RELEASE, WAIVER AND QUITCLAIM KNOW ALL MEN BY THESE PRESENTS: That I, USEC. MARVIN B. GATPAYAT, Filipino, of legal age, a resident of _______________________________________________, do by these presents acknowledge receipt of the sum of ___________________________________________________ from Ric V. Gonzales representing full settlement relative to the damage of my motor vehicle particularly described herein: TOYOTA HILUX PLATE NUMBER SKY836 with SECURITY PLATE EBZ586 The damage to my vehicle was caused by the collision of Mr. Ric V. Gonzales motor vehicle. In consideration of said payment of the full settlement, I do hereby quitclaim, release, discharge and waive any and all actions of whatever nature, expected, real or apparent, which I may have against Ric V. Gonzales. 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 _____________________.
USEC. MARVIN B. GATPAYAT Signature over Printed Name SIGNED IN THE PRESENCE OF: _________________________
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Republic of the Philippines) ________________________) S.S. SUBSCRIBED AND SWORN TO before me this _________________ at __________________, affiant exhibiting to me his _____________________________ issued at __________________ on _____________________. Doc No. ______; Page No. ______; Book No. ______; Series of 2019.