Republic of the Philippines)
City of Binan ) S.S.
WAIVER OF RIGHTS
I, ______________________, of legal age, married to
____________________ S and a resident of ____________________, after
having been sworn to in accordance with law, depose and states:
1. That I am the surviving spouse of the late__________________ who
died intestate on ___________________ in Binan City, Laguna.
2. That me and my minor child are the sole and exclusive heirs of late
husband ___________________
3. That my late husband was a ______________________ at
the_____________________;
4. That being the legal heirs of my late husband, my son and I waive our
rights to claim in favor of my husband’s
father___________________________ as the one and only claimant of
any and all benefits due to us as the sole and exclusive heirs;
5. That I execute this Waiver to attest to the truth of the foregoing and for
whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
____day of ____________________, in the City of Binan, Philippines.
Affiant
_____________________
SUBSCRIBED AND SWORN to before me this __________, the affiant
having exhibited to me her competent proof identity.
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 2020.