SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, -----, of legal age, Filipino citizen, single and a resident of ----------, do to hereby
NAME AND APPOINT -----, also of legal age, married, and a resident of -------, to be my true and
lawful attorney-in-fact, for us and in our name, place and stead, and for my own use and benefit,
to do and perform all or any of the following acts and things, namely:

1. To represent me before the ------ in connection with the processing and transfer of
title in my name on the property I purchased from ---- covered by --- situated at -----
-------;

2. To pay any sum or amount requisite for the registration of the Deed of Absolute
Sale with the Register of Deeds such as Capital Gains and Documentary Stamp
Taxes at the BIR; and the Transfer Taxes at the Provincial Treasurer;

3. To receive all necessary documents requisite for the registration of the Deed of
Absolute Sale such as BIR-CAR and the DAR Certification;

4. And to generally do and perform all and every acts which may be requisite,
necessary or proper to carry out the above purposes.

HEREBY GIVING AND GRANTING unto said attorney-in-fact full power and
authority to do and perform every act and thing whatsoever requisite and necessary to
be done in and about the premises, as fully to all intents and purposes as I might or
could do if personally present, hereby ratifying and confirming all that my said attorney
shall lawfully do or cause to be done by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this_________day

of______________________,2011 at _____________________________________.

NAME OF AFFIANT
ID NO.
Issued on 01/19/11
Issued at Daet, C.N.
Accepted by:
NAME OF APPOINTED PERSON
Attorney-in-fact

SUBSCRIBED AND SWORN TO before me this ________ -- at ----, affiant exhibited to me his CTC shown above.

NOTARY PUBLIC

Doc No. _______;

Page No. ______;
Book No. ______;
Series of 20XX.