LAST WILL AND TESTAMENT OF

___________________________________

KNOW ALL MEN BY THESE PRESENTS:

I, ________________ , of legal age, single/married to _________ , a

native of _______________ , having been born on the ______ day of
_______ , 19___ , 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 be my Last Will and Testament which I have caused to be
written in English, a language which is known to me. And I hereby declare
that:

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

Roman Catholic Church and with dignity suitable to my
circumstances;

II. I give and bequeath to my wifs/husband, __________ , the

following property to wit:
_______________________________________________
_______________________________________________

III. I give and bequeath to my children _________ , ________ and

________, in equal parts all my other property, real and personal,
whatsoever and wheresoever located;

IV. I designate ________________ the sole executor of this my Last

Will and Testament, or in his default or incapacity to act, my son
_____________ , and in default or incapacity of the latter to act,
one of my other children in the order of priority in age, if of age;

V. I hereby direct that the executor named herein or his lawful

substitute should serve without bon;

VI. I hereby revoke any and all my other wills, codicils, or

testamentary dispositions heretofore executed, signed, or published,
or alleged to have executed, signed, or published by me.

IN WITNESS WHEREOF, I have heretunto affixed my signature on

the date and at the place appearing in the acknowledgment hereunder.

___________________________
Testator

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 ATTESTATION CLAUSE

We, the undersigned attesting witnesses, whose residences are stated

opposite our respective names, do hereby certify: That the testator, ______ ,
has published unto us the foregoing will consisting of _____ pages
numbered correlatively in letters on the upper part of each page, as his/her
Last Will and Testament and has signed the same and every page thereof, on
the left margin, in our joint presence, and we, in turn, at his/her request have
witnessed and signed the same and every page thereof, on the left hand
margin, in the presence of the testator and in the presence of each and all of
us.

_________________________ ______________________________
(Signature of Witness) (Residence)

_________________________ ______________________________
(Signature of Witness) (Residence)

_________________________ ______________________________
(Signature of Witness) (Residence)

REPUBLIC OF THE PHILIPPINES )

: s. s.
CITY OF _____________ )
x ------------------------x

BEFORE ME, Notary Public for and in the City of _________, this
____ day of ______ , 2013, personally appeared the following persons with
their respective community tax certificates described and valid government-
issued identification cards opposite their names, to wit:
Place Date
Names CTC No. Issued Issued

(Testator ) __________________ __________ ______ __________

ID Card No. _________________ , valid until _____________
(Witness ) __________________ __________ ______ __________
ID Card No. _________________ , valid until _____________
(Witness ) __________________ __________ ______ __________
ID Card No. _________________ , valid until _____________
(Witness ) __________________ __________ ______ __________
ID Card No. _________________ , valid until _____________

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

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respectively acknowledged to me that they signed the same is their free and
voluntary act and deed.

This instrument, consisting of ___ (___) pages, including this page on

which this acknowledgment is written, and has been signed on the left
margin of each and every page there by the testator and his witnesses, and
sealed with my notarial seal.

WITNESS MY HAND AND NOTARIAL SEAL on the date and the

place first above-written.

Doc. No.____;
Page No.____;
Book No.____;
Series of 2013.