REPUBLIC OF THE PHILIPPINES

Zamboanga City
AFFIVADIT OF WAIVER
I, Mr/Ms. _________________________of legal age, single/married, Filipino, with
postal address at _______________________________________________________, after
having been duly sworn to in accordance with, herby depose and say:
That I am the owner of a certain lot situated at _________________________________
________________________________ located at ______________, Zamboanga City;
That considering the fact that I am no longer interested to the said lot and has failed to
comply with the CAs requirements and financial obligation, I desire to transfer the same to other
person;
That such as, I am waiving all rights, interest and participation over the same in favor of
Mr/Ms.___________________________, likewise of legal age, single/married/widow, and with
residence and postal address at __________________________________________.
That the said Mr/Ms. _________________________is willing to assume all obligation
with the Association in connection with the above-mentioned lot.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of ______________at
___________________, Philippines.

____________________
Affiant
CTC #_______________
Dtd: _______________
Zambonga City

____________
Marital Consent

SIGNED IN THE PRESENCE OF:

______________________

____________________

SUBSCRIBED AND SWORN to before me this _____day of _______, 2010 at

_________________ affiant exhibiting to me his Community Tax Certificate No._________
issued on _____________ at __________________ City.
_______________________
Notary Public
Doc. No. _______
Page No._______
Book No.______
Series of _______