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Lease Release Waiver and Quitclaim

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Republic of the Philippines )

City of _______________   ) S.S.


x--------------------------x

RELEASE WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

            That I, _______________ thru representative ____________________,


Filipino, of legal age, a resident of _____________________, PHILIPPINES,
previously a lessor of _______________ and doing business thereat under the
name and style of _________________, do by these presents acknowledge receipt
of the sum of PESOS: SEVENTEEN THOUSAND FIVE HUNDRED PESOS
and 0/100 (PhP17,500.00), Philippine Currency, and FIVE HUNDRED PESOS
BIR FORM 2316 from ____________________ as full payment of all and
pending rentals due to me or which may be due to me as well as any and all claims
of whatever kind and nature which I have or may have against her arising from
lease contract and doing business at __________________.

            In consideration of said payment, I do hereby quitclaim, release, discharge


and waive any and all actions of whatever nature, expected, real or apparent, which
I may have against _________________, by reason of or arising from the our
contract. I will institute no action, whether civil, criminal, or otherwise, against the
lessee. Any and all actions which I may have commenced either solely in my name
or jointly with others before any office, board, bureau, court, or tribunal are hereby
deemed and considered voluntary withdrawn by me and I will no longer testify or
continue to prosecute said action(s).

            I declare that I have read this document and have fully understood its
contents.  I further declare that I voluntarily and willingly executed this Release,
Waiver and Quitclaim with full knowledge of my rights under the law.

            IN WITNESS WHEREOF, I have hereunto set my hand at


_____________, this ___ day of _______________, 20__, at Consolacion Cebu,
Philippines.
 
____________________________
Affiant
Gov’t ID.:___________________
Issued on: ___________________
Issued at: ___________________

SIGNED IN THE PRESENCE OF

_______________________      ______________________

SUBSCRIBED AND SWORN TO before me this ______ day of


______________, 20__ at Cebu City, Philippines by affiant exhibiting to me
his/her competent proof of identity as stated above.
Doc. No._____;
Page No._____;
Book No._____;
Series of 20___.

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