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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I/We, __________________________ and ___________________________, Filipino


citizen/s, of legal age/s, resident/s of _____________________________________________________,
single/spouses/married to ___________________________, have named, constituted and appointed
_________________________________, also of legal age, Filipino citizen, single/married and a resident
of _____________________________________________ be my/our lawful ATTORNEY-INFACT, in
my/our name/s, place and stead, to sign, execute and acknowledge all contacts, deeds or other
instruments as may be necessary for the purpose of processing the transfer of title to my/our name/s as
the true and lawful owner/s of a parcel/s of land and more identified as Lot ___________Block ______,
situated at _______________________________________________, Roxas City owned by PUEBLO DE
PANAY INC., it being expressly understood that the execution of such documents, contracts or deeds
shall be subject to such further instructions as he/she will receive from me/us; giving my/our said
attorney full power to do everything necessary to be done in the premises as I/we could do if personally
present., hereby retifying and confirming all that my said attorney shall lawfully do or cause to be done
by virtue hereof.

IN WITNESS WHEREOF, I/WE have signed these presents this ________day of_______, at Philippines.

__________________________ __________________________

Principal Principal

_______________________________

Specimen Signature of Attorney-In-Fact

C.T.C No.________________________

Issued at ______________on________

SIGNED IN THE PRESENCE OF:

___________________________ ___________________________

ACKNOWLEDGMENT REPUBLIC OF THE PHILIPPINES) :s.s

_______________________________ )

x_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ x BEFORE ME, this________ day of _______ in the City of ________


and Province of ________, personally appeared the following:

Name C.T.C No. Date & Place of Issue


______________________ _______________________ __________________________
______________________ _______________________ __________________________

Known to me to be the same person/s who executed the forgoing instrument and acknowledged to me
that the same is his/her own free and voluntary act and deed. WITNESS MY HAND AND SEAL on the date
and place first above written

Doc. No. :______

Page No. :______

Book No :______

Series of :______

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