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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _________________________ of legal age, Filipino citizen, single/married and a resident of


_________________________________ do hereby name, constitute and appoint,
______________________________, of legal age, Filipino citizen, married, and a resident of R.V.
Villaflores Street, Hilongos, Leyte, to be my true and lawful attorney-in-fact, for me and in my name, place
and stead, to do the following acts to wit:

To SIGN AND EXECUTE any and all documents of sale, settlement, partition, transfer or
conveyance of a Parcel of Land with Title No. ______________________ , registered under the
name of ___________________________ and designated as Lot #: ________________________;

To DO AND PERFORM any and all other lawful act and deeds necessary to undertake the
sale, settlement, partition, transfer or conveyance of the said properties.

HEREBY GIVING AND GRANTING unto my 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 authority including
the power to sign documents, as fully to all intents and purposes as I might or could lawfully do if
personally present, with full power of substitution or revocation, and hereby ratifying and confirming all
that my said attorney shall lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto set my hand this ______________________________, in


_________________________________, Philippines.

_______________________
Govt. issued I.D. __________________
Valid until/at: ______________________

Signed in the presence of:

Witness Witness

REPUBLIC OF THE PHILIPPINES )


HILONGOS, LEYTE ) S.S.

BEFORE ME, this ________________________________________________, in the


____________________________________, Philippines, by affiant exhibiting to me his Government
issued I.D. written below his/her name known to me to be the same person who executed the foregoing
instrument and acknowledging to me that the same is his/her free and voluntary act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and seal, the day, year and place above.

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No. ;
Series of 2019.

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