SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, , of legal age, Filipino citizen, and a resident of, do hereby NAME, APPOINT and
CONSTITUTE of legal age, Filipino citizen, and resident of, 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 and transact business with the Registry of Deeds Tarlac, Land
Registration Authority, Bureau of Internal Revenue (BIR), Assessor’s Office, and other
government offices or agencies in connection with the registration and titling of the
undivided 1,170-square-meter portion of a parcel of land located at Barangay Malayep,
Gerona, Tarlac and covered by Transfer Certificate of Title No., of the Registry of Deeds for
the Province of Tarlac;

2. To sign, execute, submit all the pertinent documents relative thereto;

3. To do such any other act or thing that may be deemed necessary or incidental to carry out
effectively any and all of the purposes for which this authority is hereby given;

HEREBY GRANTING unto my said attorney-in-fact full power and authority to execute
and perform the foregoing power and acts, as fully to all intents and purposes as I might or
could lawfully do it as if I was personally present.

IN WITNESS WHEREOF, WE HAVE HEREUNTO SET OUR HANDS THIS ____ day of

___________ in Tarlac City, Philippines.

Principal .
Attorney-in-Fact

SIGNED IN THE PRESENCE OF:

___________________ ______________________

ACKNOWLEDGMENT

Republic of the Philippines)

Tarlac City  )S.S.

BEFORE ME, a Notary Public for and in Tarlac City this ___ day of __________, personally
appeared: ______________, known to me to be the same person who executed the foregoing
instrument and acknowledged to me that the same is his free and voluntary act and deed.

Doc. No.______;
Page No.______;
Book No.______;
Series of 2023.