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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _____________________, of legal age, with resident address at __________________, do


hereby NAME, CONSTITUTE, and APPOINT, _____________________, of legal age, to be my
true and lawful attorney, for me and in my name, place and stead, to do and perform the following
acts, deeds, and things to wit:

(1) To represent and transact on my behalf for my _____________________, in ___________


City, covered by

Certificate Number Type of Garden Sec Block Lot


_____________________ ________________ ___ __ __

(2) To sign, follow up, request, and receive any relevant documents in connection with the
above authority.

(3) To transfer the title and process the interment of the above-mentioned Certificate Number.

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

IN WITNESS WHEREOF, I have set my hands this ___ day of ________ 2020 in
__________ City, Philippines.

Principal Attorney-in-Fact

SIGNED IN THE PRESENCE OF:

_____________________________ _____________________________
ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES }


________________ City } S.S.

BEFORE ME, a Notary Public for and in the ______________ City, personally appeared
presenting to me their ID’s ________________ known to me and to me known to be the same
person who executed the foregoing Power of Attorney and he acknowledged to me that the same
is his free and voluntary act and deed, and signed by him and his witnesses on both pages.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my Notarial seal this
__________________ in __________________ City, Philippines.

Doc No. _____


Page No._____
Book No. ____
Series of 2020.

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