You are on page 1of 1

SPECIAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: I, ________________, of legal age, widow, Filipino and a resident

of _____________________, have named, constituted and appointed and by these presents, do hereby name, appoint and constitute my son, _____________, of legal age, single and a resident of _____________, to be my lawful and true atty-in-fact, for me and in my name, place and stead, to do and perform the following acts and deeds: 1. To represent me in all transactions relative to all benefits and pension due me with Social Security System (SSS); 2. To receive all sums of money released whether in cash or in check and to encash, endorse or negotiate the same in the latter case; 3. To execute, sign, receive and deliver any document necessarily related to the above-described transactions. HEREBY GIVING AND GRANTING unto my said Attorney-in-fact full power and authority to do and perform any and all other acts necessary or incident to the performance of execution of powers herein expressly granted, with the power to do and perform all acts authorized hereby, as fully to all intents and purposes as the grantor might or could do if personally present, with full power of substitution. IN WITNESS WHEREOF, I have hereunto set my hand this 24 th day of February, 2009 at _________________. ________________ Atty-In-Fact SIGNED IN THE PRESENCE OF: __________________________ ____________________________ Principal __________________________

ACKNOWLEDGMENT REPUBLIC OF THE PHILIPPINES) CITY OF MANDALUYONG, MM ) Sc. BEFORE ME, a Notary Public for and in Mandaluyong City, personally appeared _________________ with Comm. Tax No. ______ issued on _______ at ________________, known to me and to me known to be the same person who executed the foregoing instrument and acknowledged to me that the same is her free act and deed. WITNESS MY HAND AND SEAL, on this ___ day of February, 2009 at _________________. Doc. No. Page No. Book No. Series of 2009

You might also like