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FLH061

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I/WE ___________________________________________________________, Filipino citizen/s of legal age,


single/married, with residence and postal address at ____________________________________________ do hereby
name, constitute, and appoint ___________________________________, of legal age, single/married, with residence and
postal address at _________________________________________________________ to be my/our true and lawful
Attorney-in-Fact for me/us in my/our name, place and stead, to do my/our all of the following acts, to wit:

1. To file, sign, and execute housing loan application and mortgage contract in connection with my/our
application from the HOME DEVELOPMENT MUTUAL FUND for a loan in any amounts that may be
approved by the said institution, offering as security for the payment of said loan the property/ies known as
TCT No. _____________, Lot No, ____________, Block No. ____________, Survey No. _____________ of
the land records of ______________________________________, Registry of Deeds under such terms and
conditions as my said Attorney-in-Fact may deem proper and convenient;

2. To sign, execute, and deliver Promissory Note/Notes in favor of the HOME DEVELOPMENT MUTUAL
FUND, as well as other documents that may be required by the said institution in connection with the said
loan;

3. To receive the proceeds of the Promissory Note/Notes which my said Attorney-in-Fact may execute in
connection with the mortgage contract relative thereto;

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and authority to do and perform any
and every act requisite and necessary to be done in and about the premises as fully to all intents and purposes as I might
or could do, I personally present and acting in person, HEREBY RATIFYING AND CONFIRMING all that my said Attorney-
in-Fact may also do or cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of _________, 20___ at the
Province/City of ______________________________.

_____________________________ _____________________________
Attorney-in-Fact Principal
______________ No. ___________ ______________ No. ___________
Date of Issue __________________ Date of Issue __________________
Expiry Date ___________________ Expiry Date ___________________

With marital consent

_____________________________

SIGNED IN THE PRESENCE OF:

______________________________________ ______________________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


PROVINCE/CITY OF ____________) S.S.

BEFORE ME, A Notary Public for and in the _______________________, Province of


_____________________, this ______ day of _____________, 20______, personally appeared the above-named
persons, who has satisfactorily proven to me their identity through their identifying documents written below their name and
signature, that they are the same person who executed and voluntarily signed the foregoing Special Power of Attorney,
which he/she acknowledged before me as his/her free and voluntary act and deed.

WITNESS MY HAND AND NOTARIAL SEAL.

NOTARY PUBLIC

Doc. No. _________;


Page No. ________;
Book No._________;
Series of _________ (February 2009)

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