August ___, 2021
To: MS. MA. RIZALYN A. AGUSTIN
Outlet Supervisor
PHILIPPINE STATISTICS AUTHORITY
PSA Building
774 Panganiban Drive,
Naga City, Camarines Sur
Subject: Authorization Letter to Collect Death Certificate
Dear Ma’am:
Greetings of Peace!
I, Gilbert Soriano Palaad, with reference driver’s license number E04-00-054261, authorize my
wife, Belen Baron Palaad with TIN number 491-983-308-000, to request, receive, claim and
transport the relevant legal documents that are necessary for my request – my mother’s death
certificate. For your information, please see the details of my mother below:
Mother’s Name: Evelyn Aragona Soriano Palaad
Born at: Quipayo, Calabanga, Camarines Sur
Born on: April 10, 1944
Died on: January 25, 1988
Died at: Cabusao, Camarines Sur
I hereby grant authorization to my wife - Mrs. Belen Baron Palaad to act and fulfill the
necessary obligations, on my behalf in the death certificate of my mother and its legal process.
To support my claim, I have two of the identity cards, respectively:
1. Driver’s License; and
2. Tax Identification Card.
I comprehend that, Mrs. Belen Baron Palaad will not be in any way, responsible for any
hindrance caused during receiving and processing.
Thank you.
Yours Sincerely,
GILBERT S. PALAAD
Principal Grantor