You are on page 1of 2

REVOCATION OF 

SPECIAL POWER OF ATTORNEY


KNOW ALL MEN BY THESE PRESENTS:

WHEREAS, under date of _________________, I, _______________________, have


executed a Special Power of Attorney, naming and appointing
_________________ as my true and lawful attorney-in-fact for the purpose/s and
with the power set forth in the instrument which was ratified before Atty.
______________________, Notary Public in and for ________________, as per Doc.
No. ________, Page. No. __________ Book No. _______________, Series of
_____________ of his Notarial Register; and

NOW, THREFORE, I have revoked, countermanded, annulled and made void,


and by these presents do revoke, countermand, annul and make void the
said Special Power of Attorney and all powers and authorities therein
granted and conferred upon said attorney-in-fact __________________.

IN WITNESS WHEREOF, I have hereunto set my hand at ________________, on


this ______ day of ______________, 20______.

_____________________

(Principal)

SIGNED IN THE PRESENCE OF:


___________________________ ___________________________

ACKNOWLEDGMENT
Republic of thePhilippines)

MakatiCity ) SS.

BEFORE ME, a Notary Public in and in _______________ this _______ day of


_________________, 2010, personally appeared the following:
Name: CTC No./ Date & Place Issue
Passport No.

___________________ ______________ ___________________

all known to me to be the same person who executed by the foregoing


instrument and he/she acknowledged to me that the same is his/her free
and voluntary act and deed.

WITHNESS MY HAND AND SEAL in the place and on the date first above
written.

Doc. No. _______;

Page No. _______;

Book No. ______;

Series of 20___.

You might also like