Waiver of Rights - Lobitana

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Republic of the Philippines )

Zamboanga City . . . . . . . . ) S.S.

WAIVER OF RIGHTS

I, JEANETTE O. LOBITAÑA, of legal age, Filipino and with residence address at


1046-A St. Ignatius Subd., Cabato Road, Brgy. Tetuan, Zamboanga City, hereby
depose and state that:

1. I am the compulsory heir of the late ALAIN LU LOBITAÑA (herein referred


to as the “decedent”) who died intestate on October 13, 2018, a copy of the
decedent’s Death Certificate is hereto attached and made integral part
hereof as Annex “A”;

2. At the time of death, the decedent has death assistance benefit from Value
Care Health Systems, Inc. registered to the decedent’s name;

3. I settled the death assistance benefit through the execution of an


Extrajudicial Settlement of Estate, a copy of which is attached hereto as
Annex “B”, whereby it was agreed to settle and adjudicate the entire Shares
in favor of Jeanette O. Lobitaña;

4. The parties hereto have agreed to indemnify, as they hereby agree to


indemnify Value Care Health Systems, Inc. as well as its stockholders,
directors, officers, employees, agents, representatives, assigns and
successors, free and harmless from any and all liabilities and damages
arising from or in connection with the execution of this Waiver of Rights, the
adjudication and the issuance of the said shares in favor of Jeanette O.
Lobitaña.

IN WITNESS WHEREOF, I hereby affixed my signature this 7th day of November


2018 in Zamboanga City, Philippines.

JEANETTE O. LOBITAÑA
TIN ID No. 950-188-124

ACKNOWLEDGMENT

BEFORE ME a notary public for and in the City of Zamboanga appeared


personally Jeanette O. Lobitaña, known to me and to me known to be the same person
who executed the foregoing Waiver of Rights and acknowledged to me that the same is
her free and voluntary acts and deeds.

WITNESS MY HAND AND SEAL on the date, place, first above mentioned.

NOTARY PUBLIC

Doc No. _____________


Page No. ____________
Book No. ____________
Series of 2018

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