SPECIAL POWER OF ATTORNEY

KNOWN ALL MEN BY THESE PRESENTS:

I, _________________, of legal age, married, Filipino and with residence at
__________________ do hereby name appoint and constitute, _________________, of legal age,
and with residence at ________________________ to be my true and lawful attorney-in-fact for
me and in my name, place and stead, to do and perform the following acts and deeds;
To make sign, execute, and deliver all documents and other writings in my name of
whatever nature or kind, including but not limited to any mortgage or encumbrance, in connection
with my loan with RCBC Savings Bank and/or any bank or financial institution.
HEREBY GIVING AND GRANTING unto my said attorney-in-fact, or her substitute,
full power and authority to do and perform every lawful act and thing whatsoever requisite or
necessary or proper to be done in the premises as fully intents and purposes as we might or could
lawfully do if personally present, and hereby ratifying and conforming all out said attorney-infact shall do or cause to be done under and by virtue of these presents.
IN WITNESS WHEREOF I have hereto set my hand this____th day of _______2013 at
____________________.
______________________________
Signature over printed name
CONFORME:
__________________
Attorney-in-fact
SIGNED IN THE PRESENCE OF:
______________________________ AND _______________________________
ACKNOWLEDGEMENT or JURAT/OATH
REPUBLIC OF THE PHILIPPINES) S.S.
________________________
I certify that on this date, before me, a notary public duly authorized in the city named above to
take acknowledgements, personally appeared:
Name

Competent Evidence of Identity

Date/Place Issued

___________________

__________________________

_______________

who were identified by me through competent evidence of identity to be the same persons
described in the foregoing instrument, who acknowledged before me that their respective
signatures on the instrument were voluntarily affixed by them for the purposes stated therein, and
who declared to me that they have executed the instrument as their free and voluntary act and
deed and that they have the authority to sign on behalf of their respective principals.
IN WITNESS WHEREOF, I hereunto set my hand and affix my notarial seal on the date and at
the place above written.
Doc. No.
Page No.
Book No.
Series of 2013

________
________
________
________