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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _________________, of legal age, widower, a resident of


___________________, do hereby name, appoint and constitute
___________________, of legal age, married and resident
_______________________, my true and lawful Attorney-in-Fact, in my name,
place and stead, to do and perform the following acts:

1. To execute, sign and deliver loan application and mortgage contract


with __________________________ duly licensed by the government on lending
business offering and using as collateral a property situated at
_______________________ and registered under Transfer Certificate of Title No.
_________________ of the Registry of Deeds of Nueva Vizcaya with an area of
______________________ square meters for a loan in any amount that may be
approved, under such terms and conditions and under such covenants which my
said Attorney-in Fact may deem proper and convenient;
2. To execute, sign and deliver Promissory Note, if required, in favor of
the creditor, as well as other documents that may be required by creditor in
connection with the said loan;
3. To receive the proceeds of the loan which my Attorney-in-Fact may
execute in connection with the mortgage contract relative thereto.

HEREBY GIVING AND GRANTING unto said Attorney-in-Fact full


power and authority to do and perform all and every act necessary and requisite to
carry out and implement the forgoing authority as might or lawfully do it
personally present. HEREBY RATIFYING AND CONFIRMING all that my said
Attorney-in-Fact shall do or cause to be done by virtue hereof with full power,
authority and effect as if personally done by me.

IN WITNESS WEREOF, I have hereunto affixed our signature this _____


day of _________________ at _______________________.

_______________________- ________________________
Principal Attorney-in-Fact

SIGNED IN THE PRESENCE OF:

________________________ ________________________

ACKNOWLEDGEMENT

1
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF NUEVA VIZCAYA ) S.S.
MUNICIPALITY OF KASIBU )
BEFORE ME, a Notary Public in the ________________, this ____ day of
___________________ personally appeared the following:
Name Proof of Identity Date/Place/Office Issued

known to me to be the same persons who executed the foregoing instrument and
they acknowledged to me that the same is their free and voluntary act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand the day, year and
place above written.

Notary Public

Doc. No.: ;
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Book No.: ;
Series of 202 .

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