Republic of the Philippines)
City of Cebu………………….) S.c.
WAIVER
KNOW ALL MEN BY THESE PRESENTS:
I, JANE S. CUER, of legal age, Filipino, single and a resident of Colonia, Tuburan, Cebu, after
having been duly sworn to in accordance with law, do hereby depose and state—
That, I am the beneficiary of St. Peter Plan of my mother, ROSALINA B. SAYSON;
That, ROSALINA B. SAYSON died on June 27, 2022 without availing her St. Peter Plan;
That, I am voluntarily waiving my right and interests over the above-described plan including all
other benefits to my brother, JUDE ANTHONY SAYSON, of legal age, Filipino, single and a resident of
Colonia, Tuburan, Cebu;
That, I am executing this Waiver of Rights un utmost good faith fully aware of my rights
under the laws and free from any form of duress and coercion;
That, I am executing this Waiver in order to attest the truthfulness of the foregoing for whatever
legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this __ day of
____________________________ in the City of Cebu, Philippines.
JANE S. CUER
Affiant
NID 3817-0968-3145-7480
SUBSCRIBED AND SWORN TO before me this __ day of _____________________ in the City of
Cebu, Philippines.
Doc. No. __;
Page No. __;
Book No. __;
Series of 2022