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Undertaking

Veronica Centeno Beltran's husband Luis A. Beltran passed away on April 7, 2023. As his widow, she is requesting that the Armed Forces and Police Savings & Loan Association, Inc. Philippine Army Finance Center Producers Integrated Cooperative allow her to receive the proceeds from her late husband's terminated account for her benefit and that of other heirs. She acknowledges that she will be criminally and civilly liable for any issues arising from her receipt of the proceeds and agrees to hold the cooperative harmless.

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DaDa Sales-Avila
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0% found this document useful (0 votes)
39 views1 page

Undertaking

Veronica Centeno Beltran's husband Luis A. Beltran passed away on April 7, 2023. As his widow, she is requesting that the Armed Forces and Police Savings & Loan Association, Inc. Philippine Army Finance Center Producers Integrated Cooperative allow her to receive the proceeds from her late husband's terminated account for her benefit and that of other heirs. She acknowledges that she will be criminally and civilly liable for any issues arising from her receipt of the proceeds and agrees to hold the cooperative harmless.

Uploaded by

DaDa Sales-Avila
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OFITHE PHILIPPINES)

_________________________ ) S.S.

AFFIDAVIT OF UNDERTAKING

I, Veronica Centeno Beltran, widow, Filipino, of legal age and with


residence at # 22 Gannaban St. Centro Norte, Alcala, Cagayan, after having
been duly sworn to in accordance with law hereby depose and state:

1. That I am the wife of the late Luis A. Beltran who died on April 7
2023;

2. That my husband was a bonafide member of the Armed Forces and


Police Savings & Loan Association, Inc. Philippine Army Finance Center
Producers Integrated Cooperative (PAFCPIC);

3. That consequently, I am requesting PAFCPIC authorities to allow me


to receive the proceeds of the termination of the deceased's account for my
benefit and also for the benefit of other heirs;

4. That I will hold myself criminally and civilly responsible for any
liability that may arise in connection with my receipt of the above-cited
proceeds or benefit and further free PAFCPIC from liability relative thereto.

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


________ at _________________________.

VERONICA C. BELTRAN
Affiant

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


___________________________ ) S.S.

SUBSCRIBED AND SWORN to before me this ____ day of __________


personally appeared ____________________ with Valid ID No._________________
known to me to be the same person who executed the foregoing instrument
and acknowledge the same to be his/her free voluntary act and deed.

Doc. No.:
Page No.:
Book No.:
Series of:

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