Deed of Indemnity-Anthony Martinez Toquilar

DEED OF INDEMNITY
KNOW ALL MEN BY THESE PRESENTS:

WHEREAS, last January 21, 2021, ANTHONY MARTINEZ TOQUILAR, of legal age,
single/married, died intestate leaving as his/her only heirs namely:
Name of Heirs Relationship to the Deceased

FLORENCE C. TOQUILAR WIFE
FRANZ ADRIEL C. TOQUILAR SON
FRANCES ANIKA C. TOQUILAR DAUGHTER
(hereinafter referred to as “Heirs” regardless of number)
WHEREAS, at the time of his/her death, the Deceased maintained with the Bank of the
Philippine Islands/BPI Family Savings Bank/ BPI Direct Savings Bank (the “Bank”) deposit
account(s) with SA/ CA Account No(s).008673-0553-55 (hereinafter referred to as “Account”,
regardless of number).
WHEREAS, the Heirs of the Deceased desire to withdraw from the Account in order to
pay for the expenses in connection with or arising from the hospitalization/ burial/ death/ of the
deceased (the “Expenses”). As such, said Heirs have presented/submitted, among others, billing
statements and other evidence of the Expenses.
WHEREAS, the bank has agreed to grant the aforesaid request subject, however, to the
payment of any fees and charges, the execution of this Indemnity Agreement (the “Agreement”)
and the terms and conditions below;
NOW, THEREFORE, for and in consideration of the foregoing, the Heirs do hereby
declare as follows:
1. They are legitimate and sole heir/s of the Deceased;
2. They certify and warrant that the Expenses and the evidence presented in support
thereof are true and accurate and that the person(s)/entity (ies) below are entitled to the
amounts indicated as follows:
NAME AMOUNT
SANTIAGO MEDICAL CITY _________________________
_________________________ __________________________
3. They hereby request and authorize the Bank to issue Manager’s Checks payable to the
person(s)/entity (ies) and in the corresponding amounts indicated above, to be debited
from the Account;
4. They acknowledge that the foregoing withdrawal is subject to the requirement of the
National Internal Revenue Code and applicable BIR rules and regulations, including the
settlement of the estate taxes;
5. They do hereby discharge and release the Bank and/or its stockholders, directors,
officers, employees and/or its representatives from any and all possible liabilities now or
in the future arising, or may rise from or in connection with the payment of the Expenses
as herein accommodated by the Bank.
6. They undertake to indemnify and save harmless the Bank, and/or its stockholders,
directors, officers, employees and/or its representatives against any claims, suits or
causes of action of whatever nature, past, present or contingent, as well as any claims, for
damages, taxes, and assessments due to the government and/or its political subdivisions,
penalties, charges, expenses or otherwise, by any other person, group, entity, or third
party, arising out of or in connection with the said withdrawal and/ or closure of the
Account. They further undertake to pay all costs and expenses (including but not limited
to the costs of suit and attorney’s fees) which may be incurred by the Bank in the
enforcement of this Agreement. Moreover, they hereby authorize and empower the Bank,
at its option at any time, without notice, to apply to the payment of such claims, costs
and expenses, any or all their sums of money, deposits and things of value, which are
now or which may hereafter be in the hands of, on deposit or otherwise to the credit of
the Bank or its branches, as well as any member of the BPI Group or any of their
Subsidiaries or Affliates.
7. Any litigation or suit that may arise in connection with this Agreement shall be instituted
in Makati City or in any place where the Bank has a branch/office.
8. Unless the context requires otherwise, references to the plural number shall include
references to the single number or vice versa.
IN WITNESS WHEREOF, we have hereunto set our hands on this ______ day of
____________________ at ___________________.
FLORENCE C. TOQUILAR FRANZ ADRIEL C. TOQUILAR

Heir Heir
FRANCES ANIKA C. TOQUILAR _______________________

Heir Heir
SIGNED IN THE PRESENCE OF

____________________________ _________________________
Conforme: [IF APPLICABLE ONLY OTHERWISE DELETE THIS PART]
FLORENCE C. TOQUILAR
Surviving Co- Depositor
ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES)
_______________________)
BEFORE ME, personally appeared:

Name CTC No. Place & Date of Issue Gov’t. Issued ID Place& Date of Issue
who is/are personally to me known to be the same person(s) who executed the foregoing
document and exhibited to me the above Community Tax Certificate(s); and/or was/ were
identified by me through competent evidence of identity, to be the same person(s) in the
foregoing document who exhibited to me the above ID(s). It is was acknowledged to me that the
execution of this document is the free and voluntary act and deed of said person(s), as well as
the free and voluntary act and deed of the entity (ies) represented and that said persons have the
authority to sign in behalf of the entity (ies).
The foregoing document is an Deed of Indemnity which consist of _____(___) pages

including the page whereon this, Acknowledgement is written. This Acknowledgement forms an
integral part of the said document.
WITNESS MY HAND AND SEAL this ______day of ___________, in _______.
Doc. No. ______; Notary Public

Page No.______; My Commission Expires on__________
Book No. _____; Place of Commission: ________________
Series of ______; Office Address: _____________________
Roll No. ____________IBP No.___________
PTR No._________ Place ________Date____

Deed of Indemnity-Anthony Martinez Toquilar

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DEED OF INDEMNITY

KNOW ALL MEN BY THESE PRESENTS:

Name of Heirs Relationship to the Deceased

1. They are legitimate and sole heir/s of the Deceased;

SANTIAGO MEDICAL CITY _________________________

FLORENCE C. TOQUILAR FRANZ ADRIEL C. TOQUILAR

FRANCES ANIKA C. TOQUILAR _______________________

SIGNED IN THE PRESENCE OF

Conforme: [IF APPLICABLE ONLY OTHERWISE DELETE THIS PART]

BEFORE ME, personally appeared:

The foregoing document is an Deed of Indemnity which consist of ___(_) pages

WITNESS MY HAND AND SEAL this day of _, in ___.

Doc. No. ______; Notary Public

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