Republic of the Philippines )

Miagao, Iloilo ) s.s.

x---------------------x

WAIVER OF RIGHTS

I, NAME, of legal age, Filipino citizen, and a resident Nonato Extension, Miagao,
Iloilo, after having been duly sworn to in accordance with law, depose and state that:

1. I am the registered owner of a sidecar particularly described as:

Make : Fuso
Body Type : Jeepney
Chassis Number :
Motor Number : 4D32-508214
MV File Number :
Case Number : 94-298-ILO-A
Route : Miagao-Mohon and vice versa, and to any
point in Panay

2. I hereby waive all rights and interests over the above-mentioned property in
favor of ROSITO ROSAL, who accepts the same.

3. I execute this waiver, freely and voluntary to attest to the foregoing acts and
statements and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12th day of

April, 2019 at Miagao, Iloilo.

NAME

I accept:

NAME NAME

Signed in the presence of:

NAME NAME

ACKNOWLEDGMENT

BEFORE ME, a notary public, personally appeared the parties herein, known to
me to be the same persons who executed the foregoing instrument and acknowledged
to me that the same is their free and voluntary act, and exhibited to me their competent
evidence of identity described below:

Name Competent Evidence of Identity

 This instrument, which is a Deed of Waiver of Rights, consists of two (2) pages,
including this page where this acknowledgment was written was signed by parties and
their witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL, in Miagao, Iloilo, Philippines, this _______________.