SPECIAL POWER OF ATTORNEY

 
KNOW ALL MEN BY THESE PRESENTS:
 
I, ___________________, of legal age, Filipino, with residence
at ______________________, do hereby name, constitute and appoint
______________________, of legal age, Filipino with residence
at ______________________, to be my true and lawful Attorney-in-Fact and in my name,
place and stead, do and perform the following specific acts:

1. To represent, negotiate, and transact on my behalf with the Bureau of

Internal Revenue, Revenue District Office No. ____, _______________ City;

2. To do case monitoring update and request/inquire all relevant

information and documents in connection with my open cases with the
Bureau of Internal Revenue, Revenue District Office No. ____,
_______________ City;

3. To execute and complete all things necessary for my compliance with the
Bureau of Internal Revenue.

HEREBY GIVING AND GRANTING unto the said attorney-in-fact full power and
authority whatsoever requisite and necessary or proper to be done in or about the premises, as
fully, to all intents and purposes as I might or could do if personally present, with full power of
substitution, hereby ratifying and confirming all that my said attorney-in-fact 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

_________ 2020, at _________________.

_______________________________
Principal

ACKNOWLEDGEMENT

Republic of the Philippines}

} s.s.

Before me, a Notary Public for and in _______________, personally appeared

__(name of Principal)______, with his competent Driver’s License No. ______________
issued on ________ known to me and to be known to be the same person who executed
the foregoing Special Power of Attorney which he acknowledged to be his free act and
deed.

DOC. NO. _______ ;

PAGE NO.________; NOTARY PUBLIC
BOOK NO._______ ;
Series of 2020.