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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _______________________________, single / married / widow / widower, of legal age and


a resident of _____________________________________________________________ do hereby NAME,
CONSTITUTE and APPOINT, _________________________________, single / married / widow /
widower, Filipino and with residence and postal address in
__________________________________________, as my Attorney-in-Fact to do and perform the
following acts and deeds, to wit:

To negotiate, transact with Landbank of the Philippines – AOC IV in connection with the
Certification of Full Payment and Release of Real Estate Mortgage / Owner’s Duplicate Copy for
Title No. _________________ with Lot No. ______, covering an area of ____________________ has
and located at ________________________________________________ and to receive the same;

To make, sign, and execute documents, papers and other writings of whatever nature and
kind, pursuant to the aforementioned powers, upon terms and conditions acceptable to my
said attorney-in-fact;

To perform any and all acts that may be necessary in connection thereto.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority
whatsoever requisite or necessary or proper to be done in and about the premises as fully to all
intents and purposes as I like or could lawfully do if personally present and hereby ratifying
and continuing all that he/she shall lawfully do or cause to be done under and by virtue
hereof.

IN WITNESS WHEREOF, I have here unto set my hands this ______ day of
__________________________ in ________________________.

With my conformity:

________________________________ _________________________________

SIGNED IN THE PRESENCE OF:

_______________________________ WITNESSES____________________________
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) SS.

ACKNOWLEDGEMENT
BEFORE ME, Notary Public, for and in the above jurisdiction, personally appeared
___________________________________ this _____ day of _______________________, 2019, exhibiting
to me his/her _______________________________________ competent evidence of his/her identity,
known to me and to me known to be the same person who executed the foregoing instrument
and he/she acknowledges to me that same is his/her true and voluntary act and deed as that
of the principal he/she represents.

This instrument refers to a Special Power of Attorney and consists of two (2)
pages including this page where the acknowledgment is written, signed by the party and
his/her instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL on the date and place first above written.