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Affidavit of Quitclaim

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Republic of the Philippines )

PROVINCE OF COTABATO)
Municipality of Midsayap ] ss.
*******************

AFFIDAVIT OF NON-INTEREST,
DESISTANCE, WAIVER AND QUITCLAIM

I, ORLAND DENIEGA NGALIS, of legal age, Filipino and resident of


Brgy. Abaga, Libungan, Province of Cotabato, upon our oath depose and
state, THAT:

1. On September 06, 2022, at about 9:14 AM, a road crashed incident


transpired along Libungan-Cagayan National Highway particularly at
Public Market Site, Brgy. Poblacion, Libungan, Province of
Cotabato, involving the following vehicles: (1) a 10 (ten) wheeler
Fuso Fighter Truck owned by CHRISTOPHER TIO DATUWATA,
and driven by a certain RENE BENGIL ALBORO together with his
helper JOMAR PANES CANINDO; (2) a Toyota Hilux Conquest,
color black Mica with plate number NGY1364 owned and driven by
ORLAND DENIEGA NGALIS; and (3) a black Honda Click 125
motorcycle with plate number 1101-473330 driven by ROWEL
GERODIAS ENCABO;

2. Considering the circumstances which was not intended as it was an


accident and the fact that both parties have freely and voluntarily
agreed to settle the matter involving the resulting damage and
injuries sustained in the agreed sum of ONE HUNDRED FIFTY
THOUSAND PESOS (PhP150,000.00), I, ORLAND DENIEGA
NGALIS hereby desist from filing any case or complaint and to
prosecute or testify against the owner of the 10 (ten) wheeler Fuso
Fighter Truck owned by CHRISTOPHER TIO DATUWATA and/or
their driver, RENE BENGIL ALBORO together with his helper
JOMAR PANES CANINDO, for the damage on the said vehicle as
well as any and all injuries sustained including any and all actions
that may be filed on account of that vehicular accident. As such, I
have hereby waived any right that I, ORLAND DENIEGA NGALIS
may have arising therefrom and forever release, by this quitclaim,
CHRISTOPHER TIO DATUWATA and/or their driver, RENE
BENGIL ALBORO and his helper JOMAR PANES CANINDO from
any kind of liability on account of that accident;

3. I am stating for the record that I have voluntarily executed this non-
interest, desistance, waiver and quitclaim knowing fully well that I
can no longer file any case or complaint, whether criminal, civil or
administrative, and prosecute or testify against each other for the
damage sustained by our said motor vehicles, as well as any and all
actions that may be filed on account of that vehicular accident;

4. I am executing this non-interest, desistance, waiver and quitclaim to


attest to the truth of the foregoing facts in order to apprise the proper
authorities of my desistance to file a case or complaint, testify
against and prosecute against the afore-said parties for the damage
on our said motor vehicles as well as any and all injuries (if any)
including any and all actions that may be filed on account of that
vehicular accident and for whatever legal purpose this may serve.

IN TESTIMONY THEREOF, I have hereunto affixed my signature


this at Midsayap, Province of Cotabato, Philippines.

ORLAND DENIEGA NGALIS


Affiant
ID No.

SIGNED IN THE PRESENCE OF:

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the Province of Cotabato,


this at Midsayap, Province of Cotabato, appeared the
affiant with his valid identification card as competent evidence of his
identity, known to me to be the same person who executed the foregoing
JOINT AFFIDAVIT OF NON-INTEREST, DESISTANCE, WAIVER, AND
QUITCLAIM and acknowledged to me that the same is his free and
voluntary act and deed.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of 2022.

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