Form 0023-Revocation of Special Power of Attorney
Form 0023-Revocation of Special Power of Attorney
Form 0023-Revocation of Special Power of Attorney
NOW, THREFORE, I have revoked, countermanded, annulled and made void, and by these presents do
revoke, countermand, annul and make void the said Special Power of Attorney and all powers and
authorities therein granted and conferred upon said attorney-in-fact __________________.
IN WITNESS WHEREOF, I have hereunto set my hand at ________________, on this ______ day of
______________, 20______.
_____________________
(Principal)
___________________________ ___________________________
ACKNOWLEDGMENT
Republic of thePhilippines)
MakatiCity ) SS.
BEFORE ME, a Notary Public in and in _______________ this _______ day of _________________, 2010,
personally appeared the following:
Passport No.
all known to me to be the same person who executed by the foregoing instrument and he/she
acknowledged to me that the same is his/her free and voluntary act and deed.
WITHNESS MY HAND AND SEAL in the place and on the date first above written.
Doc. No. _______;
Series of 20___.