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REPUBLIC OF THE PHILIPPINES )

____________________________ ) s.s.

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, _____________, Filipino, of legal age, married, and presently residing at


______________________, do hereby NAME, CONSTITUTE and APPOINT,
_____________________________, likewise of legal age, Filipino, and presently
residing at _____________________________, to be my true and lawful Attorney-In-
Fact, for me and in my stead perform the following acts and deeds, to wit:

1. To apply and file on my behalf a Petition


for the Voluntary Title Standardization Program in the
Register of Deeds of ____________________________ for
Transfer Certificate of Title No. ___________________
registered under my name;

2. To perform such other acts necessary and


incidental to the foregoing.

HEREBY GIVING AND GRANTING unto my said Attorney-In-Fact full power and
authority to perform all and every act requisite or necessary to carry into effect the
foregoing authority.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in the


____________________________.

____________________________
Grantor

Signed in the Presence of:

___________________________ ___________________________

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the


____________________________, personally appeared the above-named persons,

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with their respective competent evidence of identity indicated below her respective
name.

They are personally known to me to be the same persons who executed the
foregoing instrument and that the same is their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and seal this


_____________ in the ____________________________.

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