Waiver of Rights Ni Kae

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WAIVER OF RIGHTS

KNOW ALL MEN BY THESE PRESENTS:

This WAIVER made and executed by and among:

We, LEONILA S. DIU, widower, RON ALINOEL S. DIU, BETINA BIANCA S. DIU, MARY AIZA S. DIU, GERALD
JOHN S. DIU, all of legal ages, Filipino citizens, and residents of 094 Sitio Sta. Elena, Brgy. Labuin, Sta. Cruz, Laguna;

WITNESSETH:

That we are the surviving wife, children and legal heirs of the deceased RONALD M. DIU, who died on
June 20, 2015 in Santa Cruz, Laguna, herein attached his Certificate of Death marked as annex “A”;

That said deceased died intestate, without Will or Testament, and without any outstanding debts in favor
of any person or entity;

That the deceased left a Motor Vehicle with Plate No. KBE 88, particularly describes as follows:

Make : HONDA Motor No. : R18A18700461


Type : SEDAN Chassis No. : PADFD1640BV512625
Plate No. : KBE 88 CR No. : 146 214 29-4
Model : 2011 Civic

That pursuant to Sec. 1, Rule 74 of the Revised Rules of Court of the Philippines, and all of legal ages being
with full capacity to contract, we do hereby adjudicate unto themselves the abovementioned - Motor Vehicle
described above.

WHEREAS, We, RON ALINOEL S. DIU, BETINA BIANCA, MARY AIZA S. DIU, GERALD JOHN S. DIU for our
part we hereby waived our rights, participation and interests over the said Motor Vehicle in favour of our mother
LEONILA S. DIU.

IN WITNESS WHEREOF, we have hereunto set our hands this 2 nd day of August, 2021 in the City of Santa
Rosa, Laguna.

RON ALINOEL S. DIU GERALD JOHN S. DIU


Affiant Affiant
TIN. 318-127-537 PRC ID No. 0121549

BETINA BIANCA S. DIU MARY AIZA S. DIU


Affiant Affiant
PRC ID No. 0065541 PRC ID No. 0579180

LEONILA S. DIU

Affiant
Driver’s Lic. No. D12-09-000037

SIGNED IN THE PRESENCE OF:

________________________ ________________________
Witness Witness
ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


CITY OF SANTA ROSA, LAGUNA ) S.S.

Before me, a Notary Public in the Province of Laguna, personally appeared the above-named party/ies
with his/her/their Identification Card/s above written, all known to me and to me known to be the same person
who executed the foregoing instrument, and acknowledged to me that the same is his/her/their own free and
voluntary act and deed.

WITNESS MY HAND AND SEAL on the date and at the place first above written.

ATTY. BLESSIE ROSE CARPENA


Doc. No. ___ Notary Public for City of Santa Rosa, Laguna
Page No.___ A.N.C. No. 0032-SRCL; Until December 31, 2022
Book No ___ IBP No. 121356; 01/01/21; Pasig City
Series of 2021 PTR No. 4135812; 01/04821; Santa Rosa, Laguna
MCLE Compliance No. VI-00211253; 03/28/19; Pasig City
2F Sta. Rosa Arcade, F. Gomez St., Brgy. Kanluran
City of Santa Rosa, Laguna

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