KNOW ALL MEN BY THESE PRESENTS:

WE, (1) xxx, 75 years old (born on February 8, 1942), widow, naturalized American citizen, and residing at
______________; (2) xxx, 48 years old (born on November 3, 1971), married, naturalized American citizen,
and residing at ______________________; (3) xxx, single, 43 years old (born on June 24, 1973),
naturalized American citizen, and residing at ____________________; (4) xxx, married, 42 years old (born
on January 2, 1975), naturalized American citizen, and residing at _____________________; (5) xxx, 40
years old, married, naturalized American citizen, and residing at _____________________________; and
(6) xxx, 39 years old (born on October 25, 1977), married, naturalized American citizen, and residing at
________________________, under oath, depose, state, covenant and stipulate:

1. That the undersigned are the legal heirs of the deceased xxx, who died at the age of 74 (born on
December 13, 1941) on October 12, 2016 in _______________, as per a copy of his Death Certificate of
the said deceased issued on October 26, 2016 by the County of Los Angeles of Department of Public
Health, California, with State File No. xxx, Local Registration No. xxx marked as Annex “A” hereof, for
reference.

2. That the legitimate spouse/widow (legal heir) of the deceased xxx is the undersigned xxx;

3. That the legitimate children (legal heirs) of the deceased xxx are the undersigned (a) xxx, (b) xxx (c) xxx,
(d) xxx, and (e) xxx;

4. That the estate left by the deceased xxx consists of his accumulated Philippine Social Security System
(SSS) pensions, under SSS No. xxxx, deposited in the BANK OF xxx (xxx), xxx Branch, xxx City,
Philippines, with Savings Account No. xxxx, amounting to One Hundred Seventy thousand and Fifty Pesos
(P170,050.00), more or less;

5. That, by way of EXTRAJUDICIAL SETTLEMENT of the estate of the deceased xxx, his undersigned
legal heirs hereby EQUALLY PARTITION among themselves his estate, pursuant to the Civil Code of the
Philippines and the Rules of Special Proceedings of the Revised Rules of Court of the Philippines;

6. That the undersigned legitimate children of the deceased xxx , namely, (a) xxx, (b) xxx (c) xxx, (d) xxx,
and (e) xxx, hereby ASSIGN, TRANSFER AND CONVEY the entirety of their respective individual
shares/legitimes in favor of their legitimate mother xxx (legitimate widow of the deceased);

7. That the estate of the deceased is not subject to any existing lien, encumbrance, lis pendens,
garnishment, attachment, injunction, execution, or any debt or obligation.

8. That the undersigned legal heirs of the said deceased hereby undertake to pay the necessary taxes,
fees, charges, assessments or expenses, if any, that may be due and owing to the Philippine Government
or any of its instrumentalities or agencies, the Bank of xxx (xxx), or any party or entity entitled thereto under
existing Philippine laws;

9. That, as required by the Rules of Evidence of the Revised Rules of Court of the Philippines, this Deed of
Extrajudicial Settlement is acknowledged and authenticated by the proper consular officer of the Philippine
Consulate in Los Angeles, California, USA with jurisdiction over the respective residences of the
undersigned legal heirs of the said decedent and with jurisdiction over the place of death of the said
decedent;

10. That we undertake to comply with all the rules, regulations, procedures and requirements of the Bank
of xxx (xxx), the Philippine Social Security System (SSS), the Philippine Bureau of Internal Revenue (BIR),
and other concerned public or private agencies or offices to give full legal effect to the provisions of this
Deed of Extrajudicial Settlement;