You are free to reproduce, revise and use this form for individual use.

However it is prudent to
HOME PAGE consult with a lawyer before entering into any agreement, executing any legal document or
Affidavit of Loss granting any authority.
General Affidavit
Acknowled Receipt EXCLUSIVE (or NON-EXCLUSIVE) AUTHORITY TO SELL (or LEASE)
Acknowled of Debt
Affidavit of Desistance
Contract to Sell
THIS IS TO AUTHORIZE (Name), of legal age, a resident of (Address) , to do and perform any and
Chattel Mortgage all of the following acts:
Contract of Lease (In case of a corporation, replace above with: THIS IS TO AUTHORIZE [Name of Corporation], a
Deed of Assignment domestic corporation existing under and by virtue of the laws of the Philippines, with principal office
Deed of Donation located at [Address], to do and perform the following acts:)
Deed of Sale-Property
Deed of Sale-Vehicle TO SELL (or TO RENT OUT) my house and lot located at (Address), more particularly described as
follows:
Earnest Money
Offer to Buy Block No. _________ Lot No. __________ Lot Area: __________ square meters
Rent-to-Own Transfer Certificate of Title No. __________
Renovation Contract
General Power of Atty That (Name /Corporation) shall receive a commission fee equivalent to FIVE (5%) PERCENT of
Special Power of Atty the total selling price as stipulated in the Deed of Sale or Contract to Sell, payable upon the execution
Transfer of Rights of the instrument.
Last Will & Testament
(In case of rent, replace above with: That (Name /Corporation) shall receive a commission fee
equivalent to ONE MONTH RENT as stipulated in the Rental /Lease Contract, payable upon the
execution of the instrument.

In case of renewal of lease, (Name /Corporation) shall receive an equivalent of ONE MONTH
RENT for every year of lease as stipulated in the Rental /Lease Contract, payable upon the execution
of the instrument.)
(Add terms as required)

This exclusive (or Non-Exclusive) authority shall become ineffective only after 30 (60 or 90) days
from receipt of either party of a written notice terminating such authority.

__________________________________
OWNER
Signature Over Printed Name

Name of Owner: _________________________________________

Spouse: _________________________________________________
Home Address: __________________________________________
Telephone Nos. __________________________________________
Office Address: __________________________________________
Telephone Nos. __________________________________________
Date: _______________________
Copyright © 2005-2017 Philsite Network