SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, ________________________, of legal age, Filipino and a resident of

Brgy. ________, Paete, Laguna, by these presents do hereby appoint, name and constitute
______________________________ of legal age, Filipino and a resident of Brgy.
Pinagsanjan, Pagsanjan, Laguna, as my attorney-in-fact to do and perform in my name,
place and stead, the following acts and things:

1. To file, prosecute, pursue and appear for and in my behalf in the civil case
for the annulment of real estate mortgage to be filed against
________________________ and _____________________ before the Regional
Trial Court of Santa Cruz, Laguna;

2. To represent me in the pre-trial and trial of the afore-mentioned case and to

make admissions, stipulation of facts and to do all other acts necessary and
incidental thereto;

3. To make, sign and execute all documents, pleadings and papers to accomplish the
above-mentioned purposes upon such terms and conditions acceptable and
deemed requisite or necessary by my attorney in fact in connection the
aforementioned cases.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power

and authority to do and perform all acts necessary or requisite for the purposes above-
mentioned in my name and stead, as if I was present and acting in person and hereby
CONFIRMING AND RATIFYING all that my said attorney-in-fact shall lawfully do
or cause to be done in the premises.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ th day

of ___________________ 2019 at Santa Cruz, Laguna.

Principal
________ID No. ___________
_________________________
Atty-in-fact

ACKNOWLEDGMENT

_______________________________ )
_______________________________ ) S. S.
_______________________________ )

BEFORE ME, this __ th day of _________________ 2019 at

_____________________, personally appeared the above-named person with his ID
appearing above, known to me to be the same person who executed the foregoing
instrument and acknowledged the same to be his own true and voluntary act and deed. I
hereby certify that the foregoing instrument refers to a special power of attorney in favor
of ______________ and consists of one (1) page signed by the principal.

WITNESS MY HAND AND SEAL this __ th day of ________________ 2019 at

_________________________.

Doc. No. ____

Page No. ____
Book No. ____
Series of 2019