REVOCATION OF POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

WHEREAS, I, _____________________, of legal age, single/married, resident of
_______________, by a certain public instrument made and executed in _____________
on ___________________ before ____________________, Notary Public for and in the
_________________, and bearing Not. Reg. No.______________, Page ____________,
Book ______________, Series of 200___ of his notarial register, did name, constitute and
appoint _______________, resident of _________________ my true and lawful
ATTORNEY-IN-FACT, for the purpose and with powers mentioned in said public
instrument;
WHEREAS, the said public instrument or Power of Attorney, was duly registered
in the Office of the Register of Deeds of ________________ on __________________,
200__, as per Entry No. ________, Vol. ___________, Book ____________, of said
Office.
NOW, THEREFORE, I, ____________________, by virtue of these presents,
hereby, REVOKE, ANNUL, and make VOID the said power of attorney and all powers
and authority therein or thereby given or granted, or intended to be given or granted to
said _________________________.
IN WITNESS WHEREOF, I have hereunto set my hands this __________ day of
______________________, 200_, at __________________, Philippines.
________________________

SIGNED IN THE PRESENCE OF:

_________________________
________________________
(Witness)
(Witness)
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF _______________ ) SS
MUNICIPALITY OF ___________ )
BEFORE ME, this ________ day of _________, 20___ in the Municipality of
_______________, Province of ___________________, Philippines, personally appeared
_________________________, with Community Tax Certificates No. issued at
________________, on ____________, _______________ 20__, known to me to be the

same person who executed the foregoing instrument, and he acknowledged to me that
the same is his free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial
seal, the day, year and place above written.

NOTARY PUBLIC

Doc No. ______;

Page No. ______;
Book No. ______;
Series of 200__.