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Special Power of Attorney (Lto)

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REPUBLIC OF THE PHILIPPINES )

CITY OF BACOLOD ) S.c.


x---------------------------------------------------x

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _____________________, of legal age, Filipino and a resident of


_____________________ City, Philippines, do hereby name, constitute, and
appoint, _____________________, likewise of legal age, Filipino, and a
resident of _____________________ City, Philippines, to be my true and
lawful Attorney-in-fact, for me, and in my name, place and stead, to do and
perform all or any of the following acts:

1. To represent me before the Land Transportation Office (LTO) and process


the renewal of the registration of the motor vehicle, more particularly
described as follows:

MAKE & TYPE : _____________________


ENGINE NO. : _____________________
SERIAL/CHASSIS NO. : _____________________
PLATE NO. : _____________________

2. To pay the necessary fees, and/or financial obligations that may be


relevant to the foregoing objective and to demand the necessary receipt as
may be deemed proper;

3. To receive any document in connection with the foregoing objective;

4. Finally, to do all other acts, deeds and things whatsoever pursuant to the
powers herein granted, as fully and effectual for the accomplishment of the
foregoing purpose.

HEREBY GIVING AND GRANTING, unto my said Attorney-in-fact full


powers and authority to do and perform all and every act and thing whatsoever
requisite or necessary to carry into effect the foregoing authority, as fully for all
intents and purposes as I might or could lawfully do if personally present; and

HEREBY RATIFYING AND CONFIRMING all that said Attorney-in-


fact shall lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day


of _______, 2022 in the City of _____________________, Philippines.

_____________________
Principal

Appointment Accepted:

_____________________
SIGNED IN THE PRESENCE OF:

_______________________ _______________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES}


CITY OF BACOLOD } S.c.
x-------------------------------------------x

Personally came and appeared before me on this


____________________ at _____________________ City, Philippines:

Name Government Issued ID Issued at/on

_____________________ _________________________

who is personally known to me and who is the same person who executed
the foregoing instrument, and acknowledged that the same is of his voluntary free
act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and seal at the


place and date first above-written.

Doc. No. _______;


Page No. _______;
Book No. _______;
Series of 2022.

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