Special Power Of Attorney Form

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SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
THAT I, ___________________________________________, Filipino/U.S. citizen,
of legal age, single/married to _________________________________ and resident of
__________________________________________________, do hereby appoint, name
and constitute ________________________________, Filipino/U.S. citizen, of legal age,
single/married and resident of ________________________________________________
to be my true and lawful attorney to act in, manage and conduct all my affairs and for that
purpose in my name and on my behalf to do and execute any or all of the following acts,
deeds, and things, to wit:
HEREBY GIVING AND GRANTING unto my attorney full power and authority
whatsoever requisite or proper to be done in or about the premises, as fully to all intents
and purposes as I might or could lawfully do if personally present, and hereby certifying and
confirming all that my attorney(s) shall do or cause to be done under and by virtue of these
presents.
IN WITNESS WHEREOF, I have hereunto set my hand this _______________ day
of ___________________ in _________________________.
_________________________________
Signature
SIGNED IN THE PRESENCE OF:
With marital consent (if necessary)
___________________________
_________________________________
Signature
______________________________

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