Republic of the Philippines)

) S.S.
x--------------x

JOINT AFFIDAVIT/WAIVER

The undersigned, all of legal age, hereby manifests and acknowledges

that:

1. Along with ________, we are the only nephews and nieces

of__________;

2. __________ died a widow and without children;

3. _________ parents have already died as well;

4. _______ is the rightful and only claimant with respect to

____________;

5. We are hereby absolutely waiving any and all interests that we

had, have or might have against _____________________;

6. We absolutely release, completely clear, and forever discharge

____________ from any action, cause of action, sum of money,
liability, damages, claims and demands whatsoever, which in law
or in equity we have or which we or our heirs, insurer, successors
and assigns hereafter may have upon or by reason of, or in
connection with said account. We absolutely waive all my right of
action, causes of action, claims and demands, of whatever nature,
arising from, or in connection thereto;

7. We are executing this Affidavit and Waiver to attest to the truth of

the foregoing and waive all our rights and interests in the said
account.

IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of

____________ 2019.

AFFIANTS:

SUBSCRIBED and SWORN to before me this _____ day of

________________ 2019, at ______________, affiants exhibiting to me their
competent evidence of identity.

Doc. No.
Page No.
Book No.
Series of 2019