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REPUBLIC OF THE PHILIPPINES

PROVINCE OF MASBATE
CITY OF MASBATE

AFFIDAVIT OF WAIVER

I, PERLA J. LANCASTER, American citizen, of legal age and a resident of


_________________________________, having sworn to in accordance with the law, do
hereby depose and state, THAT:

1. I am one of the heirs of the late spouses _________________________________;

2. I am one of the co-owners of a parcel of a private residential land identified as


_______________________________________________, situated in Jazul Road, Brgy.
F. Magallanes, Masbate City consisting of ______ sqm and titled under Transfer
Certificate Title No. T-_____ of the Registry of Dees of Masbate (the “Property”).
A copy of said Certificate of Title is herewith attached as Annex A and more
particularly described below:

3. I do hereby waive whatever rights I have over the above mentioned real estate
property in favour of my sister, LYDIA T. JAZUL, of legal age, Filipino citizen,
married to ___________________, and a resident of No. 502, Brgy. F. Magallanes,
Masbate City.

IN WITNESS WHEREOF, the parties have hereunto affixed their signature on the date
and place first written above.

PERLA J. LANCASTER
Affiant
TIN No. __________

With my expressed acceptance:

LYDIA T. JAZUL
Signed in the Presence of :

________________________________ ________________________________

Witness Witness

Republic of the Philippines }


} S.S.

BEFORE ME, a Notary Public for and in _____________________, this _________________,


personally appeared the following

NAME Valid Identification Date/Place of Issue


Card No.
==============================================================
PERLA J. LANCASTER
LYDIA T. JAZUL

All known to me and to me known to be the same person/s who executed the
foregoing instrument denominated as a AFFIDAVIT OF WAIVER consisting of two (2)
pages, including the page on which this acknowledgment is written and has been duly
signed by the parties together with their witnesses thereto on page 2-3 and on the left-
hand margin of the other pages and who thereafter acknowledged before me that
he/she/they understand/s the contents and significance thereof, and that the same is
his /her/their voluntary act and deed .

WITNESS MY HAND AND SEAL.

NOTARY PUBLIC

Doc. No. _________;


Page No. _________;
Book No. _________;
Series of __________.

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