SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ________________________, of legal age, (citizenship), and a resident of
_____________________________ have named, appointed and constituted and by these
presents do name, appoint and constitute _____________________, Filipino, of legal age, with
address at ________________, to be my true and lawful Attorney-in-Fact, for me and in my
name, place and stead, to do and perform the following acts and deeds
!" #o represent and act for and on my behalf before any individual, $uridical entity,
tribunal, court and%or government agency for the settlement of the estate of
________________________ (hereafter referred to as the &'ecedent())
*" #o receive and collect for and on my behalf all titles, certificates of stoc+, ban+
account statements and%or ,ertificate of 'eposit, receivables, and any other
documents, deeds or instruments evidencing the assets left by the 'ecedent)
-" #o ta+e charge of, manage and administer any and all properties belonging to
the estate of the 'ecedent, whether such property be real, personal or intangible,
and in this connection to collect and receipt for all rents, products, increments,
dividends, interests and income derived from the same)
." #o sell, lease, mortgage, or otherwise hypothecate any and all lands, tenements,
hereditaments, or other forms of real properties which now or in the future may
belong to the estate of the 'ecedent, or in which the estate of the 'ecedent has
an interest, upon such terms and conditions as the Attorney-in-Fact shall deem
proper, and to buy and sell for each and%or on credit, mortgage or pledge, or in
any manner deal in and with goods, merchandise, chattels, shares of stoc+,
securities, choses in action, and all other personal properties or effects in
possession or in action belonging to or owing unto the estate of the 'ecedent)
/" #o e0ecute, sign, enter into, and deliver any and all contracts, agreements,
mortgages, releases of mortgage, covenants, indentures and all other
instruments and writings of whatever +ind and nature concerning any and all of
the real and personal properties, business interests and affairs of the estate of the
'ecedent)
1" #o withdraw by chec+ and%or other means any and all sums of money in our
account or accounts from any and all ban+ing and%or financial institutions, and
to ma+e deposits in the same) to endorse, collect, cash or protest all chec+s,
drafts, promissory notes and all +inds of negotiable instruments or commercial
papers payable to or due unto the estate of the 'ecedent)
2" #o pay, discharge, and settle any and all debts, obligations, ta0es or other
liabilities which the estate of the 'ecedent now or may hereafter owe to or incur
in favor of any person, corporation, partnership, or any other entity or in favor
of the 3hilippine government, its agencies or instrumentalities)
4" #o e0ecute, sign and deliver the 5otice of 'eath, 6state #a0 7eturn, 'eed of
60tra$udicial 8ettlement of 6state and such other deeds, instruments and
documents of any nature to any $uridical entity and%or government agency
which my Attorney-in-Fact may consider necessary or desirable in connection
with the e0ercise of powers confirmed hereby, under such terms and conditions
as said Attorney-in-Fact may deem fit and proper)
9" #o re:uest and receive certification of the balance of any ban+ accounts held by
the 'ecedent and further authorize the said Attorney-in-Fact to withdraw from
the said ban+ accounts)
!;" #o commence, prosecute, defend or oppose any and all actions and other
$udicial or administrative proceedings relating to any matter in which the estate
of the 'ecedent may now or hereafter be involved before any court, tribunal,
commission, board, department, office, agency, or instrumentality of the
3hilippine <overnment) to terminate, compromise, settle, refer to arbitration,
renounce right to appeal from a $udgment, waive ob$ections to the venue of an
action or to abandon a prescription already ac:uired, and ad$ust such actions or
proceedings or any claim or controversy in connection therewith) to accept all
legal processes and orders that may be directed to the estate of the 'ecedent in
the 3hilippines) and to sign, e0ecute, and deliver, in behalf, and in the name of
the heirs of the 'ecedent, the =erification and ,ertification of 5on-Forum
8hopping)
!!" #o sign, e0ecute and deliver, in behalf, and in the name of the heirs of the
'ecedent any 8pecial 3ower of Attorney and%or other document necessary,
useful, or proper to constitute, prove, or give effect to the immediately
preceding paragraph)
!*" #o do all other acts and things as may be necessary to effect the settlement of
the estate of the 'ecedent"
HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and
authority re:uisite, necessary or proper to be done in and about the premises as fully to all
intents and purposes as I might or could lawfully do if personally present, with power of
substitution and revocation, and hereby ratifying and confirming all that my said Attorney-in-
Fact shall lawfully do or cause to be done under and by virtue of these presents"
IN WITNESS WHEREOF, I have hereunto affi0ed my signature this ____ day of
______ *;___ at _____ ,ity"
________________________________

SIGNED IN THE PRESENCE OF
____________________________ __________________________
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
)S.S.
*
A C K N O W L E D G M E N T
BEFORE ME, a 5otary 3ublic for and in >a+ati ,ity, this _____ day of ____ *;__
appeared____________________________, her current and subsisting __________________
issued on ________ in ____________, is +nown to me and by me +nown to be the same person
who e0ecuted this Special Power of Attorney consisting of three (-) pages, including the page
on which this Acknowledgment is written, and she ac+nowledged and represented to me that
her signature on the Special Power of Attorney was voluntarily affi0ed by her for the purposes
stated in that instrument, declared to me that her e0ecution of the Special Power of Attorney
was her free and voluntary act and deed"
IN WITNESS WHEREOF, I have hereunto set my hand and affi0ed my notarial
seal on the date and at the place first above-written"

'oc" 5o" ______)
3age 5o" ______)
?oo+ 5o" ______)
8eries of *;___"
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