You are on page 1of 2

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN THESE PRESENTS:

I, JINKY F. SAMSON, of legal age Filipino citizen, with residence address at 7


TRICARBEN FRIENDLY VILL CONCEPVION I MARIKINA CITY, do hereby name, constitute,
and appoint RODERIC R. FABELA, of legal age, Filipino citizen with address at B2 L9-G-5-B
PROVIDENT VILLAGE JESUS DE LA PENÑ A MARIKINA CITY to be my true and lawful
Attorney-in-Fact, for me and in my name, place, and stead, to do and perform the following
acts and things to wit:

1. To sign and execute any petition, application, affidavit and


any other documents whatsoever in connection where to
LTFRB, LTO and other government and private agency;

1. To receive order/ decision, notice of hearing, plate numbers,


stickers, surrender plate or any documents from
government agency;

2. To represent, testify answer and compromise any hearing or


investigation conducted by the LTFRB, LTO or any other
government and private agency.

HEREBY GIVING AND GRANTING unto my said Attorney-In-Fact full power and
authority whatsoever requisite or necessary or proper to be done in and about the
premises as fully to all intents and purposes as I might and could lawfully do if personally
present, with power of substitution and revocation, and hereby, ratifying and confirming all
that my said attorney or his substitute shall lawfully do or cause to be done under and by
virtue of these presents.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this


____________________________in the __________________________, Philippines.

JINKY F. SAMSON
Principal
RODERIC R. FABELA
Attorney-in-fact
ACKNOWLEDGMENT

Republic of the Philippines)


) S.S

BEFORE ME, personally appeared:

Name I.D. PRESENTED

JINKY F. SAMSON Postal ID with No. E141880093304


RODERIC R. FABELA Driver’s License ID with No. D16-07-002662

Known to me and to me known to be the same persons who executed the foregoing
instrument and acknowledged to me that the same is their free and voluntary act and deed.

WITNESS MY HAND AND SEAL, this ________________________ in the City of _______________________,


Philippines.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2019.
2

You might also like