REPUBLIC OF THE PHILIPPINES )
________________________ ) S.S.
________________________ )
SPECIAL POWER OF ATTORNEY
I, ______, Filipino, of legal age, single, and with residence at _____, DO HEREBY name,
constitute, and appoint ______, Filipino, of legal age, single, and currently residing at _______, to
be my true and lawful ATTORNEY-IN-FACT for me and in my name, place, and stead perform the
following acts, to wit:
1. Enter into dealings and transactions necessary to carry out my intended business / commercial activity
in ______, such as but not limited to the following: (A) Executing and signing contracts or
agreements such as lease contracts, deeds of sale, and all other contracts or agreements necessary and
beneficial to my intended business in _____; and (B) Processing of requirements, documentations,
clearances, and permits with the appropriate agencies of the government and/or private entities (eg.
Processing of Barangay business permit);
2. Manage and/or operate my intended business / commercial activity in ______;
3. To receive and take custody of any receivables pertinent to the above-stipulated matters, such as but
not limited to documents, properties, goods, cash, etc.;
WHEREFOR, my ATTORNEY-IN-FACT is HEREBY granted full power and authority to perform
any and all acts necessary, in my behalf as if I were performing the same in my personal capacity,
FURTHER HEREBY RATIFYING AND CONFIRMING all that my ATTORNEY-IN-FACT may also do or
cause to be done under and by virtue of these presents. In no way shall this Special Power of Attorney be
construed as a waiver of my right to revoke the same, or right to assail the acts and representations of my
ATTORNEY-IN-FACT should these be inconsistent with or contrary to the intention of herein instrument;
THUS, my ATTORNEY-IN-FACT binds himself to faithfully keep within the bounds of herein Special
Power of Attorney.
IN WITNESS WHEREOF, we have set our hands this _____ day of ___________, 2021 at the
_____________________________, Philippines.
_____ _____
Principal Attorney-in-Fact
_____ _____
REPUBLIC OF THE PHILIPPINES )
________________________ ) S.S.
________________________ )
ACKNOWLEDGMENT
BEFORE ME, on the date and place above written, personally appeared the following persons
with competent evidence of their identity:
Name ID Document ID No. Expiry Date Issuing Authority
Philippine Passport
Driver’s License
Said persons acknowledged under oath to me under penalty of law, that the whole contents of
this document are true and the same are their free and voluntary acts and deeds.
WITNESS MY HAND AND NOTARIAL SEAL.
Notary Public
Doc. No.: _____
Page No.: _____
Book No.: _____
Series of _____.
