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FLH061

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, (YOUR NAME), Filipino citizen, of legal age, single with residence and postal address at (YOUR PRESENT ADDRESS), do hereby
name, constitute, and appoint (NAME OF YOUR ATTY-IN-FACT), of legal age, married, with residence and postal address at (ADDRESS OF
YOUR ATTY-IN-FACT), to be my true and lawful Attorney-in-Fact for me, in my name, place and stead, to do all of the following acts, to wit:

1. To file, sign, and execute housing loan application and mortgage contract in connection with my application from the HOME
DEVELOPMENT MUTUAL FUND for a loan in any amounts that may be approved by the said institution, offering as security for the
payment of said loan the property known as TCT No. 109-2014000752, Lot No. 13, Block No. 8, Survey No. PSD-07-081233 of the
land records of DUMAGUETE CITY, Registry of Deeds under such terms and conditions as my said Attorney-in-Fact may deem proper
and convenient;

2. To sign, execute, and deliver Promissory Note/s and Loan Mortgage Agreement (LMA) in favor of the HOME DEVELOPMENT MUTUAL
FUND, as well as other documents that may be required by the said institution in connection with the said loan;

3. To receive the proceeds of the Promissory Note/s which my said Attorney-in-Fact may execute in connection with the mortgage contract
relative thereto;

4. To encash, endorse, or negotiate the check/s issued by the HDMF in connection with the loan.

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and authority to do and perform any and every act requisite and
necessary to be done in and about the premises as fully to all intents and purposes as I might or could do, I personally present and acting in person,
HEREBY RATIFYING AND CONFIRMING all that my said Attorney-in-Fact may also do or cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______, 2017 at the Province/ City of DUMAGUETE CITY,
NEGROS ORIENTAL.

_____________________ _____________________

NAME YOUR NAME


Attorney-in-Fact Principal
VALID ID YOUR VALID ID

SIGNED IN THE PRESENCE OF:

______________________ ______________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)


PROVINCE OF ________________) S.S.

BEFORE ME, A Notary Public for and in DUMAGUETE CITY, Province of NEGROS ORIENTAL, this ____ day of _______,2017,
personally appeared the above-named persons, who has satisfactorily proven to me their identity through their identifying documents written below
their name and signature, that they are the same person who executed and voluntarily signed the foregoing Special Power of Attorney, which he/she
acknowledge before me as his/her free and voluntary act and deed.

WITNESS MY HAND AND NOTARIAL SEAL.

NOTARY PUBLIC

Doc. No. _____


Page No. _____
Book No. ______
Series of ______

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