SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I/We, [Name of Person/Persons to be represented], Filipino, of legal age, with

address at ______________________________, do name, constitute and appoint [Name
of Representative], with address at ____________________________________, to be
my/our true and lawful ATTORNEY IN-FACT, to perform the following acts:

1. To represent me/us in submitting the following documents to the Bureau of

Internal Revenue (BIR):

A. Document 1

B. Document 2

2. To perform all acts necessary to achieve the foregoing purpose of the

submission of the above documents to the BIR.

GIVING AND GRANTING unto said attorney-in-fact power to do and perform

every act and thing whatsoever requisite and necessary to be done in and about as fully as
I/we might or could do if personally present, hereby ratifying and confirming all that
my/our said attorney-in-fact shall lawfully do or cause to be done by virtue of these
presents.

IN WITNESS WHEREOF, we have hereunto set my hand this

____________________ at ___________________.

__________________
Name of Representative

SIGNED IN THE PRESENCE OF:

____________________________ ___________________________
Signature Over Printed Name of Witness Signature Over Printed Name of Witness

ACKNOWLEDGMENT

[Insert Place Here] ) S.S

)

BEFORE ME, duly commissioned, and qualified, personally appeared

(Name of Representative), having exhibited to me his/her Passport No.
_____________________ issued on________________ at _______________
known to me and to me known to be the same person who executed the foregoing
instrument and acknowledged to me that the same is his/her free and voluntary act
and deed, together with two instrumental witnesses, on this _________ at
_____________________.

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Doc. No. _____
Page No. _____
Book No. _____
Series of 2019.