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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, _______________________, of legal age, Filipino citizen,


with office address at _______________________, do hereby NAME,
CONSTITUTE and APPOINT, _______________________, likewise of
legal age, Filipino citizen, married and with office address at
_______________________, to be my true and lawful attorney-in-fact, for
me and in name, place and stead, to do the following acts and things, to
wit:

1. To act as my representative and agent with full authority to


transact business and deal with the Register of Deeds, Assessor’s Office,
Treasurer’s Office and the Bureau of Internal Revenue, relative to the
issuance of a clearance, title and other documents for the following
described property, to wit:

Original Certificate of Title No. _____________


LOT : _______________________
PORTION OF LOT : _______________________
LOCATION : _______________________
BOUNDARIES : _______________________)
AREA : _______________________

Original Certificate of Title No. _______________________


LOT : _______________________
PORTION OF LOT : _______________________
LOCATION : _______________________
BOUNDARIES : _______________________
AREA : _______________________

2. To sign, execute and deliver any and all documents, papers or


receipts which may be necessary and expedient to carry into effect the
foregoing authority.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full


power and authority whatsoever necessary or proper to be done in or
about the premises as fully to all intents and purposes as I might or could
lawfully done if personally present and hereby ratifying and confirming all
that my said attorney-in-fact could lawfully do or cause to be done by virtue
hereof.

IN WITNESS WHEREOF, I have hereunto set my hand this 20th


day of March 2018, at _______________________.

_______________________
Principal
Conforme:

_______________________
Attorney-in-fact

SIGNED IN THE PRESENCE OF:

_____________________________ _____________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


_______________________ ) – s.s.

BEFORE ME, a Notary Public for and in the City of Angeles, this 20 th day
of March 2018, at _______________________, personally appeared:

Name Competent Evidence of Identity


_______________________ _______________________

_______________________ _______________________

known to me to be the same persons who personally signed the foregoing


Special Power of Attorney and acknowledged to me that the same is their own
free act and deed.

This instrument consists of two (2) pages, including this page whereon the
acknowledgment is written, signed by the parties and their instrumental
witnesses and sealed with my notarial seal on both pages and refers to a Special
Power of Attorney.

WITNESS MY HAND AND SEAL on the date and place above-


mentioned.

Doc. No. ____;


Page No. __;
Book No. __;
Series of 2018.

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