AFFIDAVIT OF WAIVER OF RIGHTS
I, Amelita de Vera Beauregard, of legal age, married and with
residence address at __________________________do hereby depose and
state:
1. That I am one of the heirs of Eleuterio S. de Vera who passed
away last September 11, 2013;
2. That I do hereby WAIVE my right, interest, and participation
in the claims of my father in GSIS, OSCA, and other government
institution in favor of our sister Marilyn Q. de Vera;Affiant
sayeth naught.
IN WITNESS WHEREOF , I have hereunto set my hand this _____day
of _______________ 20__, at
__________________________________________
____________________________ Amelita de Vera-Beauregard
ACKNOWLEDGMENT
Republic of the Philippines )_________________________) S.S
BEFORE ME, personally appeared me the following:
Name Competent Evidence of IdentityDate/Place Issued
Known to me and to me known to be the same persons who executed
the foregoing instrument and acknowledged to me that the same is
their free and voluntary act and deed.
WITNESS MY HAND AND SEAL, on the date and place first above
written.
Notary PublicDoc. No.______;Page No. ______;Book
No.______;Series of 20___.
