Republic of the P hilippines) ___________________ ____________________) _) S.S
AFFIDAVIT OF WAIVER OF RIGHTS
I, ___________________________, of legal age, single/married, Filipino, with postal address at Block ___ Lot ___ of SAN NICOLAS HOMEOWNERS ASSOCIATION INC., ROLLING HILLS, SAN NICOLAS, BAMBAN, TARLAC, after having been duly sworn to in accordance with, hereby depose and say: That I am the owner of rights over a certain lot situated at Block ___, Lot ___ of SAN NICOLAS HOMEOWNERS ASSOCIATION INC., ROLLING HILLS, SAN NICOLAS, BAMBAN, TARLAC, containing an area of ________________________ _________________________ _ (___) square m eters; That considering the fact that I am no longer interested to the said lot and has failed to comply with the requirements of the Community Association and financial obligation, I desire to transfer the same to another person; That such as, I am waving all my rights, interest and participation over the same in favor of _______________________, likewise of legal age, single/married to ___________________ _____________________, __, and with residence and postal address at ___________________ ________________________; _____; That the said ____________________ is willing to assume all obligations with the Community Association and with the Social Housing Finance Corporation in connection with the above-mentioned lot. I have hereunto set my ___________________ ____________________ _ at ___________________ ____________________, _, Philippines. IN
WITNESS
WHEREOF,
___________________ _____________________ __ Affiant CTC No. ______________ Issued on _____________ _____________ Issued at _____________ _____________
hand
this
_______
day
of
___________________ _____________________ __ Marital Consent CTC No. ______________ Issued on _____________ _____________ Issued at _____________ _____________ SIGNED IN THE PRESENCE OF:
____________________ _____________________________ ___________ __
__________________ ____________________________ _____________ ___
a Notary Public for and in ___________________ _______________________ ____ this ______ day of _________________ _________________ 20___, affiant exhibiting to me his/her Community Tax Certificate No. __________________, issued on ____________________, at _________________, _________________, Philippines. Philippines. SUBSCRIBED
AND
SWORN
TO
BEFORE
ME ,
NOTARY PUBLIC
Doc. No. ________ Book No. ________ Page No. ________ Series of ________
