SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, ____________________, of legal age, single/married, Filipino, with residence at ______________________________ do hereby appoint, name and constitute ________________________________, likewise of legal age, singe/married, with residence at ________________________________ as my true and legal representative to act for and in my name and stead and to represent me during the hearing of Civil Case No. ________, to enter into amicable settlement, to submit to alternative modes of dispute resolution and to make admissions or stipulations of facts and documents without further consultation from me.
I hereby grant my representative full power and authority to execute and perform every act necessary to render effective the power to compromise as though I myself have so performed it and hereby approving all that he may do by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ______ day of ____________________, 2013 at ________________.
______________________
Principal
Conforme:
_____________________
Attorney-in-fact
Conforme:
_____________________
Attorney-in-fact
SIGNED IN THE PRESENCE OF:
______________________ ______________________
ACKNOWLEDGMENT
Republic of the Philippines)
Quezon City, Metro Manila ) S.S.
Quezon City, Metro Manila ) S.S.
BEFORE ME, a Notary Public, for and in Quezon City, this _______ day of _________________________ personally appeared:
Name Identification Card Issued On/At
____________________ ________________ _____________
____________________ ________________ _____________
all known to me to be the same persons who executed the foregoing instrument consisting of ____ pages, including this page on which this acknowledgment is written, and who acknowledged to me that the same is their free and voluntary act and deed.
Name Identification Card Issued On/At
____________________ ________________ _____________
____________________ ________________ _____________
WITNESS MY HAND AND NOTARIAL SEAL.
Doc. No. ____
Page No. ____
Book No. ____
Series of 2013.
Page No. ____
Book No. ____
Series of 2013.