SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ____________________, Filipino, of legal age, with residence at ______________________ do

hereby appoint ___________________, Filipino, of legal age, with residence at ___________________ as my
true and legal representative to act for and in my name and stead and to perform the following acts:

1. To sign any deed or document on my behalf for the release of the settlement of estate of
____________; and

2. To do any acts on behalf for the furtherance of the above-stated purposes.

HEREBY GIVING AND GRANTING unto my said attorney full powers and authority to do and perform
all and every act requisite or necessary to carry into effect the foregoing authority to _________________,
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 or his substitute
shall lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, parties herein affixed their signatures on ________________________ at

______________________.

PRINCIPAL

Signed in the presence of:

____________________________ _________________________

ACKNOWLEDGMENT

BEFORE ME, personally appeared ______________ 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 their free and
voluntary act and deed.

WITNESS MY HAND AND SEAL on _________________ at ___________________.

Doc No.
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Book No.
Series of 2021