KNOW ALL MEN BY THESE PRESENTS:
THAT I, ________________________, Filipino citizen, of legal age, married to _____________________ and resident of ________________ do hereby appoint, name and constitute ____________________________, citizen, of legal age, single/married and resident(s) of __________________________________________ to be my true and lawful attorney to act in, manage and conduct all my affairs and for that purpose in my name and on my behalf to do and execute any or all of the following acts, deeds, and things, to wit:
To withdraw and collect monies from my bank savings/checking Account No. _____, up to the amount of _________________, with the __________________________ (name and location of bank), and to sign and acknowledge the receipt thereof.
(WRITE OTHER TERMS HERE:)
HEREBY GIVING AND GRANTING unto my said attorney full power and authority whatsoever requisite or proper to be done in or about the premises, as fully to all intents and purposes as I might or could lawfully do if personally present, and hereby certifying and confirming all that my said attorney shall do or cause to be done under and by virtue of these presents.
This special power of attorney shall be in effect –
( ) for ___________ month(s) / year(s)
( ) until the completion of the object or purpose above-stated
( ) until revoked
IN WITNESS WHEREOF, I have hereunto set my hand this day of _____ at ___________.
With my conformity:
Attorney in Fact