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Dear Sir/Madame:
I, Honey Mae G. De Guzman, nominate Jasmin B. Fisalbon, as my representative for the purpose of collecting all the commissions
accruing in my favour relating to the sale of Unit 2929 – Quantum Residences Aqua Tower.
(Please complete below sentence if you had a contract with Federal Land, Inc.)
I am no longer connected with Federal Land, Incorporated since this date: __________________________.
Submitted by:
Doc. No._________
Page No._________
Book No._________
Series of_________.