Extrajudicial Settlemt Page 1
EXTRA-JUDICIAL SETTLEMENT OF ESTATE WITH WAIVER
AND RENUNCIATION OF RIGHTS
KNOW ALL MEN BY THESE PRESENTS:
That this Deed of Extrajudicial Settlement of Estate with Waiver and
Renunciation of Rights, entered into this ________ day of May 2019, in Pio V.
Corpus, Masbate, made and executed by and among legal and compulsory
heirs of the deceased Yolanda Raypan Mativo-Dollison, namely:
1. VICTORINO TABLANTE DOLLISON, JR., widower, of legal age,
Filipino citizen and a resident of Poblacion, Pio V. Corpus, Masbate;
2. VICTORINO MATIVO DOLLISON III, married to Ma. Concepcion B.
Longares-Dollison, of legal age, Filipino citizen and resident of Unit
6, Sunray’s Townhomes, Carmencita Village, San Pedro Ext., Talon
Tres, Las Piñas City;
3. SHIELA MAY MATIVO DOLLISON-AGLAY, married to Ariel Aglay,
of legal age, Filipino citizen and resident of Poblacion, Pio V. Corpus,
Masbate;
4.
5. CLEMENTE MATIVO DOLLISON, married to _____full name of ate
yvette________, of legal age, Filipino citizen and resident of Poblacion,
Pio V. Corpus, Masbate;
6. VICTORINO MATIVO DOLLISON IV, married to _____full name of ate
telay________, of legal age, Filipino citizen and resident of Poblacion,
Pio V. Corpus, Masbate;
7. SHIELA JOY MATIVO DOLLISON-BARCELONA, married to
_____Barcelona, of legal age, Filipino citizen and resident of
Poblacion, Pio V. Corpus, Masbate;
WITNESSETH, that:
WHEREAS, YOLANDA MATIVO DOLLISON, died intestate on March ___,
2019 at Masbate City, Masbate (copy of her death certificate is hereto attached
as Annex “A”) without Will or testament and without any debt in favor of any
person or entity;
WHEREAS, her only surviving legal and compulsory heirs are the herein
parties, namely:
VICTORINO T. DOLLISON, JR. – husband
VICTORINO M. DOLLISON III - son
SHIELA MAY M. DOLLISON-AGLAY – daughter
CLEMENTE M. DOLLISON – son
VICTORINO M. DOLLISON IV – son
SHIELA JOY M. DOLLISON-BARCELONA– daughter
WHEREAS, the deceased left a bank account with Development Bank of
the Philippines (DBP), Masbate City with Savings Account No. 0625-
540528-530;
WHEREAS, in view of the above facts and circumstances, the
abovementioned legal heirs are therefore co-owners of the
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Extrajudicial Settlemt Page 1
value/proceeds/money in the abovementioned bank account by virtue of the
law on succession.
WAIVER OF RIGHTS
WHEREAS, We, VICTORINO M. DOLLISON III, SHIELA MAY M. DOLLISON-
AGLAY, CLEMENTE M. DOLLISON, VICTORINO M. DOLLISON IV and SHIELA
JOY M. DOLLISON-BARCELONA (whose personal circumstances
are mentioned above) have agreed and covenanted to CEDE, TRANSFER and
CONVEY our respective shares/inheritance in the proceeds of the
abovementioned DBP Savings Account No. 0625-540528-530 unto our co-
heir/father VICTORINO TABLANTE DOLLISON, JR. (whose personal
circumstances are mentioned above);
NOW, THEREFORE, for and in consideration of the foregoing premises,
we waived and renounced, as by these presents, we hereby WAIVE and
RENOUNCE our respective shares, rights and participation, as stated above,
over the above-mentioned DBP Savings Account No. 0625-540528-530 in
favor of our father Victorino T. Dollison, Jr..
IN WITNESS WHEREOF, we have hereunto set our hands on the date
and place first written above.
_________________________ ________________________
VICTORINO T. DOLLISON, JR. VICTORINO M. DOLLISON III
TIN No. TIN No.
_________________________ ________________________
SHIELA MAY M. DOLLISON-AGLAY CLEMENTE M. DOLLISON
TIN No. TIN No.
_________________________ ________________________
VICTORINO M. DOLLISON IV SHIELA JOY M. DOLLISON-BARCELONA
TIN No. TIN No.
SIGNED IN THE PRESENCE OF:
1. __________________________ 2.
____________________________
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ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF MASBATE ) S.S.
CITY/MUNICIPALITY OF )
BEFORE ME, a Notary Public for and in the City/Municipality of
_____________________________________, on this ____day of May 2019 personally
appeared the following persons, who are identified by me through competent
evidence of identity::
Name Competent Evidence of Identity Date/Place
Issued
VICTORINO T. DOLLISON, JR.__________________________________ ____________________________
VICTORINO M. DOLLISON III__________________________________ ____________________________
SHIELA MAY D. AGLAY __________________________________ ____________________________
CLEMENTE M. DOLLISON __________________________________ ____________________________
VICTORINO M. DOLLISON IV__________________________________ ____________________________
SHIELA JOY D. BARCELONA__________________________________ ____________________________
known to me and to me made known to be the same persons who executed the
foregoing instrument and acknowledged to me that the same is their own free
voluntary act and deed.
This instrument refers to a Deed of Extrajudicial Settlement of Estate
with Waiver and Renunciation of Rights, consisting of three (3) pages including
this page on which the acknowledgment is written and duly signed by the
parties and their instrumental witnesses.
WITNESS MY HAND AND NOTARIAL SEAL on the date and place first
above written.
Doc. No. _______
Page No. _______
Book No. _______
Series of 2019
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