SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS

I -------------, Filipino, of legal age and resident of______________________ DO

HEREBY NAME, CONSTITUTE AND APPOINT ____________, represented in this act by its
President, ____________, with postal address at ________________________, as our true
and lawful attorney in fact to act for and stead and to perform the following acts, as follows:

1. s.

2. To execute, sign and deliver Promissory Note/Notes in favor of the_____________, as

well as other documents that may be required by the said government financial
institution in connection with the said loan;

3. To receive the proceeds of the Promissory Note/Notes which my said Attorney-in-Fact

may execute in connection with the mortgage contract relative thereto;

4. To represent us before the Registry of Deeds for the purpose of annotating the
abovementioned transactions affecting ____________________

5. To delegate in whole or in part any or all the powers herein granted or conferred, by
means of an instrument in writing, in favor of third persons whom my attorney may
select;

HEREBY GIVING AND GRANTING unto our said Attorney-in-Fact full power and authority to do
and perform each and every act which may be necessary or convenient, in connection with any
of the foregoing as fully to all intents and purposes as we might or could do, if personally
present and acting in person, HEREBY RATIFYING AND CONFIRMING all that our said
Attorney-in-Fact may also do or cause to be done under and by virtue of these presents.

Conforme:

Principal Attorney-in-Fact

BEFORE ME, a Notary Public for and in San Jose City personally appeared _______________known to me
and to me known to be the same persons who executed the foregoing instrument and acknowledged to me that the
same are their free act and voluntary deed. This instrument, consisting of 1 page, including the page on which this
acknowledgment is written, has been signed on the left margin of each and every page thereof by concerned parties
and sealed with my notarial seal. WITNESS MY HAND AND SEAL this _____________________________ here at
__________________________.

Doc. No. _______;

Page No. _______;
Book No. _______;
Series of 2022.