SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I,
___________________,
of
legal
age,
and
resident
of
___________________________,
do
hereby
name,
constitute
and
appoint
____________________,
of
legal
age,
and
resident
of
___________________________________, whose specimen signature appears below, to be
my true and lawful Attorney-in-Fact and in my name, place and stead, do perform the following
specific act(s):
1. To apply for, negotiate, and obtain a loan from any bank or institution, governmentowned or private, for any purpose;
2. To restructure or renegotiate any existing contract, loan, obligation or indebtedness I
currently have under my name;
3. To make, sign, execute, and deliver contracts, documents, agreements, and other
writings of whatever nature or kind, such as but not limited to Promissory Note(s), Loan
Agreement, Chattel Mortgage and all other documents, with any and all third persons,
concerns, or entities, as may be necessary or proper in connection with the foregoing
upon the terms and conditions as my said Attorney-in-fact may, in his / her discretion,
deem to be in my best interest;
4. To duly receive on our behalf the proceeds of the said loan;
5. To do and perform any and all acts necessary for the faithful execution of the foregoing
acts and deeds.
Giving and granting unto said attorney-in-fact power and authority to do every act
necessary and required in connection with these presents, and hereby ratifying and confirming
all that she may do by virtue of these presents.
IN WITNESS WHEREOF, I have signed this Special Power of Attorney this ____ day of
__________, ______ at the __________________.

_________________________
Principal

______________________________
Attorney-in-Fact

SIGNED IN THE PRESENCE OF:

_________________________

___________________________
Acknowledgment

Republic of the Philippines

)
) s.s.

BEFORE ME, this ________ day of __________, _______, in the

___________________, personally appeared _____________________, with ID No.
_______________ issued by the __________________, known to me to be the same person
who executed the foregoing instrument, and who acknowledged to me that the same is his free
act and deed.
IN WITNESS WHEREOF, I have set my hand and affixed my Notarial seal on the day,
year and place written.

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