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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ________________________, of legal age, (citizenship), and a resident of


_____________________________ have named, appointed and constituted and by these
presents do name, appoint and constitute _____________________, Filipino, of legal age, with
address at ________________, to be my true and lawful Attorney-in-Fact, for me and in my
name, place and stead, to do and perform the following acts and deeds:

1. To represent and act for and on my behalf before any individual, juridical entity,
tribunal, court and/or government agency for the settlement of the estate of
________________________ (hereafter referred to as the “Decedent”);

2. To receive and collect for and on my behalf all titles, certificates of stock, bank
account statements and/or Certificate of Deposit, receivables, and any other
documents, deeds or instruments evidencing the assets left by the Decedent;

3. To take charge of, manage and administer any and all properties belonging to
the estate of the Decedent, whether such property be real, personal or intangible,
and in this connection to collect and receipt for all rents, products, increments,
dividends, interests and income derived from the same;

4. To sell, lease, mortgage, or otherwise hypothecate any and all lands, tenements,
hereditaments, or other forms of real properties which now or in the future may
belong to the estate of the Decedent, or in which the estate of the Decedent has
an interest, upon such terms and conditions as the Attorney-in-Fact shall deem
proper, and to buy and sell for each and/or on credit, mortgage or pledge, or in
any manner deal in and with goods, merchandise, chattels, shares of stock,
securities, choses in action, and all other personal properties or effects in
possession or in action belonging to or owing unto the estate of the Decedent;

5. To execute, sign, enter into, and deliver any and all contracts, agreements,
mortgages, releases of mortgage, covenants, indentures and all other
instruments and writings of whatever kind and nature concerning any and all of
the real and personal properties, business interests and affairs of the estate of the
Decedent;

6. To withdraw by check and/or other means any and all sums of money in our
account or accounts from any and all banking and/or financial institutions, and
to make deposits in the same; to endorse, collect, cash or protest all checks,
drafts, promissory notes and all kinds of negotiable instruments or commercial
papers payable to or due unto the estate of the Decedent;

7. To pay, discharge, and settle any and all debts, obligations, taxes or other
liabilities which the estate of the Decedent now or may hereafter owe to or incur
in favor of any person, corporation, partnership, or any other entity or in favor
of the Philippine government, its agencies or instrumentalities;

8. To execute, sign and deliver the Notice of Death, Estate Tax Return, Deed of
Extrajudicial Settlement of Estate and such other deeds, instruments and
documents of any nature to any juridical entity and/or government agency
which my Attorney-in-Fact may consider necessary or desirable in connection
with the exercise of powers confirmed hereby, under such terms and conditions
as said Attorney-in-Fact may deem fit and proper;

9. To request and receive certification of the balance of any bank accounts held by
the Decedent and further authorize the said Attorney-in-Fact to withdraw from
the said bank accounts;

10. To commence, prosecute, defend or oppose any and all actions and other
judicial or administrative proceedings relating to any matter in which the estate
of the Decedent may now or hereafter be involved before any court, tribunal,
commission, board, department, office, agency, or instrumentality of the
Philippine Government; to terminate, compromise, settle, refer to arbitration,
renounce right to appeal from a judgment, waive objections to the venue of an
action or to abandon a prescription already acquired, and adjust such actions or
proceedings or any claim or controversy in connection therewith; to accept all
legal processes and orders that may be directed to the estate of the Decedent in
the Philippines; and to sign, execute, and deliver, in behalf, and in the name of
the heirs of the Decedent, the Verification and Certification of Non-Forum
Shopping;

11. To sign, execute and deliver, in behalf, and in the name of the heirs of the
Decedent any Special Power of Attorney and/or other document necessary,
useful, or proper to constitute, prove, or give effect to the immediately
preceding paragraph;

12. To do all other acts and things as may be necessary to effect the settlement of
the estate of the Decedent.

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and
authority requisite, necessary or proper to be done in and about the premises as fully to all
intents and purposes as I might or could lawfully do if personally present, with power of
substitution and revocation, and hereby ratifying and confirming all that my said Attorney-in-
Fact shall lawfully do or cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of


______ 20___ at _____ City.

________________________________

SIGNED IN THE PRESENCE OF

____________________________ __________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


)S.S.

2
ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in Makati City, this _____ day of ____ 20__
appeared____________________________, her current and subsisting __________________
issued on ________ in ____________, is known to me and by me known to be the same person
who executed this Special Power of Attorney consisting of three (3) pages, including the page
on which this Acknowledgment is written, and she acknowledged and represented to me that
her signature on the Special Power of Attorney was voluntarily affixed by her for the purposes
stated in that instrument, declared to me that her execution of the Special Power of Attorney
was her free and voluntary act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial


seal on the date and at the place first above-written.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of 20___.

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