REVOCATION OF POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
WHEREAS, under date of 1
(Date of SPA) (Name of Affiant)
Executed a Special Power of Attomey, naming and appointing .
as my true and lawful Attorney-in-Fact, for the purposes and with the powers set forth in the
instrument, which was ratified before of the Republic of
(Name & Position of Consular Officer)
the Philippines in and for per Service No., Notarial No., Series of
(Where document was authei )
WHEREAS, the said Special Power of Attorney has been used to
(Purpose)
WHEREAS, I now desire to revoke and terminate the said Special Power of Attorney and
render it without further force and effect;
NOW, THEREFORE, I have revoked,
(Name of Affiant)
countermanded, annulled and made void, and by these presents do revoke, countermand, annul
and make void the said Special Power of Attomey, and all powers and authorities therein granted
and conferred upon said Attorney-in-Fact, :
IN WITNESS WHEREOF, I have set my hands thi
20__at
‘Affiant
Witness Witness