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LAST WILL AND TESTAMENT

KNOW ALL MEN BY THESE PRESENTS:

I, ______, of legal age, married to _____, a citizen of the Philippines and at present
residing at _____, with sound and disposing mind and memory, and without having been
coerced, intimidated or unduly influenced by anybody, has hereby voluntarily executed and
proclaimed this instrument as my LAST WILL AND TESTAMENT, revoking and
annulling all my former wills made by me heretofore.

I. That should I finally rest in eternal peace it is my wish and desire that internment
vigil and burial be made in accordance with the customs and traditions of the Roman
Catholic Church;

II. That my properties are as follows:

A. Real Properties

B. Personal or movable properties

III. That should the Lord Almighty finally summon this soul from its earthly abode, it is
my wish and desire to bequeath, grant and devise my properties above-mentioned, as
follows:

A. To my beloved wife, _____, I hereby bequeath the properties numbers ___ and ___
above described;

B. To my children, ______, ______, ______, and _____, I hereby bequeath in equal


shares, the properties numbers ____, ____, ____, ____ above-described;

C. To my niece _______, who has been my constant companion and nurse in my


illness, i hereby devise the property described under Number _____ above;

D. To my brother _____, I give the property known as No. ___ above;

IV. That should Divine Providence will it that i die ahead of my beloved wife, I hereby
proclaim as my wish and desire which my heirs and legatees should respect, that the
provisions of the foregoing Article III, paragraphs B, C and D be rendered temporarily
without force and effect, and my surviving wife and widow shall have full use and
enjoyment of all the above-described properties; and only upon her demise shall the
provisions of Article III, paragraphs B, C and D come into effect;

V. That for the purpose of rendering this LAST WILL AND TESTAMENT effective
thru the proper proceeding in Court, I hereby name and constitute ______ as my executor
and administrator of this LAST WILL AND TESTAMENT, and that in the event of his
incapacity, I hereby name as his substitute_________;

VI. That I direct that my nominated Executor and Administrator be exempt from the
filing of bond.

IN WITNESS WHEREOF, I have hereunto set my hand on the ___day of _____,2003 at


the City of _______;

Signature of Testator
ATTESTATION CLAUSE

WE, the undersigned witnesses, do hereby affirm that the foregoing is the LAST
WILL AND TESTAMENT of _____ and we hereby certify:

That he executed the same while of sound and disposing mind and memory; That he
signed the same in our presence, at the bottom of the last page and on the left hand
margin of each and every page, and we, at his behest, have signed hereunder and on the
left hand margin of each and every page, in his presence and in the presence of the
Notary Public, this ____ day of _____, 2003 at the City of ________.

Signature of Witness Address

Signature of Witness Address

Signature of Witness Address

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


CITY OF ____________________ ) S.S.

BEFORE ME, a Notary Public in and for the City of _____, came and appeared
_______with Community Tax Certificate No. ____ issued at ___ on _____, known to me
and to me known to be the same person who executed the foregoing LAST WILL AND
TESTAMENT, which he executed and signed in the presence of three (3) attesting
witnesses, to wit: ________with Com. Tax Cert. No. ____issued at____ on ____;
_________, with Com. Tax Cert. No. ______issued at ____on ____ and ________ with
Com. Tax Cert. No. ____ issued at ____ on _____; That all signed their names as proof
of their attestation on this page before the Testator ____ and in the presence of each and
everyone of them, and they acknowledged the same to be their free and voluntary act
and deed.

The LAST WILL AND TESTAMENT consists of ___ pages, including this page on
which the ratification and acknowledgment are written.

WITNESS MY HAND AND SEAL on the ___ day of ____, 2003 at the City of _____,
Philippines.

NOTARY PUBLIC

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