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Special Power of Attorney Template

This document appoints [name] as attorney-in-fact to represent the principal in changing their daughter's surname with the National Statistics Office and pay any associated fees. The principal grants full power and authority to the attorney to perform any acts necessary to complete the name change. The document was signed and notarized on a specific date in General Santos City, Philippines.

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changlow
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8 views1 page

Special Power of Attorney Template

This document appoints [name] as attorney-in-fact to represent the principal in changing their daughter's surname with the National Statistics Office and pay any associated fees. The principal grants full power and authority to the attorney to perform any acts necessary to complete the name change. The document was signed and notarized on a specific date in General Santos City, Philippines.

Uploaded by

changlow
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, __________________, of legal age, Filipino, with residence and postal address


at __________________, have named, constituted, and appointed, and by these presents
do hereby name, constitute, and appoint _____________________, of legal age, Filipino,
with residence and postal address at __________________________ to be my true and
lawful attorney, for me and in my name, place, and stead to do and perform the following
acts or things, to wit:

1. To follow-up and process with the National Statistics Office the change of the
surname of my daughter ___________;
2. To receive and to pay any fees and to sign any documents in connection
thereto.

HEREBY GANTING unto my said attorney full power and authority to do and
perform all and every act whatsoever requisite or necessary or proper to be done in and
about the premises as fully to all intents and purposes as I might or could lawfully do if
personally present and hereby ratifying and confirming all that my said attorney shall
lawfully do or cause to be done by virtue of these presents.

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


________________, in General Santos City, Philippines.

_______________________
Principal

SIGNED IN THE PRESENCE OF:

_________________________ ________________________

REPUBLIC OF THE PHILIPPINES )


CITY OF GENERAL SANTOS ) S.S.
x-----------------------------------------x

BEFORE ME, a Notary Public for and in General Santos City, Philippines, this _____
day of _______________ personally appeared __________________________ with his
competent evidence of identity _____________________ known to me and to me known
to be the same person who executed the foregoing instrument and he/she acknowledged
to me that the same is his free act and voluntary deed.

WITNESS MY HAND AND SEAL on the date and place first above-written.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2018.

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