Waiver Affidavit Form

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

AFFIDAVIT OF WAIVER

I, _____________________________________, of legal age, married to


________________________________, both Filipino citizens, with residence at
__________________________________________________ and a Bureau of Jail
Management and Penology (BJMP) active personnel with office postal address at
the BJMP-NHQ Headquarters Compound, No. 144 Mindanao Avenue, Barangay
Bahay Toro, Project 8, Quezon City, Metro Manila, after having sworn to in
accordance with the law, hereby depose and state:

1. THAT I am an active BJMP personnel, and included in the NHA Alpha list of
qualified applicant/awardee under the National Housing Authority (NHA)
AFP/PNP/BJMP/BFP/BUCOR Housing Program;

2. THAT during the NHA process of identifying and choosing qualified


applicants and through my application, I was pre-qualified, approved, and
allocated a real estate property from the NHA Housing Program particularly
described as Block No. ___, Lot No. ___, consisting of forty (40) square
meters at ___________________ located at Barangay __________________,
_______________________, Province of _______________________;

3. NOW THEREFORE, being a NHA AFP/PNP/BJMP/BFP/BUCOR Housing


Project recipient-awardee as stated above, I do hereby waive whatever rights I
have over the above mentioned real estate property.

AFFIANT FURTHER SAYETH NONE IN WITNESS WHEREOF, I have


hereunto affixed my signature, this ___day of _________, 20___ in __________.

________________________
Affiant

SUBSCRIBED AND SWORN to before me, this ______ day of ____________,


20___, in _________________ Affiant exhibiting to me his/her Community Tax
Certificate No.______________ issued at _____________ on __________, 20___.

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No. _____;
Series No. 20___.

You might also like