SPECIAL POWER OF ATTORNEY

I, _________________ of legal age ,owner of __________________ (“sole

proprietorship”) with Tax Identity Numbered ________________, have NAMED, CONSTITUTED
and APPOINTED, _______________ likewise of legal age, Filipino, of and to be my true and
lawful attorney-in-fact, for me and in my name, place and stead to do any or all of the following
facts and things:

1. To be my authorized representative.
2. to transact at BIR in a relation to renewal of my Authority To Print;
3. To receive on my behalf, all pertinent papers, certificate, documents in
connection thereto.

HEREBY GIVING AND GRANTING unto my attorney-in-fact full power and authority to do
and perform whatever is requisite or necessary relative to the above premise. Hereby ratifying
and confirming all that my attorney-in-fact will do or cause to be done by virtue of this presents.

IN WITNESS WHEREOF, I have hereunto sign my name this day of

__________________________________.

_____________________
Owner

_______________________
Authorized Representative

Signed in the Presence of: ______________________ _________________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)

) S.S.

BEFORE ME, a Notary Public for and in ___________________________, this day of

_________________________, personally appeared ____________________, with ID/Passport
No. _____________________, issued on ____________________ at ___________________,
known to me and to me known to be same person who executed the foregoing Special Power of
Attorney, and he/she acknowledged to me that the same is his/her own free act and deed.

WITNESS MY HAND AND NOTARIAL SEAL on the date place first above written.

Doc. No. ______;

Page No. ______;
Book No. ______;
Series No. 2021