EXTRAJUDICIAL SETTLEMENT OF ESTATE with AUTHORITY

KNOW ALL MEN BY THESE PRESENTS:

This Deed is entered into by and between:
1. ______________________________, single, of legal age and a resident of
_______________________________________________________________________;
2. ______________________________, single, of legal age and a resident of
____________________________________________________________________;and
3. ______________________________, single, of legal age and a resident of
_______________________________________________________________________.

WHEREAS, we are the sole heirs of the deceased _____________________________

who died on __________________, at ______________________________, copy of her death
certificate is hereto attached as Annex “A”;
WHEREAS, _________________________, a bonafide member of DCCCO located at
____________________________________ with Membership ID No. ___________________
and has deposits/share capital/other receivables (specify: _________________________) in the
amount ______________________________________________ Pesos and ___________/100
(Php _____________);
NOW THEREFOR, for and in consideration of the foregoing premises and invoking the
provision of Sec. 1 Rule 74 of the Rules of Court, the said HEIRS above named have agreed to
settle the estate extrajudicially and to this effect do hereby partition and adjudicate the same unto
themselves and the foregoing inheritance, subject however to the liabilities imposed by Sec. 4,
Rule 74 of the Rules of Court for a period of two years in favor of any other possible heirs,
creditors or any other person deprived of the lawful participation over the said estate of the
deceased and encumbrances;
That the HEIRS hereby covenant and further warrant that should there be preterition or
omission of one, some, or all of the compulsory heirs in the direct line, whether living or not at
the time of the execution of this Deed, will not invalidate/nullify the terms and conditions of this
Deed. Instead, the HEIRS shall proportionately oblige themselves to pay the omitted Heirs or the
latter’s heir(s) the share which belongs to him/them, in accordance with the rules of succession
under the Civil Code of the Philippines;
That the HEIRS do hereby appoint (name of the Attorney in Fact)
_____________________________, single/married, of legal age, with postal address at
_________________________________________________ as their true and legal
representative to act for and in their names and stead and to perform the following acts:
1) To apply, process and sign documents for the release of the claim; and
2) To receive the approved claim.
HEREBY GRANTING to the representative full power and authority to execute and
perform every act necessary to render effective the authority to do the foregoing acts, as though
themselves, have so performed/
That the HEIRS hereby covenant and further warrant that should there be taxes due on
the claims, the HEIRS shall proportionately oblige themselves to pay the required tax. The
HEIRS further warrant to relieve DCCCO from any tax accountability arising from this claim.
 IN WITNESS WHEREOF, we have hereunto affixed our signature this
_________________________ at _________________________, Philippines.

_____________________ _____________________ _____________________

Affiant/Heir/Beneficiary Affiant/Heir/Beneficiary Affiant/Heir/Beneficiary

SIGNED IN THE PRESENCE OF:

__________________________________ ________________________________________

REPUBLIC OF THE PHILIPPINES)

CITY OF ______________________) S.S

ACKNOWLEDGEMENT

BEFORE ME, this ________________________ at _________________________,

personally appeared:

NAME PROOF OF IDENTITY

1. ______________________ _____________________________
2. ______________________ _____________________________
3. ______________________ _____________________________

All known to me be the same person, who executed the foregoing instruments, and they hereby
acknowledged that the same is their true act and voluntary deed. This instrument consists of two
(2) pages signed by all parties on each and every page thereof.

WITNESS MY HAND AND SEAL.