WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

I, _____________________________, of a legal age, Filipino, single/married and a

resident of _____________________________, for myself, my heirs, representatives,
successors and assigns, hereby acknowledged that my claim against
_______________________ arising from ____________________ have been lawfully and
legally satisfied, I hereby acknowledge that I have received all the amount due me under
the law to my full satisfaction, and for this reason, do hereby release and discharge,
absolutely, irrevocable, wholly and fully, _________________________, from any and all
actions, claims, demands and rights whatsoever.

I have not, nor will I, personally or through any party or person file a case in any
court of law, or any other government agency regarding any matter incident to, arising
out of, or in connection with ____________________

I hereby declare that I have read and fully understood this instrument and that the
same is hereby executed by me willingly, voluntarily and with full knowledge of my
rights under the law.

IN WITNESS WHEREOF, I have hereunto set my hands this ___th day of

__________________________, 2017 in ____________________.

__________________________________
Affiant

WITNESSES:

__________________________ __________________________

REPUBLIC OF THE PHILIPPINES )

CITY OF ANGELES ) S.S.

ACKNOWLEDGEMENT

BEFORE ME, a Notary Public for and in the City of Angeles, this _____ day of
_______________, 2017 personally appeared ____________________, who has satisfactorily
proven to me his/her identity through his/her _______________ I.D. No.
_______________ issued on/valid until ________________, that he/she is the same person
who executed and voluntarily signed the foregoing Waiver and Quitclaim which he/she
acknowledged to me as his/her free and voluntary act and deed.

WITNESS MY HAND AND SEAL, on the date and place above-written.

Doc. No. :
Page No.:
Book No.:
Series of 2017.