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

(Waiver of Rights Over Electric Power Line) Republic of the Philippines) Province of ____________________) S.S.

City/Municipality of _____________) x-----------------------x WAIVER OF RIGHTS OVER ELECTRIC POWER LINE I, _____________, of legal age, Filipino, (single / married / widow), and a resident of _____________, Philippines, after being sworn in accordance with law, hereby declare that I do hereby waive, transfer and convey all my rights, interest and obligations over the electric power line with Account No. _____________ with the _____________ Electric Cooperative to _____________, who is also of legal age, Filipino, (single / married / widow), and a resident of _____________, and who is able and willing to assume all my rights and obligations in connection with the said account with _____________ Electric Cooperative. IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________, Philippines.

AFFIANT
(JURAT)

You might also like