REVOCATION OF SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: WHEREAS, under date of _________________, I, _______________________, have executed a Special
Power of Attorney, naming and appointing _________________ as my true and lawful attorney-in-fact for the purpose/s and with the power set forth in the instrument which was ratified before Atty. ___________________ ______________________, ___, Notary Public in and for ________________, ________________, as per Doc. No. ________, Page. No. __________ __________ Book No. _______________, _______________, Series of _____________ _____________ of his Notarial Register; annulled and made void, and by these presents do NOW, THREFORE, I have revoked, countermanded, annulled revoke, countermand, annul and make void the said Special Power of Attorney and all powers and authorities therein granted and conferred upon said attorney-in-fact __________________. __________________.
IN WITNESS WHEREOF , I have hereunto set my hand at ________________, on this ______ day of
______________, ______________, 20______. 20______. ___________________ _____________________ __ (Principal) SIGNED IN THE PRESENCE OF:
___________________ ___________________________ ________
__________________ ___________________________ _________
ACKNOWLEDGMENT
Republic of the Philippines) Makati City ) SS. _________________, 2010, BEFORE ME, a Notary Public in and in _______________ this _______ day of _________________, personally appeared the following: Name:
CTC No./ _________________ ___________________ __
Date & Place Issue ______________ ______________
Passport No. ___________________ ___________________
all known to me to be the same person who executed by the foregoing instrument and he/she acknowledged to me that the same is his/her free and voluntary act and deed. WITHNESS MY HAND AND SEAL in the place and on the date first above written.
Doc. No. _______; Page No. _______; Book No. ______; Series of 20___.
SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That I, __________________________, of legal age, single, Filipino citizen and resident of ______________________________________________, do hereby name, constitute and appoint _______________________________, of legal age and resident also of __________________________________, to be my true and lawful attorney -in-fact, for me and in my name, place and stead, to do and perform the following special powers, to w it: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________
HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do and
perform any and every act and thing whatsoever requisite, necessary or proper to be done in and about the premises as fully to all intents and purpose as I might or could do if personally present and acting in person; and HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-fact shall lawfully do and cause to be
done under by virtue of these presents.
IN WITNESS WHEREOF , I have hereunto set my hand at ____________, Philippines, on this
____________ day of ________________, 20______.
____________________ Principal Conforme: ______________ Attorney-in-fact
SIGNED IN THE PRESENCE OF:
____________________________
___________________________
ACKNOWLEDGMENT
Republic of the Philippines Makati City ) S.S. BEFORE ME, a Notary Public in and for Makati City, Philippines, this ______________ personally
appeared: Name _________________ _________________
Res. Cert. ____________ ____________
Date/Place Issued _________ _______ _________ _______
known to me to be the same persons who executed the foregoing instrument and they acknowledged to me that the same is their free and voluntary act and deed. IN TESTIMONY WHEREOF , I have hereunto set my hand affixed my notarial seal on the date and at the
place first above written.
Doc No. _________ Page No._________ Book No. ________ Series of 20____.
