SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, ________________________________, of legal age, single/married, Filipino citizen
residing at ________________________________, do hereby NAME, CONSTITUTE AND
APPOINT, _________________________________________, likewise of legal age, Filipino and
with residence address at _____________________________________, as my lawful Attorney-InFact, to do, act for me and in my name and stead and to perform the following acts:
To process and transact at Bureau of Internal Revenue for any transaction of my
business, ____________________________ located at ____________________.
HEREBY GRANTING unto my representative full power and authority to execute and
perform every act necessary to render effective the power of attorney as though I myself, have
so performed it, and HEREBY APPROVING ALL that he/she may do by virtue hereof with
full right of substitution of his person and revocation of this instrument.
IN WITNESS WHEREOF, we hereunto set our hands on the ___ day of __________
2022 at Lipa City, Batangas, Philippines.
_______________________
Attorney-in-Fact
ID NO._________________
_______________________
Attorney-in-Fact
ID NO. __________________
Signed in the presence of:
_______________________________
_______________________________
ACKNOWLEDGMENT
Republic of the Philippines}
___________
} S.S
BEFORE ME, a Notary Public in and for the City/Municipality of ________________,
this _______________, personally appeared the above-named persons, who are known to me that
they are the same person who executed and voluntarily signed the foregoing Special Power of
Attorney which they acknowledged before me as their free and voluntary act and deed.
WITNESS MY HAND AND SEAL, on the date and place first above-written.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2022.