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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, _________________________________, of legal age, American, with legal age and


with an address at L59 B22 West Combe Zone 15 Town Country City of Talisay, Negros
Occidental, Philippines ,do hereby name, appoint and constitute Ms. HERMELIE STA. TERESA,
likewise of legal age, Filipino and presently residing at Lawaan 3, Talisay City, Cebu, Philippines
as my true and lawful attorney-in-fact, for me and in my name, place and stead for my own use and
benefit, to do any or all of the following acts and things to wit:

1. To pay the capital gains tax, documentary stamp taxes and other fees necessary for the
transfer of ownership from my name, of the property located at purchased from
__________________________________________________;

2. To work on, facilitate and follow-up the transfer of ownership over the said property in
our names before the proper government agencies;

3. To demand, claim and receive the copy of the document evidencing our ownership over
the aforesaid property; and

4. To do all acts necessary to give effect to the foregoing authority.

Whereby giving and granting unto said attorney, full power and authority to perform each
and every act and thing whatsoever requisite or necessary to be done in and about the premises, as
fully to all intents and purposes as I might or could do if personally present and acting, and hereby
ratifying and confirming all that my said attorney-in-fact shall lawfully do or cause to be done and
virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of


_______________________ 20____ in Cebu, Philippines.

__________________________________
Signature of Principal

SIGNED IN THE PRESENCE OF:

__________________________________ __________________________________

Doc. no. : __________


Service no. : __________
Series of : __________
O.R. no. : __________
Date : __________

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