SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I/We, __________________, married to __________, of legal age,

Filipino, with address at ___________, City of ____________;

__________________, married to __________, of legal age, Filipino,

with address at ___________, City of ____________;

Hereby NAME, CONSTITUTE AND APPOINT

______________________, to be my true and lawful ATTORNEY-IN-
FACT, for us and in our name, place and stead, and for our own use and benefit,
to do and perform the following acts and deeds, to wit:

1. To deal, negotiate, transact business with the Department of

Transportation concerning the parcels of land and structures located at
________________ described below:

Lot TCT Number Tax Total Area Affected

Number Declaration (sqm) Area (sqm)
Number

2. To enter into any agreements/contracts or compromise in our name

and stead;
3. To make, sign, execute any and all documents/deed in connection
thereto;
4. To get, collect, receive and encash the proceeds thereof which is due us
or which in the future may become due or payable to us;

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

full powers and authority to do and perform all and every act requisite or
necessary to carry into effect the foregoing powers and/or authority, as fully to all
intents and purposes as we might or could lawfully do if personally present, with
full power of substitution and revocation, and hereby ratifying and confirming all
that the said Attorney-in-Fact or his/her substitute shall lawfully do or cause to
be done by virtue thereof.

IN WITNESS WHEREOF, we have hereunto affixed our hands this ___

day of ________, 2010, in the City of _______.

_________________ _________________
Name and Signature Name and Signature

Signed in the presence of:

 ACKNOWLEDGEMENT

Republic of the Philippines)

______________, ________________ )S.S.

Before me this ___day of ____________________ , 2010, personally

appeared:

NAME COMPETENT EVIDENCE OF DATE & PLACE ISSUED

IDENTITY

Who have satisfactorily proven to me their identity through their abovementioned

IDs/CTCs and that they are the same persons who executed and voluntarily signed the
foregoing SPECIAL POWER OF ATTORNEY, which they acknowledged before me as
their free act and deed.

The said instrument which consists of three (3) pages, including the page on
which this acknowledgment is written, has been signed on each and every page hereof,
by the parties and their witnesses.

IN WITNESS WHEREOF, I have hereunto set our hand and affixed my

notarial seal on the date and place written above.

NOTARY PUBLIC

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2010