Waiver of Rights - Lobitana
Waiver of Rights - Lobitana
Waiver of Rights - Lobitana
WAIVER OF RIGHTS
2. At the time of death, the decedent has death assistance benefit from Value
Care Health Systems, Inc. registered to the decedent’s name;
JEANETTE O. LOBITAÑA
TIN ID No. 950-188-124
ACKNOWLEDGMENT
WITNESS MY HAND AND SEAL on the date, place, first above mentioned.
NOTARY PUBLIC