DEED OF EXTRA-JUDICIAL SETTLEMENT OF THE ESTATE

That we,
_______________________________________________________________
_______________________________________ hereby freely and spontaneously -

DECLARE AND MAKE MANIFEST:

1. That we are the only surviving heirs of the deceased,

__________________, being respectively:

Name Civil Status Relationship Residence

2. That the aforementioned deceased died at

___________________________on __________________;

3. That said decedent died without leaving a will;

4. That the policy benefit proceeds attributable to his/her Policy

No.(s) __________________________ issued by The
Manufacturers Life Insurance Company became a part of his/her
estate upon the earlier death of the late
________________________.

5. That the parties herein have agreed, as they hereby agree, to

divide and settle among themselves the aforementioned amount,
in the manner hereunder stated:

Name Relationship Share

IN WITNESS WHEREOF, we have hereunto set our hands this_____ day of

_____________ in the City/Province of ______________________, Philippines.

_________________________________ _________________________________
SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

_________________________________ _________________________________
SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

SIGNED IN THE PRESENCE OF:

________________________________ _________________________________
REPUBLIC OF THE PHILIPPINES)
: S.S
_____________________________)

BEFORE ME, a Notary Public in and for the City/Province of _______________,

Philippines, personally appeared, as follows:

Community
Name Certificate No. Issued At On

both/all known to me and to me known to be the same person/persons who executed the
foregoing instrument and acknowledged to me that they executed the same as their free
and voluntary act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial

seal in the City/Province of __________________________________, Philippines this
_____________ day of ________________________.

NOTARY PUBLIC

Doc No. ________;

Page No. ________;
Book No. _______;
Series of 20______.