Republic of the Philippines )
____________________ ) S.S.
SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That I/We, ___________________________________________Filipino/s, of legal age, single/married to_____________________________, and
with residence and postal address at__________________________________, do hereby name, constitute, and appoint my/our ____________,
_____________________Filipino, of legal age, single/married to _________________________________, with residence and postal address at
________________________________________and whose signature appears below, to be my/our true and lawful Attorney-in-Fact, for me/us and
in my/our name, place and stead, and for my/our own use and benefit to do the following acts and deeds:
1. To claim and receive the original Official Receipt & Certificate of Registration from EastWest Bank, particularly described as follows:
Make and Model :
Motor No. :
Chassis No. :
2. To claim and receive the original copy of Cancellation of Mortgage;
3. To make, execute, sign and deliver any document, as may be necessary or proper in connection with the release of the collateral documents,
all upon such terms and conditions as said Attorney-in-Fact may, in his/her discretion, deem to be in my/our best interest and may agree
with the Bank.
GIVING AND GRANTING unto my/our 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/we might or could do personally or cause to be done by virtue
of these presents.
IN WITNESS WHEREOF, I/we have hereunto set my/our hand this _____ day of _______________ at ____________________, Philippines
_____________________________________________
Signature over printed name of the Principal/s
With my Marital Consent:
______________________________________________
Signature over printed name of the spouse of the Principal
Conforme:
______________________________________________
Signature over printed name of the Attorney-in-Fact
SIGNED IN THE PRESENCE OF:
_________________________ _________________________
Signature over printed name Signature over printed name
Witness Witness
ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES)
______________________________) SS
BEFORE ME, a Notary Public for and in ________________________, on this _____ day of _______________________, personally appeared
_____________________________ with ___________________________________ (Gov’t issued) ID No. ________________________, issued at
______________________ on _____________________________, known to me and to me known to be the same person who executed and signed the foregoing
Special Power of Attorney and he acknowledged to me that the same is his free and voluntary act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date and place above written.
Doc. No.: _____; NOTARY PUBLIC
Page No.: _____;
Book No.:_____;
Series of 20___.
