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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, __Principal__, of legal age, Filipino, (single / married / widow), and a resident of


Bacolod City, do hereby appoint, name and constitute __Attorney-in-Fact__, also of legal
age, Filipino, (single / married / widow), and a resident of _____________, to be my true
and lawful Attorney-in-Fact, and for that purpose, in my name and in my behalf, to do and
perform all or any of the following acts, deeds, and things, to wit:

1. To make, sign, seal, execute and deliver contracts, documents, agreements


and other writings of whatever nature or kind in relation to MORTGAGE with
any and all third persons, concerns, or entities, and upon such terms and
conditions acceptable to my said Attorney-in-Fact, and to accept in my behalf
any money, proceeds or payment resulting therefrom, of a certain parcel of land
located in _____________, Philippines, of which I am the true and registered
owner, more particularly described as follows:

(Technical Description of Property)

2. HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power


and authority to do and perform all and every act requisite or necessary to carry
into effect the foregoing authority to mortgage, as fully to all intents and
purposes as I might or could lawfully do if personally present, with full power of
substitution and revocation, and hereby ratifying and confirming all that any of
my said attorney-in-fact or his substitutes shall lawfully do or cause to be done
by virtue hereof.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


_____________ at the _____________, Philippines.

PRINCIPAL
Accepted by:

ATTORNEY-IN-FACT

SIGNED IN THE PRESENCE OF:


__________________ __________________

REPUBLIC OF THE PHILIPPINES)


CITY/MUNICIPALITY OF ______) SS.
x------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of


_____________, personally appeared _____________ with Community Tax Certificate
No. _____________ issued on _____________ at _____________, or whom I have
identified through competent evidence of identity and who represented to me that his/her
signature on the foregoing instrument was voluntarily affixed by him/her for the purposes
stated in the instrument and who declared that he/she has executed the foregoing
instrument as his/her free and voluntary act and deed.

This Instrument consists of only ______ (____) page/s, including this page in which
this acknowledgment is written, duly signed by _____________ and his/her instrumental
witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________,


Philippines.

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 20____.

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