Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

THAT I, Rey Primo Lumontad Perez, of legal age, married, Filipino and residing in
Poblacion Pinamungajan Cebu_, do hereby NAME, CONSTITUTE and APPOINT, Toni Palang
Mejor, authorized representative of legal age, married, Filipino, and with postal address at 1988
Hidden Ville Subdivision. Sitio Mayana, Cogon Pardo, Cebu City, 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 things, to
wit:

1. To represent me in all matter at the Office of the Bureau of Internal Revenue – Revenue
Regional Office 083- Cebu in relation to my intention to apply for Tax Clearance ; and

2. To sign the acknowledgement receipt for the release of the said Tax Clearance and other
documents relevant thereto; and finally, to pay any fees incidental thereto, all for and in my
behalf.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact, full powers and
authority to do and perform any and all acts requisite and necessary in and about the premises to carry
into effect the foregoing authority as fully to all intents and purpose as I might or could lawfully do if
personally present and hereby ratifying and conforming all that my said attorney-in-fact could
lawfully do by these presents.

IN WITNESS WHEREOF, I have hereunto set our hand this ______ day of March 9, 2022 at
_____________________.

__________________________ ______________________
Rey Primo Lumontad Perez
Principal Attorney-In-Fact
ID: __________________ ID: __________________
Place: __________________ Place: __________________
Date: __________________ Date: __________________

Signed in the presence of;

_________________________ __________________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES}


CEBU CITY }S.S.
x-------------------------------------------x

BEFORE ME, this ____________ 2022 at __________________, personally appeared the


principal, exhibiting his ____________________ known to me and to me known to be the same
persons who executed the foregoing instrument and they acknowledged to me that the same is their
free acts and deed.

WITNESS MY HAND AND SEAL, on the date and place first above-written.
Doc. No. _____
Page No. _____
Book No. _____
Series of _____.

You might also like