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AUTHORIZATION

KNOW ALL MEN BY THESE PRESENTS:

This authorization made and entered into by and between:

________________________, of legal age, Filipino, married and residing at


___________________________City hereinafter referred to as the DEBTOR;

- And -
______________________________, a universal banking institution duly organized
and existing under the laws of the Philippines, represented herein by its Manager hereinafter
referred to as the CREDITOR;

-That-

___________________________ is hereby authorized to preterminate at anytime


my/our deposit under ________________________ in case any of my/ our obligation/s
become/s due and demandable, for the purpose of applying so much of my/ our deposit to the
obligation in favor of ________________________. The remainder of the deposit, after
application by the Bank, shall be treated as ____________________. Any and all taxes and/or
penalties which may arise or accrue as a result of said pre-termination shall be for the
exclusive account of the client.

IN WITNESS WHEREOF, I/we have hereunto set my/our hand/s this _____ day of
________________, 2003 in the City of __________.

________________________ ________________________

SIGNED IN THE PRESENCE OF:

______________________ ______________________
REBUBLIC OF THE PHILIPPINES)
) SS

BEFORE ME, a Notary Public for and in ____________ City, this____ day of
____________ 2003, personally appeared the following:

Name CTC No Date/ Place Issued

and known to me and to me known to be the same person who executed the foregoing
instrument and acknowledged to me that the same is his free and voluntary act and deed.

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

Doc No. __________:


Page No. _________:
Book No._________:
Series of 2003

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