REPUBLIC OF THE PHILIPPINES)

Province of _____________
Municipality of _________) S.S.
x- - - - - - - - - - - - - - - - - - - - - x

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, __________________, of legal age, widowed, Filipino citizen and with residence and postal address at
_______________________, do hereby make, constitute and appoint ________________of legal age,
Filipino citizen, married, and resident of ___________________________ to be my true and lawful
representative, for me and in my name, place and stead to perform the following acts:

1. To sign, execute, submit and receive all documents pertinent to the transfer of properties and
release of the new certificates of title in my name;
2. To process the transferring of title/registration of said property in my name;
3. To pay any kind of tax due to effect the transfer of title of the said property;
4. To represent me and transact business with the Registry of Deeds, Land Registration
Authority, Bureau of Internal Revenue, Assessor’s Office, DENR-CENRO and other
government offices or agencies in all matters relating to the foregoing power;
5. To do such 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 GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do and
perform any and all of the foregoing acts and things necessary or proper to be done in and about the
premises, as fully to all intents and purposes as I might or could do if personally present, and HEREBY
RATIFYING AND CONFIRMING any and all such acts and things done under the premises by virtue
hereof for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of September, 2023 in
______________________

____________________________
Affiant
______________________

SUBSCRIBED AND SWORN TO before me this 30th day of September, 2023

in ________________________, affiant exhibiting to me her competent evidence of identity indicated
below his above- stated name.

Doc. No. _____;

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