RELEASE WAIVER AND QUITCLAIM KNOW ALL MEN BY THESE PRESENTS: That I, CERILIO DELA CRUZ, Filipino, of legal age, married and a resident of Barangay Bagong Sikat, Cabanatuan City, do by these presents acknowledge and express my deepest gratitude to RONNIE D. LANGIT of Brgy. Bantog, Bongabon, Nueva Ecija for answering my medical expenses, surgery and hospital confinement amounting to SIXTY THOUSAND PESOS (P60,000.00) more or less plus receipt of the sum of TEN THOUSAND PESOS (P10,000.00) Philippine Currency, in full payment and final settlement of all my claims of whatever kind and nature which I have or may have against RONNIE D. LANGIT, arising from my injuries as a result of a vehicular accident which transpired on November 4, 2013 at Burgos Ave, Cabanatuan City, to which RONNIE D. LANGIT is not at fault and completely free of any liability as the said incident is purely an accident and unintentional arising from circumstances that RONNIE D.LANGIT has no control or influence whatsoever. In consideration of said payment and generous medical and hospitalization assistance, I do hereby quitclaim, release, discharge and waive any and all actions of whatever nature, expected, real or apparent, which I may have against RONNIE D. LANGIT by reason of or arising from my injuries. I will institute no action, whether civil, criminal or administrative against RONNIE D. LANGIT. 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any office, board, bureau, court, or tribunal against RONNIE D. LANGIT are hereby deemed and considered voluntary withdrawn by me and I will no longer testify or continue to prosecute said action(s).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 Cabanatuan City, this 22 day of November, 2013. nd
CERILIO DELA CRUZ Affiant
SIGNED IN THE PRESENCE OF _______________________
______________________
SUBSCRIBED AND SWORN TO before me this 22ND day of November 2013 hereat Cabanatuan City, affiant exhibiting to me his ____________________________.
Doc. No. Page No.
Book No. Series of 2013
