SPECIAL POWER OF ATTORNEY

 

 KNOW ALL MEN BY THESE PRESENTS:

 
I SORAYA L. HORI married to TIMOTHY PAUL HORI, of legal age, with residence and postal address at
(Address) do hereby APPOINT AURORA B. MACACUA, , likewise of legal age, with postal address at
(Address) as our true and legal representative to act for and in our name and stead and to perform the
following acts:

1. To sign for the me and in my name all papers and documents pertaining to (state
nature of transaction and transaction/business name);

2. To collect and receive whatever sum in legal tender any proceeds, payment,
interest, return of premium, or otherwise from (state nature of transaction and
transaction/business name).

HEREBY GIVING AND GRANTING unto our said attorney full powers and authority to do and
perform all and every act requisite or necessary to carry into effect the foregoing powers, as fully to
all intents and purposes as I might or could lawfully do if personally present, with full power of
substitution and revocation, and hereby ratifying and confirming all that my said attorney shall
lawfully do or cause to be done by virtue hereof.
 
IN WITNESS WHEREOF , WE HAVE HEREUNTO SET OUR HANDS THIS ____ DAY OF
_______________ 20__, AT (Insert Place of execution of this Instrument).
 
 
_______________________________       __________________________________    
      (Name of Principal)                    (Name of Agent /Attorney-In-Fact)
 ACKNOWLEDGEMENT

Republic of the Philippines)

_________, Metro Manila  ) S.S.

BEFORE ME, a Notary Public for and in the City of_________, Metro Manila, personally
appeared:

Name Competent Evidence of Identity Place Issued/Validity Period

THELMA C.. FELIX

AGUSTIN CARUGNI

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

I HEREBY CERTIFY that the foregoing document consists of two (2) pages including this page
on which this acknowledgement is written, has been signed on the left margin on each and
every page thereof by the concerned parties and their witnesses and sealed with my notarial
seal.

 IN WITNESS WHEREOF, I have hereunto set may hand and affixed my notarial seal this ____
day of ____________.

Doc. No. ____;

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