SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _________________________________, of legal age, Filipino and resident of

Sta. Ana, Cagayan Philippines, do hereby appoint, name and
constitute_________________________________, also of legal age, Filipino, and a resident
of Tuguegarao City, Cagayan, Philippines, to be my exclusive, true and lawful
Attorney-in-Fact, and for that purpose, in my name and in my behalf, to do
and perform all or any of the following acts, deeds, and things, to wit:

1. To make, sign, seal, execute and deliver contracts, documents,

agreements and other writings of whatever nature or kind concerning my
interest and title over
___________________________________________________________Lot Number
etc), located at ______________________, Sta. Ana, Cagayan with a total
area of ________________________________________ square meters, more or
less, including but not limited to the processing of the application for
the issuance of the corresponding Certificate of Title of the said
land, to apply for conversion, reclassification and to secure
certificates of non – coverage before the DENR, DAR, CEZA, Local
Government of Sta. Ana and other related agencies

2. To make, sign, seal, execute and deliver contracts, documents,

agreements and other writings of whatever nature or kind for the
property as mentioned above including the authority to receive the
Certificate of Title once issued;
3. Giving and granting unto my said Attorney-in-Fact full power and
authority to do and perform all and every act requisite or necessary to
carry into effect the foregoing authorities, as fully to all intents and
purposes as I might or could lawfully do if personally present, with full
power of substitution and revocation, and hereby ratifying and
confirming all that our said attorney or her substitutes shall lawfully do
or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
_____________ at _____________, Philippines.

____________________________________
PRINCIPAL
ACCEPTED BY:

___________________
ATTORNEY-IN-FACT

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 SIGNED IN THE PRESENCE OF:

__________________ __________________

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF _______________) SS.
x-----------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of

_____________, personally appeared the following persons, whom I have identified through
competent evidence of identity and who represented to me that their respective signatures on the
foregoing instrument were voluntarily affixed by them for the purposes stated in the instrument and
who declared that they have executed the foregoing instrument as their free and voluntary act and
deed.

This Instrument consists of only two (2) pages, including this page in which this
acknowledgment is written, duly signed by the parties and his instrumental witnesses on each
and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________,

Philippines.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 2020

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