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    SSS Form 4

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    SSS Form 4

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    Download as pdf
    8 views1 page

    02032017194823

    Uploaded by

    scribdarell
    SSS Form 4

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    Download as pdf
    of 1
    Annex K Mupo7272 (o4.20%8 SPECIAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That I [Moniber-Borowars Given, Middle, and Fainly Nanie) roaldonee address at. dohiereby name, consti and appoint my, relationship with: Attamey-I-Facy, eee foiptate name of Atfomey-inFect, of legal age, ‘Solefmanied, and with reeidence address at aoe eee NNN AS (rasidance adaresk of Atomoytn-Fad) (0 be my tue ana awful atiomey- Infaalforme, anda may name, place and stead, tc do and perform the folowing acts and deeds; to wi 4. To-epply for Loan Restructuring of my past due short term loan’s from Social Security System i ‘accordance tots terms and conditions; 2 To request, make, sign, execute and delvar all the necessary documenta in relation to my ‘applvatfan for Loan Restructuring Including, but not limited to, Statement of Loan Balances, Loan Restructuring Application, Affdavit of Residency, Disclosure Statement, aid Promissory Note; ‘8! To duly reosive in my behalf the Jagat nottées and documents regarding my SSS Leah Restructuring: 4, To make payments forthe. said Loan Restructuring; and ‘5. Todo and perform any arid all acts necessary fo the fatful execution ofthe foregoing acts and deeds, HEREBY GIVING AND GRANTING unto my said ATTORNEY-IN-FACT full power and authority to do and perform any and every act and thing whatsoever requisite or necessary or properto ‘be done {fi and about the premises as fuly to all intents and purposes as | might or could lawilly do.tf ‘personaly present, with power of substitution and revocation, and hereby ratifying and confirming that iy eaid attorney-in-faet shall fawfully do or cause fo da under and by virtue of these presents. singielmartied, with IN WITNESS WHEREOF, | have hereunto set my hanc.on this _ day of. at______. ‘SIGNATURE OVER PRINTED NAME ‘Mamber-Borrowier, SS.No. ‘SIGNATURE OVER PRINTED NAME . “ntioney-In-Fact ‘ACKNOWLEDGEMENT ‘Repulcof the Phitgpines - City) 8. BEFORE ME, @ notary public for and in the above jurisdiction, this cay'ot ‘erecnally appeared —___ with higher 10 Issued en

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