SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That I, ________ , of legal age, Filipino, single and a resident
of ______________ Dumageute City, Negros Oriental, Philippines, do
hereby appoint, name, and constitute _____________ also of legal
age, Filipino, married, and a resident of _____________ Dumageute
City, Negros Oriental, Philippines, to be my true and lawful
Attorney-in-fact, for me and in my name and stead, for my use and
benefit, to do and perform all or any of the following acts, deeds,
and things, to wit:
1. ___2. _____HEREBY GIVING AND GRANTING unto said
attorney-in-fact full power and authority to do and perform every
act and thing of whatever requisite and necessary to be done in and
about the premises, and hereby ratifying and confirming all that my
said Attorney-in-Fact shall do or cause to be done under and virtue
of these presents.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
_____________ at the _____________, Philippines.
_________________________Accepted by:
________________Attorney-In-Fact
SIGNED IN THE PRESENCE OF:
__________________ __________________
REPUBLIC OF THE PHILIPPINES)
DUMAGUETE CITY ) SS.
x------------------------------------x
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the City of Dumaguete,
personally appeared ______________ with ID _____________ issued on
__________ at _____________, whom I have identified through
competent evidence of identity and who represented to me that her
signature on the foregoing instrument was voluntarily affixed by
him/her for the purposes stated in the instrument and who declared
that she has executed the foregoing instrument as her free and
voluntary act and deed.
This instrument which consists of two (2) pages including this
page where this acknowledgment is written has been signed on all
pages by the Principal, Attorney-In-Fact, and their instrumental
witnesses.WITNESS MY HAND AND SEAL this _____________ at Dumaguete
City, Philippines.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 2014
