SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ______________, of legal age, and resident of _________, do hereby name, constitute

and appoint ___________, of legal age, and resident of ____________, to be my true and lawful
Attorney-in-Fact and in my name, place and stead, do perform the following specific act:

To make, sign, execute, and deliver all documents and other writings in my name of
whatever nature or kind, including but not limited to my mortgage or encumbrance, in connection
with my loan with __________________ and/or any bank or financial institution.

Giving and granting unto said attorney-in-fact power and authority to do every act necessary
and required in connection with these presents, and hereby ratifying and confirming all that said
attorney-in-fact shall do or cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have signed this Special Power of Attorney this _________ at
__________.

(Sgd.) _____________
Principal

SIGNED IN THE PRESENCE OF:

(Sgd.) ______________

(Sgd.) ______________

[INCLUDE ACKNOWLEDGMENT AS PROVIDED BELOW]

Republic of the Philippines )

City of Manila ) s.s.

BEFORE ME, this ____________ in the City of _____________, personally appeared

___________, with [VALID ID with ID No.] _______________ issued by the [ISSUING AUTHORITY]
______________ on _____________, known to me to be the same person who executed the
foregoing instrument, and who acknowledged to me that the same is his free act and deed.

IN WITNESS WHEREOF, I have set my hand and affixed my Notarial seal on the day, year
and place written.

(Sgd.) __________
Notary Public

Until__________________
PTR No. _______________
Issued at ______________
On ___________________