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1. To execute and file an Affidavit of Loss of title of our property covered by OCT
No. O-6484, located at Lawa, Obando, Bulacan, and described as Lot 3726;
2. To file our Petition for Issuance of Second Owner’s Copy of the above-
mentioned title with the Regional Trial Court of Bulacan, City of Malolos, until
the final disposition of the action;
HEREBY GIVING AND GRANTING unto our representative full power and
authority to do and perform all and every acts and things whatsoever requisite and
necessary to be done in and about the premises, as fully to all intents and purposes, as
we might or could do if personally present, with all power of substitution and revocation
and hereby ratifying and confirming all that our said attorney or his substitute shall
lawfully do or cause to be done by virtue thereof.
IN WITNESS WHEREOF, we have hereunto set our hands this _______ day of
_______________, 200__ at City of Malolos, Bulacan.
_________________________ _________________________
BEFORE ME, a Notary Public for and in the Province of Bulacan, on this ______ day
of ____________, 200__ at City of Malolos, Bulacan, personally appeared the principals,
with their Res. Cert. Nos. indicated below their typewritten names, known to me and to me
known to be the same persons who executed the foregoing instrument and acknowledged
to me that the same is their free act and deed.
WITNESS MY HAND AND SEAL on the date and at the place first above-written.