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REPUBLIC OF THE PHILIPPINES. . . . )

CITY OF BACOLOD . . . . . . . . . . . . . . ) S.S.

LAST WILL AND TESTAMENT

of
___________________

KNOW ALL MEN BY THESE PRESENTS:

I, ________________, of legal age, married, __________ citizen, having been born on

the _______, now actually residing at _____________________, being of sound and disposing
mind and memory, and not acting under undue influence, violence, fraud, or intimidation of
whatever kind, do by these presents declare this to my Last Will and Testament which I have
caused to be written in English, the language which is known to me. And I hereby declare that:

1. I desire that my remains be buried according to the rites of the

________________________ and with dignity suitable to my
circumstances;
2. I give and bequeath to _______________________, half of my shares in
our company, _________________;
3. I give and bequeath to my only child, _________________________, all
my other properties, real and personal, whatsoever and wherever located;
4. I designate ___________________________, as the sole executor and
administrator of this Last Will and Testament, and in his incapacity, I name
and designate ______________________ as his substitute.
5. I hereby direct that the executor and administrator of this Last Will and
Testament or his substitute need not present any bond;
6. I hereby revoke, set aside and annul any and all of my other will or
testamentary dispositions that I have made, executed, signed or published
preceding this Last Will and Testament.

IN WITNESS WHISEOF, I have hereunto set my hand this ____________________, in

_______________________ City, Philippines.

__________________________

ATTESTATION CLAUSE

We, the undersigned attesting witnesses, whose residences are stated opposite our
respective names, do hereby certify: That the testator, ______________________, has
bestowed unto us the foregoing Will consisting of ____ pages numbered correlatively in letters
on the upper part of each page, as his Last Will and Testament and has signed the same and
every page hereof, on the left margin, in our joint presence and we, in turn, at his request have

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witnessed and signed the same and every page hereof, on the left margin, in the presence of
the testator and in the presence of each and all of us.

____________ Bacolod City, Philippines

____________ Bacolod City, Philippines

____________ Bacolod City, Philippines

JOINT ACKNOWLEDGMENT

BEFORE ME, Notary Public for and in the City of Bacolod, Philippines, this
_______________, personally appeared:

The testator, __________________, with ID No. ___________________________;

Witness, __________________, with ID No. ___________________________;

Witness, __________________, with ID No. ___________________________;

Witness, __________________, with ID No. ___________________________;

All known to me to be the same persons who signed the foregoing Will, the first as
testator and the last three as instrumental witnesses, and they respectively acknowledged to
me that they signed the same as their own free act and deed.

This Will consists of ____ pages, including the page on which this
acknowledgment is written, and has been signed on the left margin of each and every page
hereof by the testator and his witnesses, and sealed with my notarial seal.

IN WITNESS WHEREOF, I have hereunto set my hand the day, year and place above
written.

Doc. No. _____________;

Page No. _____________;
Book No. _____________;
Series of 2019.