You are on page 1of 4

MCF No. 8.

4 (SPA)
Special Power of Attorney

Original Court, 1st Copy Plaintiff, 2nd Copy Defendant, Other copies as needed
Enter information in block letters in all parts of the Form except when reserved for Court
use, which shall be completed by the Clerk.
For Court Use Only
(Judicial Region)

(Municipality/City/Province)

METC/MTCC/MTC/MCTC
RTC

BRANCH
Case No.
Plaintiff/
Petitioner , v.
Defendant/
Respondent

COUNSEL OR PARTY WITHOUT COUNSEL


Nam
e
Firm Name
Address
Email Address
Tel./Cel./Fax Nos.
PTR No. Date/
Roll No. Place of Issue
Lifetime
IBP No. Date/Chapter
Compliance
MCL Exemption No
E .
Other Compliances
Counsel for
Plaintiff/
Petitioner
Defendant/
Respondent
Other

SPECIAL POWER OF ATTORNEY FOR COURT ACTION


UNDER RULE 8.4

I, , of legal age, Filipino,


(name)

with address at ,
(civil status) (address)

appoint and name , of legal age, Filipino,


(attorney-in-fact)

, with address at
,
(civil status) (address)

as my attorney-in-fact, giving said attorney-in-fact the power to act, for


and in my behalf, specifically to do the following:

to file and prosecute a case, until its final termination for

SPECIAL POWER OF ATTORNEY FOR COURT ACTION


(state nature of case)

against , or involvolving my property


(name of intended defendant/respondent)

.
(description of property ex. title details)

to undertake my defense in
(case number and title)
until its final termination.

to appear on my behalf for the prosecution of an action filed in my


name or to undertake my defense in the case filed against me, at all
stages of the proceedings where my appearance is required by the
court, including mediation, judicial dispute resolution, preliminary
conference, with specific authority to:
a) negotiate for as well as enter into an amicable settlement of the
dispute and to execute and sign compromise agreements;
b) submit any issue/the entire dispute to alternative modes of
dispute resolution;
c) enter into stipulations and admissions of facts and documents;
d) agree to refer certain issues to trial by commissioner/s; and
e) consider all matters subject of the preliminary conference.

to represent me in any appeal, petition for review, certiorari, or


annulment of judgment before the appellate courts.

to execute any and all documents, including verification,


certification of non-forum shopping, affidavits, relating to the
foregoing powers, and any and all other acts necessary and
incidental to the foregoing powers.

I GIVE AND GRANT said attorney-in-fact such other powers


as may be necessary to carry out this authority and I confirm and
ratify, by this act, all of the acts and deeds of said attorney-in-fact
executed pursuant to this Special Power of Attorney as if they were
my own personal act and deed.

SIGNED THIS ____ day of __________ 2014 at ___________.

Principal Attorney-In-Fact
With my Consent

SPECIAL POWER OF ATTORNEY FOR COURT ACTION


Witnessed by:

SPECIAL POWER OF ATTORNEY FOR COURT ACTION


ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in ____________, Philippines,


personally appeared:

Persons Name ID Presented


Driver's License No. _________________
Passport No. ___________________
P.R.C. License No. _________________
Postal I.D. No. ____________________
Voter's I.D. No. _________________
Other government-issued I.D. with photograph

Driver's License No. _________________


Passport No. ___________________
P.R.C. License No. _________________
Postal I.D. No. ____________________
Voter's I.D. No. _________________
Other government-issued I.D. with photograph

Driver's License No. _________________


Passport No. ___________________
P.R.C. License No. _________________
Postal I.D. No. ____________________
Voter's I.D. No. _________________
Other government-issued I.D. with photograph

Driver's License No. _________________


Passport No. ___________________
P.R.C. License No. _________________
Postal I.D. No. ____________________
Voter's I.D. No. _________________
Other government-issued I.D. with photograph

and who confirmed to me that the foregoing Special Power of


Attorney is his/her/their free and voluntary act and deed.

WITNESS MY HAND AND SEAL this ____ day of ____ 2014.

Notary Public
Until __________
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of ____.

SPECIAL INSTRUCTIONS

REPRESENTATIVES AS PARTIES
When used by representatives as parties , this form shall be filed together with the
initiatory pleading of a party who is an individual, not a juridical entity.
(Rule 8.4)

SPECIAL POWER OF ATTORNEY FOR COURT ACTION