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THIS EXTRA JUDICIAL SETTLEMENT OF ESTATE made and entered into by:
1. The above-named are the heirs of the late, JIM A. DOE (the
“decedent”), who died on the 1st of January 2019 at the City of Manila which
was the place of his residence at the time of his death.
3. The decedent died without any debts and without any will, and the only
surviving heirs are above-mentioned John A. Doe, Jane A. Doe, and Joe A. Doe.
5. The heirs hereby affirm that they have executed this instrument voluntarily
and freely and without force, intimidation or violence upon their person, that
they have hereby received their just and proper share, and that they have no
claim or demand against each other.
IN WITNESS WHEREOF, we hereunto set our hand this 14th day of February
2019 at the City of Manila, Philippines.
___________________ ___________________
JOHN A. DOE JANE A. DOE
___________________
JOE A. DOE
Republic of the Philippines)
City of Manila )S.S.
ACKNOWLEDGEMENT
BEFORE ME, a Notary Public for and in the City of Manila, personally
appeared JOHN A. DOE with Community Tax Certificate No. 32413 issued on
Jan. 1, 2019 at the City of Manila and Tax Identification No. (T.I.N.) 12-2213,
JANE A. DOE with LTO Driver’s License No. 231322 issued on February 14,
2017 at the City of Manila and Tax Identification No. (T.I.N.) 13-126251, and
JOE A. DOE with LTO Driver’s License No. 3223445 issued on February 14,
2017 at the City of Manila and Tax Identification No. (T.I.N.) 14-23452, all
known to me and to me known to be the same persons who executed the
foregoing instrument which they acknowledged to me to be their free and
voluntary act and deed, consisting of only two (2) pages, including this page in
which this Acknowledgement is written, duly signed by them and their
instrumental witnesses on each and every page hereof.
WITNESS MY HAND AND SEAL this 14th day of February at the City of Manila,
Philippines.
Doc. No. 32
Page No. 23
Book No. 5
Series of 2019