I, __Principal__, of legal age, Filipino, (single / married /
widow), and a resident of _____________, Philippines, do hereby appoint, name and constitute __Attorney-in-Fact__, also of legal age, Filipino, (single / married / widow), and a resident of _____________, Philippines, to be my exclusive, true and lawful Attorney-in-Fact, and for that purpose, in my name and in my behalf, to do and perform all or any of the following acts, deeds, and things, to wit:
1. To make, sign, seal, execute and deliver contracts,
documents, agreements and other writings of whatever nature or kind concerning my interest, legal right or inheritance over the estate of my deceased father __________________________ upon such terms and conditions acceptable to my said Attorney-in-Fact and to accept in my behalf any money, proceeds or payment resulting therefrom;
2. In general to do all other acts, deeds, matters, and things
whatsoever relating to my interest, legal right or inheritance, as fully and effectual to all intents and purposes as I could lawfully do in my own proper person if personally present
3. Giving and granting unto my said Attorney-in-Fact full
power and authority to do and perform all and every act requisite or necessary to carry into effect the foregoing authorities, as fully to all intents and purposes as I might or could lawfully do if personally present, with full power of substitution and revocation, and hereby ratifying and confirming all that my said attorney or (his/her) substitutes shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto affixed my
signature this _____________ at _____________, Philippines.
PRINCIPAL
ACCEPTED BY:
ATTORNEY-IN-FACT SIGNED IN THE PRESENCE OF:
__________________ __________________
REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF ______) SS. x------------------------------------x
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the
(Province/City/Municipality) of _____________, personally appeared _____________ with Community Tax Certificate No. _____________ issued on _____________ at _____________, personally known to me (or whom I have identified through competent evidence of identity) and who represented to me that his/her signature on the foregoing instrument was voluntarily affixed by him/her for the purposes stated in the instrument and who declared that he/she has executed the foregoing instrument as his/her free and voluntary act and deed.
This Instrument consists of only ______ (____) page/s,
including this page in which this acknowledgment is written, duly signed by _____________ and his/her instrumental witnesses on each and every page hereof.
WITNESS MY HAND AND SEAL this _____________ at
_____________, Philippines.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______; Book No.______; Series of 20____.