SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That WE, _______________, and _____________ , of legal ages, Filipinos

and residents of Brgy. 02, Poblacion, Taft, Eastern Samar, do hereby
NAME, CONSTITUTE AND APPOINT _________________ , also of legal age,
widow, and a resident of Brgy. 0__________________ , to be our true and lawful
attorney-in-fact, for us and in our name, place and stead, and for our own use
and benefit, to do and perform all or any of the following acts and things,
namely:

1. To represent us before the REGISTRY OF DEEDS _________________;

2. To……..

3. And to generally do and perform all and every acts which may be
requisite, necessary or proper to carry out the above purposes.

HEREBY GIVING AND GRANTING unto said attorney-in-fact full power

and authority to do and perform every act and deed whatsoever requisite and
necessary to be done in and about the premises, as fully with all intents and
purposes as I might or could do if personally present, hereby ratifying and
confirming all that my said attorney shall lawfully do or cause to be done by
virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand

this_________day of______________________,2019 at
_____________________________________.

_______________________ ___________________________
PRINCIPAL/GRANTOR PRINCIPAL/GRANTOR

ACCEPTED BY:

Attorney-in -fact

SUBSCRIBED AND SWORN to before me this ____day of _______ at Taft,

Eastern Samar, Affiants exhibiting to me their ID’s No.___________________ and
ID’s No. ________________________ , bearing their photograph and signature and
avowed the truthfulness of the foregoing declarations.

Doc No. _______;

Page No. ______;
Book No. ______;
Series of 2019i.