May 16, 2023
Sample Special Power of Attorney
SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that I, [Your Name], of legal age, a resident of [Your Address],
Philippines, do hereby appoint [Recipient's Name], of legal age, a resident of [Recipient's Address],
Philippines, as my true and lawful attorney-in-fact, with full power and authority to act on my behalf and
in my name, to perform the following specific act:
1. Purpose: The attorney-in-fact is authorized and empowered to perform the following specific act on
my behalf:
[Describe the specific act or task that the attorney-in-fact is authorized to perform.]
2. Duration: This Special Power of Attorney shall be valid and in effect from the date of execution until
[specify a specific date or event upon which it will terminate], unless earlier revoked in writing by me.
3. Powers and Authority: In connection with the specific act mentioned above, my attorney-in-fact shall
have the power and authority to:
[Specify the powers and authority necessary to carry out the specific act, ensuring they are clearly
defined and limited to the intended purpose.]
4. General Provisions:
a) This Special Power of Attorney is limited in scope and pertains solely to the specific act described
herein.
b) My attorney-in-fact shall act diligently, faithfully, and solely in my best interest, exercising reasonable
care and skill.
c) I hereby ratify and confirm all acts and deeds lawfully done by my attorney-in-fact in connection with
the specific act mentioned above.
d) This Special Power of Attorney shall be governed by and construed in accordance with the laws of the
Republic of the Philippines.
e) This document may be executed in counterparts, each of which shall be deemed an original, and all
counterparts together shall constitute one and the same instrument.
IN WITNESS WHEREOF, I have hereunto set my hand this [day] of [month], [year], in [City/Municipality],
Philippines.
____________[Signature]____________
[Your Name]
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in [City/Municipality], Philippines, this [day] of [month], [year],
personally appeared:
Name ID Presented
[Your Name] [Type of ID] __________________
known to me and to me known to be the same person who executed the foregoing instrument and
acknowledged that the same is their free and voluntary act and deed.
WITNESS MY HAND AND SEAL.
________________________
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of [Year].
