SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, ____________________________, Filipino citizen, of legal age, married, and a

resident of _____________________________________________________do hereby NAME,
CONSTITUTE and APPOINT __________________________ of legal age, Filipino , married and
residing at __________________________________________________ to be my true and lawful
Attorney-in-Fact for me and in my name, place and stead, to perform the following acts:

1. To represent me and sign on my behalf the Deed of Extrajudicial Settlement of the

estate of the Spouses _________________ involving real properties covered by TCT/OCT
No. ____________________ and ____________________ located in Buenavista, Agusan
del Norte and Bayugan City, Agusan del Sur, respectively;

2. To transact business with the Register of Deeds, BIR, DENR and LGUs concerned of
Agusan del Norte and Agusan del Sur for the registration of my shares of the above-
mentioned properties;

3. To act as the administrator of my shares of the above-mentioned properties;

4. To sign papers and documents relative thereto.

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and authority to
do and perform every act whatsoever requisite and proper to be done under the premises, as fully
to all intents and purposes as I might could lawfully do if personally present and HEREBY RATIFYING
AND CONFIRMING all that my said Attorney-in-Fact shall lawfully do or cause to be done by virtue
hereof.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of _____________,

20___ in ______________________.

_____________________
Principal

Conforme:

__________________
Attorney-in-Fact
REPUBLIC OF THE PHILIPPINES )
______________________ )SS
______________________ )

ACKNOWLEDGEMENT

BEFORE ME, a NOTARY PUBLIC for and in the Province of_______________________, this
____ day of ____________, 20__ personally appeared the foregoing party with his/her identification
documents stated below his/her name as competent proof of his/her identity known to me and to
me known to be the same person who executed the foregoing instrument and he/she acknowledged
to me that the same is his/her free and voluntary act and deed.

WITNESS MY HAND AND SEAL

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 20___.