Authorization and Waiver
Authorization and Waiver
Authorization and Waiver
AGREEMENT
We, ____________________, and _____________, both of legal age, married, and with
residence at ____________________________, and ________________________,
respectively, after having been duly sworn to in accordance with law, hereby depose and state
that:
5. We agree and undertake to protect, defend and indemnify (including legal costs and
expenses) ____________________, as well as its Stockholders, Directors, Officers and Staff and
any and all parties with interest therein, whether named or unnamed, against any claims,
demands, or cause of action, whatsoever by any person whosoever against any party from any
claim or damages arising out of or by reason of the security deposit released to us under the
account of ____________________.
6. We also certify that we fully understand the contents, effects and consequences of
executing this affidavit to our full understanding and satisfaction.
7. Finally, we hereby state and affirm that we executed this statement voluntarily,
intelligently and out of our own free will.
IN WITNESS WHEREOF, we have hereunto set our hand this _____ day of
____________ 2014 in Quezon City.
________________
Affiant
Notary Public
Doc. No. ____
Book No. ____
Page No. ____
Series of 2014.