You are on page 1of 2

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:


That I/ Mitzi Philline T. Adlus, of legal age, with residence address at No. 375, Purok 3, Camp
Vicente Lim, Mayapa, Calamba City Laguna, Philippines, do hereby name, constitute, and appoint
Jane Mara Aquino, 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 apply, process, procure, follow-up and receive any document/s pertaining to my


registration with the BIR;

2. To make, sign, and execute, other writings of whatever nature or kind, with any and all
third persons, entities or concerns, as well as RECEIVE, ACCEPT and COLLECT, the
above-cited application, upon terms and conditions acceptable to my said Attorney-In-
Fact;

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 her 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 ____ day of
January 2020 in the City of __________, Philippines.

Mitzi Philline T. Adlus Jane Mara T. Aquino


Principal Attorney-In-Fact

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


City/Municipality of __________ )S.S.

BEFORE ME, on the date and place above written, personally appeared the following
persons with competent evidence of their identity:
Name ID ID No. Expiry Issuing
Document Date Authority

Said persons acknowledged under oath to me under penalty of law, that the whole contents
of this document are true and the same are their free and voluntary acts and deeds.

WITNESS MY HAND AND NOTARIAL SEAL.

Notary Public
Doc. No. : _____
Page No. : _____
Book No.: _____
Series of _____.

You might also like