AFFIDAVIT OF WAIVER

Republic of the Philippines

Province/ City of ___________

SS.

I, _____________________________________, of legal age,

single/married,
Filipino
and
a
resident
of
___________________, __________________, ________________,
( Barangay )

( Municipality)

( Province/City )

after having been sworn to in accordance with law, hereby depose

and say:
That I was the previous owner of a certain house which is now
owned and occupied by ________________________________,
whose ownership was conveyed by virtue of a Deed of Sale, sometime
in the year _________;
That by these presents, I voluntarily and expressly renounce and
waive all my rights over the said house in favor of the aforementioned
occupant/owner, their heirs and assigns;
That I hereby warrant that the same house is now owned for all
legal intent and purpose by above-named person.
That I am executing this affidavit to attest the truth of the
foregoing statements and to support the :
____ Transfer of my existing account to the
new owner/occupant
____ Application for Electric Power Connection
____ Transfer of Membership Fee
____ Others ( Pls. specify) _____________________________
IN WITNESS WHEREOF, We have hereunto affixed our signatures
this ____ day of _____________ 200__, in the above written address.
________________
Affiant

SUBCRIBED and sworn to before me in the ____________________, Province of

______________________, Philippines, this ______ day of _________________,
200___, affiant having exhibited to me his CTC No. ____________, issued at
____________________; on __________________, 200__.
NOTARY PUBLIC:
Doc. No.
Book No.
Page No.
Series of

___________
___________
___________
___________

AFFIDAVIT OF WAIVER
( FOR JURIDICAL PERSON )
Republic of the Philippines
Province/ City of ___________

SS.

I, _____________________________________, of legal age,

single/married,
Filipino
and
a
resident
of
___________________, __________________, ________________,
( Barangay )

( Municipality)

( Province/City )

in
my
capacity
as
the
____________________
of
______________________________, duly authorized after having
been sworn to in accordance with law, hereby depose and say:
That our company, _______________________ is the owner
and previous occupant of _____________________ now being leased
to ______________________, a corporation, duly organized and
existing under the Philippine Law, hereby waives the rights of
occupancy and its account to the lessee, _____________________;
That by these presents, We therefore pose no objection as to the
transfer of our existing account to the new occupant and lessee of our
existing property located at _____________________________;
That we are executing this affidavit to attest the truth of the
foregoing statements and to support the :
____ Transfer of our existing account to the
new owner/occupant/lessee
____ Application for Electric Power Connection
____ Transfer of Membership Fee
____ Others ( Pls. specify) _____________________________
IN WITNESS WHEREOF, We have hereunto affixed our signatures
this ____ day of _____________ 200__, in the above written address.
________________
Affiant

SUBCRIBED and sworn to before me in the ____________________, Province of

______________________, Philippines, this ______ day of _________________,
200___, affiant having exhibited to me his CTC No. ____________, issued at
____________________; on __________________, 200__.
NOTARY PUBLIC:
Doc. No.
Book No.
Page No.
Series of

___________
___________
___________
___________