AUTHORITY TO SELL

KNOW ALL MEN BY THESE PRESENTS:

That _________________________________________________, of legal age ,

Filipino and a resident of __________________________________ Negros
Oriental, entered into an agreement with the Land Owner, is hereby given an
authorization to sell and transact our land property with the following details;

Lot No. ____________________

Tax Dec. No. : ______________________

LOCATION: _____________________________

LOT AREA in SQM: ___________________________

IMPROVEMENTS:_____________________________________

Should the sale be made or effected to

____________________________________________, I,
___________________________________________, the owner will only receive
the amount of ______________________________________________Pesos
Only (Php__________________________________)

That all expenses related to this sale will be shouldered on whatever gains received
beyond the fixed price agreed to both parties.

IN WITNESS WHEREOF, the parties have hereunto affixed their signatures, this
___ day of ____________, 20__ at _________________________, Philippines.

OWNER/ SELLER:

____________________________

CONFORME:

________________________________

WITNESSED:

__________________________ ___________________________