REPUBLIC OF THE PHILIPPINES )

CITY OF SANTA CRUZ ) S.S.

SANTA CRUZ, LAGUNA )

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, _________________, of legal age, Filipino citizen, married to

____________________________ and a resident of _________________________________, do hereby,
appoint, name and constitute
___________________________________________________________________________________ of
__________________________________________________________________________________

to be my/our true and lawful attorney-in-fact for me and in my name, place and stead, and for my own
use and benefit, to do and perform all or any of the following acts and things, namely:

1. To represent me before the any, constitute or agency to process and receive all necessary
documents needed for the purchasing of house and lot in
______________________________________________________________________________.

HEREBY GIVING AND GRANTING UNTO my/our said attorney-in-fact full power and authority to do and
perform every act and thing whatsoever requisite and necessary to be done in and about the premises,
as fully to all intent and purposes as I might or could lawfully do it personally present, with power of
substitution and revocation, and hereby ratifying and confirming all that my said attorney or his/her
substitute shall do or cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hands this _____________ day of

___________________________, _________, in _______________________________.

__________________________
(Signature over printed name)

__________________________
(Signature over printed name)

Doc. No. _________: Notary Public

Page No. _________:
Block No.________:
Series of ________