SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That I, _________________________, Filipino, of legal age, with residence and
postal address at ________________________________ have named, constituted
and appointed, and by these presents do name, constitute and appoint
________________, Filipino, of legal age, with residence and postal address at
_________________ to be my true and lawful attorney-in-fact, for myself and in my
name, place and stead, and for my own use and benefit, to do and perform all or any of
the following acts and things, namely:
1. To negotiate the sale, transfer, conveyance and delivery, for such price
and under such terms and conditions, as my said attorney-in-fact may deem proper, all
of my ______________ (____) common shares of stock in ____________________,
duly registered in my name in the books of the said corporation (hereinafter, the
“Shares”);
2. To receive payment or payments from the buyer from the sale, transfer,
conveyance and delivery of the Shares; and to make, sign, execute, issue,
acknowledge, and deliver receipts for any such payment; and
3. To determine the manner and mechanics of the sale and other terms
and conditions upon which the Shares shall be sold to the buyer.
HEREBY GIVING AND GRANTING unto said attorney-in-fact full power and
authority to do and perform every 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 said attorney-
in-fact shall lawfully do or cause to be done by virtue of these presents.
IN WITNESS WHEREOF, we have hereunto affixed our signature this ____
_____ _________, at __________________, Metro Manila.
______________________
[Name and Signature]
SIGNED IN THE PRESENCE OF:
____________________________ ____________________________
ACKNOWLEDGEMENT
BEFORE ME this ____ day of ________________, personally appeared
_______________________ and exhibited to me his community tax certificate no.
_________________, issued at ____________, on ________, and by me known to be
the same person who executed the foregoing Special Power of Attorney and he
acknowledged to me that the same is his free and voluntary act and deed.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 20__.