1. To represent me before the Land Transportation Office (LTO) and to any other
government agency with regard the transfer of registration in my name, after having
fully-paid by me in a sale transaction, the following motor vehicle, to wit:
Make:
Engine No.:
Chassis No.:
Model:
Color:
Plate Number:
Certificate of Registration No.:
Official Receipt No.:
2. To comply with all the requirements required of by the LTO and to any government
agency relative to the transfer of registration of said vehicle in my name.
3. To sign documents and do any other acts necessary for the performance of the
above-stated authority.
_________________________
Principal
I.D. No. _______________
_________________________
Attorney-in-fact
I.D. No. _______________
BEFORE ME, Notary Public, for and in the City of ________, Philippines, this ______
day of _____________, personally appeared the parties, known to me and known to be the
person who executed the foregoing instrument and acknowledged that the same is his own
free will and voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and in the place first above written.