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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

THAT I, _______________________, of legal age, Filipino, married and with residence address at Bgy.
Pagkakaisa, Puerto Princesa City, Palawan, do hereby NAME, CONSTITUTE AND APPOINT _____________________,
likewise legal age, Filipino, married and with residence address at Bgy. Liwanag, Puerto Princesa City, Palawan, to be my
true and lawful ATTORNEY-IN-FACT to do for me in my name, place and stead, and for my own use and benefit, to do
and perform any and/or all of the following acts and things, namely:

1. To REPRESENT IN MY BEHALF to any agency whether private or public relative to the Deed of Sale of
Motor Vehicle with Waiver of Franchise of my duly owned motor vehicle described as follows;
MAKE: HONDA ENGINE NO.:
SERIES: TMX155 CHASSIS NO.:
TYPE OF BODY: MOTORCYCLE PLATE NO.:
YEAR MODEL: 2006 C.R. NO.:
OR: MV FILE NO.
2. TO FACILITATE the transfer of the certificate of public convenience (franchise no. 126) of the said motor
vehicle;

3. To RECEIVE and/or GET any necessary documents that maybe released by the agency in connection to the said
transaction;

4. To MAKE, SIGN, EXECUTE DOCUMENTS, PAPERS and other writings necessary thereto;

5. To do whatever legal acts and deeds necessary to serve the purpose/s;

GIVING AND GRANTING unto my said ATTORNEY-IN-FACT full power and authority to do and perform
all any act and thing whatsoever requisite and 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, hereby ratifying and confirming all that my attorney shall lawfully
do or cause to be done by virtue of these presents.

IN WITNESS WHEREOF, We have hereunto set our hand this _________________at Puerto Princesa City,
Palawan.

__________________________ ________________________
Principal Attorney-In-Fact
DL ID No. ______________ DL ID No. _____________
Issued by LTO PPC Issued by LTO PPC

SIGNED IN THE PRESENCE OF:

________________________ ________________________

ACKNOWLEDGMENT

Republic of the Philippines)


City of Puerto Princesa )S.S

BEFORE ME, a Notary Public in the City of Puerto Princesa, and the Province of Palawan,
this ________________personally appeared with their valid Identification Card Nos. indicated below
their names, who presented themselves to be same persons who executed the foregoing instrument,
which they acknowledged before me as their free act and deed.

WITNESS MY HAND AND SEAL.

Doc. No. ____;


Page No. ____;
Book No.____;
Series of 2023.

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