REPUBLIC OF THE PHILIPPINES CITY OF ILOILO……………………… x-----------------------------------------x



That I,_____________________, of legal age, single/married to _________________ and a resident of ________________, Philippines, do hereby appoint, name and constitute _______________, of legal age, single/married to _______________________ and a resident of ___________________, Philippines to be my true and lawful attorney to act in, manage and conduct all my affairs, and for that purpose in my name and on my behalf to do and execute all or any of the following acts, deeds and things, to wit: 1. To exercise general control and supervision over my business and property of every kind in the Philippines, and to act as my general representative and agent, with full authority to buy, sell, negotiate and contract for me and in my behalf. 2. To ask, demand, sue for, recover and receive all sums of money, debts, dues, goods, wares, merchandises, chattels, effects, and things of whatsoever nature or description which now or hereafter shall be or become due, owing, payable, or belonging to me in or by any right, title, ways, or means howsoever, and upon receipt thereof or of any part thereof, to make, sign, execute, and deliver such receipts, releases, or other discharges for the same respectively as s/he shall think fit or be advised. 3. To buy or otherwise, acquire, to hire or lease, and to pledge, mortgage or otherwise hypothecate, sell, assign and dispose of any and all my property, real, personal or mixed, of any kind whatsoever and wheresoever situated, or any interest therein, upon such terms and conditions and under such covenants as my said attorney shall deem fit and proper, and to execute in my name any and all papers relating thereto and to sign, execute, acknowledge and deliver any and all agreements or other writings therefor, or in any way connected therewith or with my business or property. 4. To deposit money and to withdraw the same by check, receipt, draft or otherwise in any bank in my name; to sign, endorse, draw, accept, make, execute, deliver and pay checks, draft, bills of exchange, promissory notes, letters of credit, guarantees and all other writings, contracts and agreements. 5. To borrow or lend any sum or sums of money on such terms, conditions and stipulations, and on such security, as my attorney may think fit for that purpose; to execute all promissory notes, bonds, mortgages and other instruments which may be necessary and proper. 6. To settle any account or reckoning whatsoever wherein I know am, or at any time hereafter shall be in any wise, interested or concerned with any person whomsoever, and to pay or receive the balance thereof as the case may require. 7. To compound with or make allowances to any person for and in respect to any debt or demand whatsoever which now is or shall at any time hereafter become due and payable to me, and to take and receive any composition or dividend thereof or thereupon and to give releases or other discharges for the whole of such debts or demands, or to settle, compromise or submit to arbitration every such debt or demand and every other right, matter and thing due to or concerning me as my attorney may deem advisable in the premises. 8. To make, sign, seal, execute and deliver contracts, documents, agreements and other writings of whatever nature or kind, with any and all third persons, concerns, or entities upon terms and conditions acceptable to my said attorney.

as fully to all intents and purposes as I might or could lawfully do if personally present. matters and things whatsoever in or about my estate. either particularly or generally described. in ________________. In general to do all other acts. HEREBY GIVING AND GRANTING unto my said attorney full power and authority whatsoever requisite or necessary or proper to be done in or about the premises. deeds. Philippines. (with power of substitution and revocation). I have hereunto set my hand this ____day of _____________. matters and things herein. ___________________________ (Signature) With my Marital Consent: ___________________________ (Signature) SIGNED IN THE PRESENCE OF: _______________________ _______________________ _______________________ _______________________ . property and affairs.9. or to concur with persons jointly interested with myself therein doing all acts. IN WITNESS WHEREOF. 20__. deeds. and hereby ratifying and confirming all that my said attorney shall do or cuase to be done under and by virtue of these presents. as fully and effectually to all intents and purposes as I could do in my own proper person if personally present.

______. personally appeared _____________ with Community Tax Certificate No. _____________ issued on _____________ at _____________. _____________ issued on _____________ at _____________. and _____________ with Community Tax Certificate No. ______. including this page in which this acknowledgment is written. Philippines. a Notary Public for and in the (Province/City/Municipality) of _____________. Page No. duly signed by the parties and their instrumental witnesses on each and every page hereof. WITNESS MY HAND AND SEAL this _____________ at _____________. Book No.______. No. 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. . Series of 20____.ACKNOWLEDGMENT BEFORE ME. This Instrument consists of only ______ (____) page/s. NOTARY PUBLIC Doc.

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