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REPUBLIC OF THE PHILIPPINES)

CITY OF KABANKALAN ) S.S.


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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESES PRESENTS:

I, ______________________________, of legal age, married, Filipino


Citizen and a resident of Barangay _______________________ , by these
presents, hereby name, constitute and appoint, of legal
age_______________________________, married, Filipino and resident of
Barangay _____________________________ , to be my true and lawful
Attorney-in-Fact for me and my name, place and stead to do and
perform the following things and act, to wit:

1. To represent me in any action and proceeding that shall be filed


in Court or in any Administrative body concerning a tract of
land covered by our Certificate of Land Ownership Award No.
11054;

2. To sign the verification and Certificate on Non-Forum Shopping


to execute, testify and deliver any pleading, compromise
agreement, and other paper concerning such action or
proceeding;

3. To do and perform any acts, necessary and proper to effectuate


the powers herein granted.

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


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

IN WITNESS WHEREOF, I have hereunto set my hand this 27th


day of April 2018.

______________________ _____________________
Principal Attorney-in-Fact

WITNESSES:

_____________________ ______________________
ACKNOWLEDGEMENT

BEFORE ME, this __ day of May 2018 personally


appeared______________________ with Identification Card No. _______
issued at ______________________ , known to me and to me known to be
the same person who executed the foregoing document and that he/she
acknowledged to me that the same is hi/her own free and voluntary act
and deed.

IN WITNESS WHEREOF, I have hereunto set my hand this __ day


of May 2018.

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