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Waiver

The document is a waiver of rights signed on October 13, 2017 in Paniqui, Tarlac, Philippines. It states that [NAME] waives and transfers all rights and obligations over insurance benefits from Paramount Life and General Insurance Corporation to [NAME], who is willing to assume all rights and obligations. The affiant signed the waiver in the presence of witnesses and it was notarized.

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Wilson Manalang
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50 views2 pages

Waiver

The document is a waiver of rights signed on October 13, 2017 in Paniqui, Tarlac, Philippines. It states that [NAME] waives and transfers all rights and obligations over insurance benefits from Paramount Life and General Insurance Corporation to [NAME], who is willing to assume all rights and obligations. The affiant signed the waiver in the presence of witnesses and it was notarized.

Uploaded by

Wilson Manalang
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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Republic of the Philippines          )

Province of Tarlac ) SS.


Municipality of Paniqui )
x- - - - - - - - - - - - - - - - - - - - x

WAIVER OF RIGHTS

I, _______________, of legal age, Filipino, married, and a resident of 209


Legaspi Street Paniqui, Tarlac, after being sworn in accordance with law,
hereby declare that I do hereby WAIVE, TRANSFER and CONVEY all my rights,
interest and obligations over all claims for insurance benefits from Paramount
Life and General Insurance Corporation in favor of ______________, who is also
of legal age, Filipino, married, and a resident of Magsaysay, Rang-ayan,
Paniqui, Tarlac and who is able and willing to assume all my rights
and obligations over the said insurance.

IN WITNESS WHEREOF, I have hereunto set my hand this 13th day of


October, 2017 at Paniqui, Tarlac, Philippines.

____________________
  Affiant

Witnesses:

_________________________                        _________________________

SUBSCRIBED AND SWORN TO before me, in Paniqui, Tarlac this 13 th day


of October, 2017 by Ruth O. Dioso who has satisfactorily proven to me his/her
identity through his/her Voter’s ID issued at Paniqui, Tarlac, that she is the
same person who personally signed before me the foregoing Waiver of Rights
and acknowledged that he/she executed the same.

Doc. No. ______


Page No. ______                                                            
Book No. _____
Series of ______

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