You are on page 1of 2

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, ________________, Filipino, of legal age and presently residing at


___________________, do hereby name, constitute and appoint
__________________________ to be my true and lawful attorney-in-fact, for me and in
my name, place and stead, and for my own use and benefit to do and perform all or any
of the following acts and things:

1. _________________

2. To sign and execute the necessary documents agreement and other legal papers
pertaining thereto;

3. __________________.

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power


and authority to do and perform all and every act requisite or necessary to carry into
effect the ______________, as fully to all intents and purposes as I might or could
lawfully do if personally present, with full power of substitution and revocation, and
hereby ratifying and confirming all that any of my said attorney-in-fact or his
substitutes shall lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _________


2017 at Cebu City, Philippines.

____________________
PRINCIPAL
Accepted by:

______________________
ATTORNEY-IN-FACT

SIGNED IN THE PRESENCE OF:

__________________ __________________

REPUBLIC OF THE PHILIPPINES)


CITY OF CEBU ) SS.
x-----------------------------------------x
ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the City of Cebu, personally appeared
____________ with Drivers License No. _______ issued on _______ at ________ and
______________, both personally known to me (or whom I have identified through
competent evidence of identity) and who represented to me that their respective
signatures on the foregoing instrument were voluntarily affixed by them for the purposes
stated in the instrument and who declared that they have executed the foregoing
instrument as their free and voluntary act and deed.

This Instrument consists of only two (2) pages, including this page in which this
acknowledgment is written, duly signed by the parties and their instrumental witnesses
on each and every page hereof.

WITNESS MY HAND AND SEAL this ________ 2017, at Cebu City,


Philippines.

NOTARY PUBLIC

Doc. No. ___;


Page No. ___;
Book No. __;
Series of 2017

You might also like