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SPECIAL POWER OF ATTORNEY

I, __________________, Filipino, of legal age, single, and with residence and


postal address at _________________, have named, constituted and appointed and by
these presents do name, constitute and appoint my colleague, ________________,
Filipino, of legal age, married, and with residence at __________________, Philippines,
as 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 any and all of the following acts and things, to wit:

1. To transact, process and follow up any documents needed to in any


government agency regarding my property, covered by Title No.
______, with Certification of Land Ownership Award No. ___________,
a parcel of agricultural land situated in _______________, Negros
Oriental;

2. To sign and deliver documents relative thereto to consummate its


release.

IN WITNESS WHEREOF, I hereunto affix my signature this April 18, 2017, 2017
at Dumaguete City.

Affiant/Principal

SIGNED IN THE PRESENCE OF:

__________________________ __________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


CITY OF DUMAGUETE . . . . . . .. ) S.S.

BEFORE ME, a Notary Public, at the City of Dumaguete, Philippines, on the date
and place above-stated, appeared __________________showing to me her proof of
identity ______________ with No. ___________ known to me and to me known
to be the same person who executed the foregoing instrument signed by her and her
instrumental witnesses at the bottom of the instrument, and she acknowledged to me
that the same is her free act and voluntary deed.

WITNESS MY HAND AND SEAL


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

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