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Special Power of Attorney - Template, Sample Form

SPECIAL POWER OF ATTORNEY


KNOW ALL MEN BY THESE PRESENTS:


That I, ________, Filipino, of legal age, single, with postal address at ________, do hereby name constitute, and appoint ________, with address at ________, as my attorney-in-fact to perform the following acts on my behalf until ________:


________


HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-fact shall lawfully do or cause to be done by virtue of these presents.



________




Conforme:



________

Signed in the presence of:



________



________

ACKNOWLEDGMENT


REPUBLIC OF THE PHILIPPINES )
_______________________________, _______________________________ ) S.S.


BEFORE ME, a Notary Public for and in the above jurisdiction, this _______ day of _____________________, 20______, personally appeared the following:

________ with the following competent proof of identification:.............................................................................................................................


All known to me and to me and to me known to be the same person who executed the foregoing SPECIAL POWER OF ATTORNEY and they acknowledged to me that the same is their free and voluntary act and deed.


IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date and at the place written above.


Doc. No. _________;
Page No. ________;
Book No. ________;
Series of ________.

Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.