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Republic of the Philippines 

)
City of Imus                ) S.S.
x--------------------------x

RELEASE AND WAIVER

            I, Chippin the chipain of legal age, Filipino citizen, and presently


residing at Imus, Cavite after having been duly sworn to in accordance with
law, do hereby depose and say:

1.  That resulting

2.  That after verifying the facts, I realized that said Jenna Niston was not
altogether reckless in driving said vehicle;

3.  That in order to settle the case amicably and since the owner of the car Katy
Homs had offered to pay the sum of P20,000 for all the medical expenses
and the losses that I sustained, which I hereby acknowledge, I am
withdrawing my complaint in both civil and criminal cases filed in the
Regional Trial Court of Makati City (Civil Case No. 123 and Criminal Case no.
3456);

4.  That by virtue thereof, I hereby waive any and all claims, criminal or civil,
against said persons, and further release and discharge them from any and
all liability.

IN WITNESS WHEREOF, I have hereunto set my hand this 6th day


of January 2014 at Makati City, Philippines.

                                                                                            BRAD PETE
                                                                                                Affiant
                                                                                   

            SUBSCRIBED AND SWORN to before me this 6th day of January


2014 in Makati City, Philippines, affiant exhibiting to me his competent evidence
of identity by way of SSS I.D. No. 12345 issued at Makati City on May 5,
2012.

Doc No. :  _____                                                             


Page No.: ______                                           
Book No.: ______                                              
Series of 2014                                                                Notary Public      

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