Pro-forma Waiver
REPUBLIC OF THE PHILIPPINES )
___________________________ ) S.S.
AFFIDAVIT OF WAIVER
I, ____________________, of legal age, single/married, Filipino, with postal
address at Blk. ___ Lot ___ CA Address, after having been duly sworn to in accordance
with, hereby depose and say:
That I am the owner of right over a certain lot situated at Block ___, Lot ___ of
CA Address, containing an area of _________________ ( _ ) square meters;
That considering the fact that I am no longer interested to the said lot and has
failed to comply with the CA’s requirements and financial obligation, I desire to transfer
the same to other person;
That such as, I am waiving all my rights, interest and participation over the same
in favor of ____________________, likewise of legal age, single/married, and with
residence and postal address at Blk. ___ Lot ___ CA Address;
That the said ____________________ is willing to assume all obligations with
the Association and with the Social Housing Finance Corporation in connection with the
above-mentioned lot.
IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of
_____________ at ____________________, Philippines.
_________________________
Affiant
_________________________
Marital Consent
SIGNED IN THE PRESENCE OF:
_________________________
_________________________
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in
______________________ this ______ day of _______________ 200 ___, affiant
exhibiting to me his/her Community Tax Certificate No. _______________, issued on
_________________, at ___________________, Philippines.
NOTARY PUBLIC
Doc. No. _____
Book No. _____
Page No. _____
Series of 200___