Republic of the Philippines) ____________________) S.

AFFIDAVIT OF WAIVER OF RIGHTS

I, ___________________________, of legal age, single/married, Filipino, with postal address at Block ___ Lot ___ of SAN NICOLAS HOMEOWNERS ASSOCIATION INC., ROLLING HILLS, SAN NICOLAS, BAMBAN, TARLAC, after having been duly sworn to in accordance with, hereby depose and say: That I am the owner of rights over a certain lot situated at Block ___, Lot ___ of SAN NICOLAS HOMEOWNERS ASSOCIATION INC., ROLLING HILLS, SAN NICOLAS, BAMBAN, TARLAC, containing an area of _________________________ (___) square meters; That considering the fact that I am no longer interested to the said lot and has failed to comply with the requirements of the Community Association and financial obligation, I desire to transfer the same to another person; That such as, I am waving all my rights, interest and participation over the same in favor of _______________________, likewise of legal age, single/married to _____________________, and with residence and postal address at ________________________; That the said ____________________ is willing to assume all obligations with the Community Association and with the Social Housing Finance Corporation in connection with the above-mentioned lot. IN WITNESS WHEREOF, I have hereunto set my ____________________ at ____________________, Philippines. hand this _______ day of

_____________________ Affiant CTC No. ______________ Issued on _____________ Issued at _____________ SIGNED IN THE PRESENCE OF: _______________________________

_____________________ Marital Consent CTC No. ______________ Issued on _____________ Issued at _____________

_______________________________

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in _______________________ this ______ day of _________________ 20___, affiant exhibiting to me his/her Community Tax Certificate No. __________________, issued on ____________________, at _________________, Philippines.

NOTARY PUBLIC Doc. No. ________ Book No. ________ Page No. ________ Series of ________