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REPUBLIC OF THE PHILIPPINES

)
CITY OF LAS PIÑAS ) S. S.

WAIVER OF SSS BENEFITS WITH SPECIAL
POWER OF ATTORNEY AND AFFIDAVIT OF
EXCLUSIVE PROPERTY
KNOW ALL MEN BY THESE PRESENTS:

I, ROSENDO C. CANTAL, of legal age, Filipino, married and resident of
24 Dahlia St., CAA, Phase 1, Las Piñas City, after being duly sworn to in
accordance with law, hereby depose and say that:

I am the legal husband of Mercedita Cantal, with the same personal
circumstances as mine.

My wife have real properties in which my name appears in the
conveyance papers and / or certificates of title, to with:

I unequivocable declare that all the aforesaid real properties are the
exclusive properties of my said wife, the same having been acquired through
the money or properties given by my wife’s parents to her.

My name likewise appears as beneficiary of my said wife with the
Social Security System (SSS) for its benefits.

It is my pleasure that all the SSS benefits of my wife be waived in
favor of our children namely: ROMER E. CANTAL, 18 years old, RIJIN E.
CANTAL, 15 years old, JINKY E. CANTAL, 14 years old, and JHERIC E.
CANTAL, 8 years old, and that my name as beneficiary be removed from the
SSS records.

I undertake to keep SSS, its officers, employees, and representatives
free and harmless from any and all suits and liabilities, and I further
guarantee, that in the event any person claim to be entitled to the same as
adjudged by competent authority, I undertake to refund the benefits to the
person rightfully entitled thereto.

NOW, THEREFORE, FOR AND IN CONSIDERATION of the foregoing
declarations, obligations, liabilities and covenants, I absolutely waive all my
said SSS benefits in favor of my aforesaid children in equal unidivided shares.

I hereby name, appoint and constitute, with power of substitution, my
said wife to be my true and lawful attorney-in-fact, for me and in my name
place and stead, to do and perform, - concerning all of above-mentioned
subject matters, - the following special powers, to wit:

affidavit. encumbrance. seal. seal and execute any sale.consisting. endorse. To sell. modify. ownership and possession on the properties above described and to receive the proceeds of the sale in cash or in check for her own use and benefit. . seal and execute any pleading. to sue and be sued in any fora and action with power to make admissions and stipulations of facts and documents and submit and approve compromise proposals and agreements. bank form. to amend. ____ Book No. deeds. revise. his/her heirs and successors-in-interest. affiant and waivor with his competent identification card as follows: _______________________________________________. and HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-fact and her substitute/s shall lawfully do or cause to be done by virtue of these presents. interests. conveyance. CANTAL Personally appeared before me to at Las Piñas City this ____________________. document. including in her own name. the other provisions herein shall remain valid and in full force and effect. known to me to be the same person who executed the affidavit over change or removal of beneficiary from the SSS records. to make payments as are considered acts of strict dominion and to hire counsel. to sign. extrajudicial settlement of my estate. pledge. and who acknowledged to me that same is his free act and deed. to sign. assignment. cede. verification and certification or paper in any fora. including pre- trial and trial. and to make any stipulations and admissions of facts and documents. and to receive all the proceeds therefor for her own use and benefit. including this acknowledgment. I have hereunto set my hand on this ____________________________. Doc. No. with waiver of the same in favor of children. attend any hearing. transfer. special power of attorney and declaration of exclusive properties of the wife. assign and convey unto any person. to make admissions and stipulations of facts and documents. and receive all the proceeds therefor for her own use and benefit. ____ Series of 2011. WITNESS MY HAND AND SEAL on the date and place first above written. In the event any provision herein is declared invalid. or otherwise negotiate the same. document. to sign. GIVING AND GRANTING unto my said attorneys-in-fact and their substitute/s full power and authority to do every act and thing whatsoever requisite. documents or papers mentioned herein. and check. necessary. all my shares. at Las Piñas City. and for the latter. ____ Page No. deposit to any bank account. . paper. of two pages and signed by the party and his instrumental witnesses on all the pages. execute any receipt. encash. mortgage. receipt. SSS document or paper. proper or convenient to be done in and about the premises as fully to all intents and purposes as we might or could do if personally present. to waive any procedure or rules of the forum and the Rules of Court. deed. pleading/s. ROSENDO C. participations. cancel and novate any of the conveyances. IN WITNESS WHEREOF. writing. affidavit. to sign.