Republic of The Philippines) :SS. City OF Pagadian) X

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REPUBLIC OF THE PHILIPPINES)

:SS.
CITY OF PAGADIAN)
X------------------------/

WAIVER OF RIGHTS OF MOTOR FRANCHISE

I, ROSDAH P. BALAKAL, of legal age, Filipino citizen, married and a resident of


Purok Arabic, Banale, Pagadian City, Zamboanga del Sur, Philippines, after first having been
duly sworn in accordance with law, depose and say:

1. That I am the owner of motorcycle described herein and grantee of a Motorize


Franchise as described hereunder;

MAKE : TVS
ENGINE NO. : AF4CL4900572
CHASSIS NO. : MKZM1P14FLJ005690
PLATE NO. :
MTFRB CASE NO. : PAG – 2021 - 2885
MOTOR SIDECAR NO. : 1275

2. That due to financial constraints I am no longer interested to operate my motorcycle


because I cannot afford the daily maintenance;

3. That in view of the foregoing, I hereby WAIVE, CONVEY, CEDE, and TRANSFER
my RIGHTS and INTEREST over the FRANCHISE in favor to TATA T. ABDUL
of legal age, Filipino, married and a resident of Poblacion, Dimataling, Zamboanga
del Sur, Philippines;

4. That I am executing this Waiver of Rights in order to attest to the truthfulness and
veracity of the foregoing and for whatever legal purpose it may serve best.

IN WITNESS HEREOF, I hereunto affixed my signature this 17 th day of September,


2021 at Pagadian City, Zamboanga del Sur, Philippines.

ROSDAH P. BALAKAL TATA T. ABDUL


Affiant/owner/grantee Affiant/beneficiary
ID No. On ID No. On
At At

Witnesses:

SUBSCRIBED AND SWORN to before me this 17 th day of September, 2021 at Pagadian


City, Zamboanga del Sur, Philippines.

Doc No.
Page No.
Book No.
Series of 2021

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