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HQP-HLF-318 Special Power of Attorney

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HQP-HLF-318
SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I/WE ___________________________________, Filipino citizen/s, of legal age,
single/married,
with
residence
and
postal
address
at
__________________________________ do hereby name, constitute, and appoint
_________________________, of legal age, single/married, with residence and postal
address at __________________________________________________ to be my/our
true and lawful Attorney-in-Fact for me/us in my/our name, place and stead, to do and
perform the following acts, to wit:
1. To execute, sign and deliver the application form and other documents for the
CONVERSION TO FULL RISK-BASED PRICING in connection with my/our
housing loan from the Pag-IBIG Fund particularly described below, under
such covenants which my/our said Attorney-in-Fact may deem proper and
convenient;
Situated at ___________________________________________ and
registered under Pag-IBIG Housing Account No. ___________________.
2. To perform other acts that may be required by the Pag-IBIG Fund in relation
to the said application.
HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and
authority to do and perform each and every act which may be necessary or convenient,
in connection with any of the foregoing as fully to all intents and purposes as I might or
could do, if personally present and acting in person, HEREBY RATIFYING AND
CONFIRMING all that my said Attorney-in-Fact may also do or cause to be done under
and by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of
_________, 20___ at the Province/City of ______________________________.
____________________________
Attorney-in-Fact

____________________________
Principal

____________No._____________
Date of Issue _________________
Expiry Date __________________

_____________No.____________
Date of Issue _________________
Expiry Date __________________
With marital consent
____________________________

SIGNED IN THE PRESENCE OF:
____________________________

____________________________

(V01, 03/2016)

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
PROVINCE/CITY OF ____________) S.S.

BEFORE ME, a Notary Public for and in the _______________________,
Province/City of _____________________, this ______ day of _____________,
20_____, personally appeared the above-named person/s, who has satisfactorily
proven to me his/her/their identity through his/her/their identifying documents written
below his/her/their name and signature, that they are the same person/s who executed
and voluntarily signed the foregoing Special Power of Attorney, duly signed by
his/her/their instrumental witnesses at the spaces herein provided which he/she/they
acknowledged to me as his/her/their free and voluntary act and deed.
The foregoing instrument relates to a Special Power of Attorney consisting of
________ (___) pages including the page on which this Acknowledgment is written, has
been signed on the left margin of each and every page by the parties and the
witnesses.
WITNESS MY HAND AND NOTARIAL SEAL, this ______ day of
_____________, 20_____, in the _______________________, Province/City of
_____________________.

NOTARY PUBLIC

Doc. No. __________;
Page No.__________;
Book No.__________;
Series of __________.

(V01, 03/2016)
 
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