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Waiver of Insurance Claim Rights

Carl Christian Abasola De La Cruz, a surviving legitimate heir of the deceased insured Gilbert Escober De La Cruz, waives all rights and interest to claim the insurance benefits of Gilbert in favor of Kristelle Joy Abasola De La Cruz. Carl executes this waiver freely and voluntarily to attest to foregoing facts and statements and for whatever legal purpose the waiver may serve. The waiver was signed on September 30, 2020 in Lucena City, Quezon.
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100% found this document useful (1 vote)
352 views1 page

Waiver of Insurance Claim Rights

Carl Christian Abasola De La Cruz, a surviving legitimate heir of the deceased insured Gilbert Escober De La Cruz, waives all rights and interest to claim the insurance benefits of Gilbert in favor of Kristelle Joy Abasola De La Cruz. Carl executes this waiver freely and voluntarily to attest to foregoing facts and statements and for whatever legal purpose the waiver may serve. The waiver was signed on September 30, 2020 in Lucena City, Quezon.
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© © All Rights Reserved
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Republic of the Philippines)

Province of Quezon ) S.S.


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

WAIVER OF RIGHTS TO CLAIM

I, CARL CHRISTIAN ABASOLA DE LA CRUZ, of legal age, Filipino Citizen


and resident of Lucena City, Quezon, after having been duly sworn to in accordance with law,
depose and state;

That I am one of the surviving legitimate heirs/beneficiaries of the deceased-


insured GILBERT ESCOBER DE LA CRUZ;

That for reasons of gratuity and generosity, I hereby waive all of my rights and
interest to claim the insurance benefits of the aforementioned deceased-insured, in favor of
KRISTELLE JOY ABASOLA DE LA CRUZ;

That I execute this waiver, freely and voluntarily to attest to the foregoing facts
and statements and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this 30 th day of


September 2020 at _____________________.

CARL CHRISTIAN A. DE LA CRUZ


Affiant

SUBSCRIBED AND SWORN to before me this ______________________, 20____ at


______________________, affiant having exhibited to me their proof of identification.

NOTARY PUBLIC
Doc. No. ________;
Page No. ________;
Book No. ________;
Series of ________ .

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