KNOW ALL MEN BY THESE PRESENTS:

I, ____________, of legal age, Filipino, single/married to ____________, resident of

___________, do hereby [3] name, constitute and appoint ____________, of legal age, Filipino,
single/married, resident of ___________, to be my true and lawful attorney-in-fact, for me and in
my name, place and stead within the period of ____ months (or years), [4] to SELL, TRANSFER
and CONVEY, for the price not less than ___________ PESOS (Php_____), Philippine Currency,
to whosoever may purchase or buy the parcel of land, with (or without) improvements, located in
__________, and more particularly described, to wit:
(copy technical description of property from the TCT)
of which I am the registered owner in fee simple, my title thereto being evidenced by
Transfer/Original Certificate of Title No. _______________, issued by the Registry of Deeds of
_________, free from all liens and encumbrances; and,
HEREBY GIVING AND GRANTING unto the said attorney-in-fact full powers and authority
to do and perform all and every act requisite or necessary to carry into effect the foregoing
authority to sell, as fully to all intents and purposes as I might or could lawfully do if personally
present, with full power of substitution, and hereby ratifying and confirming all that the said
attorney or his substitute shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, we have set our hands this __day of __________, 2011, in
___________, Philippines.
_________________
(Principal)
Conforme:
___________________
(Attorney-in-Fact)
Signed in the presence of:
____________________ ______________________
JOINT ACKNOWLEDGMENT