Sample Boheco Waiver

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

REPUBLIC OF THE PHILIPPINES)

CITY OF TAGBILARAN) S.S.

AFFIDAVIT OF WAIVER AND QUITCLAIM

I, ___________________, Filipino, of legal age, widow, and a


resident of Laya, Baclayon, Bohol, Philippines, after having been duly sworn
to in accordance with law, do hereby depose and say:

1. That I am the direct and surviving heir of the late


________________, who during his lifetime was my registered electric co-
consumer at the Bohol I Electric Cooperative, Inc., (BOHECO-I) for a
certain residential building, situated at Laya, Baclayon, Bohol, under
Account No. _____________;

2. That by virtue of the foregoing statements, and being of sound mind


and disposition, I hereby waive any and all rights over the above-mentioned
electrical connection at the BOHECO-I in favor of the Vendee,
_____________________, Filipino, of legal age, married
______________________, and a resident of Doljo, Panglao, Bohol,
Philippines;

3. That I am executing this affidavit without due force and


intimidation, with full understanding of the consequences of my actions;

4. That I am executing this affidavit in order to relinquish whatever


rights I may have in the aforementioned electrical connection and for
whatever other legal purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this


________________, in Tagbilaran City, Bohol, Philippines.

____________________________
Affiant

SUBSCRIBED AND SWORN TO before me this


_________________, in Tagbilaran City, Bohol, Philippines.

You might also like