REPUBLIC OF THE PHILIPPINES ) ___________________________ ) S.S.
AFFIDAVIT OF WAIVER
I, __________________, of legal age, married, Filipino, with postal
address___________________, after having been duly sworn to in accordance with, hereby
depose and say:
That I am the owner of right over a certain parcel of lot situated at Purok -2 Barangay San Isidro
San Jose Del Monte Bulacan , containing an area of One Hundred Square Meters (100 ) square
meters; That considering the fact that I am no longer interested to the said lot and I desire to
transfer the same to other person; That such as, I am waiving all my rights, interest and participation
over the same in favor of _______________________likewise of legal age, and with residence and
postal address at Pob. 1, Lebak Sultan Kudarat;
That the said Lot is willing to assume all obligations in connection with the above-mentioned lot.
IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of _____________ at
____________________, Philippines.
Affiant Marital Consent :________________
SIGNED IN THE PRESENCE OF:
_________________________ _________________________
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in
______________________ this ______ day of _______________ 2021 affiant exhibiting to me
his/her Community Tax Certificate No. _______________, issued on _________________, at
___________________, Philippines.
NOTARY PUBLIC
Doc. No. _____
Book No. _____
Page No. _____
Series of 2021