___________ at the age of __;

2. Our mother has an account with the ____________, and we intend to

withdraw the money from the said account and to close the same;

3. As the surviving heirs of Virginia, we are waiving all our rights and
interests on the said bank account, IN FAVOR of our sister
______________;

4. We are executing this Waiver of Rights to attest to the truth of the

foregoing statements and for all legal intents and purposes it may
serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this

___ day of September, 2019, at Camiling, Tarlac, Philippines.

_______ _______
Affiant Affiant
__________
__________
__________

_____________
Affiant
__________
__________
__________

SUBSCRIBED AND SWORN to before me on the date and place

indicated above.