Waiver and Transfer of Claims

WAIVER and TRANSFER OF CLAIMS

KNOW ALL MEN BY THESE PRESENTS:

This WAIVER AND TRANSFER OF CLAIMS executed by the PARTIES:

{ }, of legal age, single, Filipino and resident of { } and { }, of legal age, single, Filipino and resident of { }, herein referred to as TRANSFERORS;

in favor of

{ }, of legal age, single, Filipino with residential address at { }, and { }, of legal age, widow, Filipino and resident of { }, herein referred to as TRANSFEREES.

WITNESSETH:

Whereas, the TRANSFERORS are surviving heirs of { } who died last { }.

Whereas, { } is a PagIBIG member with Member’s Data Number { }.

Whereas, { }, { }, { } and { } are the surviving heirs of the deceased being the legal wife, son and daughter of the deceased.

Whereas, the abovementioned surviving heirs of the deceased have the right to claim the Provident Benefits of { } at the PagIBIG Office.

Whereas, { } and { }, voluntarily waived their rights in the said Benefits Claim because of their lack of interest.

By express intention and consent of the TRANSFERORS, their rights involving the PagIBIG Provident Benefits Claim will be transferred to the TRANSFEREES.

WHEREFORE, this Affidavit of WAIVER and TRANSFER of CLAIMS is executed between the parties to transfer from the TRANSFERORS to the TRANSFEREES all rights involving the former’s PagIBIG Providents Benefits Claim.

WITNESS OUR HAND this { }, Taguig City, Philippines.

{ }

{ } ID no: { }

TRANSFEROR

{ }

{ } ID no: { }

TRANSFEROR

{ }

{ } ID no: { }

TRANSFEREE

{ }

{ } ID no: { }

TRANSFEREE

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in Taguig City, personally appeared, known to me to be the same persons who executed the foregoing WAIVER AND TRANSFER OF CLAIMS by showing their competent proof of identity and they acknowledged that it is their free and voluntary act and deed.

This instrument consisting of two (2) pages was signed by the parties on each and every page thereof on the left-hand margin and the space provided.

WITNNESS MY HAND AND NOTARIAL SEAL this { }, Taguig City, Philippines.

{ }

Document No: { }

Page No: { }

Book no: { }

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