You are on page 1of 2

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, _________________, of legal age, Filipino, married/single,


currently residing at __________________________________, by
these presents do hereby NAME, CONSTITUTE AND APPOINT
__________________________, of legal age, Filipino,
married/single, with residence and postal address at
__________________________________, Philippines, and/or
_____________________, of legal age, Filipino, married/single, with
residence and postal address at _____________________________,
Philippines to be my true and lawful ATTORNEY-IN-FACT, for me and in
may name, place and stead to do and perform all or any of the following:

1. To transact with ______________ on my behalf in relation to the


processing of ___________________________;

2. To make payments, sign and/or execute any document to facilitate


above mentioned transactions with ________________;

3. To receive all the documents pertinent to the above mentioned


transactions and such other valid and legal transactions with
_______________________;

4. To perform all other acts necessary to carry out the above purpose in
my behalf.

HEREBY GIVING AND GRANTING unto our said attorney full powers
and authority to do and perform all or any acts requisite and/or
necessary to carry into effect the foregoing authorities, as fully to all
intents and purpose as we might or could lawfully do, if personally
present and acting in person, and HEREBY RATIFYING AND
CONFIRMING all that my said ATTORNEY-IN-FACT may also do or
cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


____ day of ______________ 2021.

________________________________
PRINCIPAL

CONFORME:

_________________
ATTORNEY-IN-FACT

__________________
ATTORNEY-IN-FACT
ACKNOWLEDGMENT

Republic of the Philippines)


____________________ ) SS.

BEFORE ME, a Notary Public for and in the above jurisdiction,


personally appeared and exhibited their competent evidence of identity :

NAME GOVT ID / NO. DATE/PLACE ISSUED

to me to be the same person who executed the foregoing instrument


acknowledged to me that the same is her own free and voluntary act and
deed.

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

Doc. No.;_______
Page No.;_______
Book No.;______
SERIES of 2021.

You might also like