Sample Form: SPECIAL POWER OF ATTORNEY (To Represent In A Mediation)

SPECIAL POWER OF ATTORNEY

  

KNOW ALL MEN BY THESE PRESENTS:

      I, ___________________, of legal age, married, Filipino, with postal address at ________________________________, do hereby appoint, name and constitute Mr. ________________________, likewise of legal age, singe/married, with residence at _______________________________ as my true and legal representative to act for and in my name and stead and to represent me during the mediation proceedings before the Philippine Mediation Center Unit in the Court of Appeals relative to the case docketed as CA-G.R. SP No._________, to offer, negotiate, accept, decide and enter into a compromise agreement without need of further approval by or notification to me.

     I hereby grant my representative full power and authority to execute and perform every act necessary to render effective the power to compromise as though I myself have so performed it and hereby approving all that he may do by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ______ day of ____________________, 2017 at ________________.

____________________

             Principal

Conforme:

_____________________

      Attorney-in-fact

Republic of the Philippines )

 _____________________) S.S

 

BEFORE ME, personally appeared:

             

Name                                ID Number                        Date/Place Issued

  

Known to me and to me known to be the same persons who executed the foregoing instrument and acknowledged to me that the same is their free and voluntary act and deed.

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

                                                                                                            

Doc. No.______;

Page No. ______;

Book No.______;

Series of 2017

Sample Form: SPECIAL POWER OF ATTORNEY (To Claim Check)

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _______________, of legal age, married, Filipino, with postal address at c/o ___________________________, do hereby appoint, name and constitute Mr. ______________________, likewise of legal age, married, with residence at _____________________________ as my true and legal representative to act for and in my name and stead and to claim my check from the NLRC Cashier representing the cash bond which I personally posted in relation to the case ______________________ vs. _____________________, bearing case number NLRC LAC No._________ / CASE No. _________, and as well as other checks, if any.

      I hereby grant my representative full power and authority to execute and perform every act necessary to render effective the power to compromise as though I myself have so performed it and hereby approving all that he may do by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ______ day of ____________________, 2017 at ________________.

_________________

Principal

Conforme:

Conforme:

_____________________

      Attorney-in-fact

Republic of the Philippines )

 _____________________) S.S

BEFORE ME, personally appeared:

            

    Name                                           ID Number                          Date/Place Issued

      

Known to me and to me known to be the same persons who executed the foregoing instrument and acknowledged to me that the same is their free and voluntary act and deed.

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

                                                                                                            

                                                                                  Notary Public

Doc. No.______;

Page No. ______;

Book No.______;

Series of 2017

Authorization to use property

Date

To whom it may concern,

AUTHORIZATION

           

        The undersigned individuals hereby authorize Mr. _________ to use, occupy, take care, maintain our property specifically located at _______________________.

We also authorize him to represent us before the developer Empire East and/or the condominium association or homeowners association on any matter concerning the said property.

            This authorization shall be effective immediately and indefinitely until revoked in writing.

            Thank you very much.

Respectfully,

________________

 ________________

Authorization to use car / motor vehicle

AUTHORIZATION TO USE VEHICLE

Date

To whom it may concern,

           

            I am the actual owner of the following vehicle as shown in the Deed of Absolute Sale executed by the registered owner __________:

            2003 Toyota Vios MT / MV File No. _______ /  Plate No. _____ / CR No. _____ / OR No. ______

I hereby grant my authorization and consent to ____________________ for the use of this vehicle as stated in this letter.

            Copy of the Deed of Absolute Sale, OR and CR for the said motor vehicle are hereto attached.

Sincerely,

_________________

Affidavit of Loss (Identification cards)

Republic of the Philippines)

                                     ) S.S.

AFFIDAVIT OF LOSS

(Identification Cards)

I, ________, of legal age, Filipino, single and a resident of _________________, after having been duly sworn to in accordance with law, depose and state THAT:

1.   I am a seafarer working overseas and was recently deployed in Hawaii.

2.   Previously, I was issued the following documents/identification cards by the Philippine government:

a.)         SSS ID No. ________

b.)         Pag-ibig ID No. _________

c.)          TIN ID No. _________

d.)         OWWA Membership ID

3.   During my latest deployment as fisherman-seafarer in Hawaii, I brought with me the said identification cards. I placed all of them in my wallet.

4.   Unfortunately, on ________ around 4PM, our fishing vessel FV ______, while docked at ___________, got burned which started from the electrical components in the pilot house.

5.   Luckily, I was not present during the said incident as I was in another boat having a haircut, but I left my wallet with all the above identification cards inside my locker which were all consumed by fire.

6.   I tried to look for the said IDs after the fire was put out by a fire truck but the entire cabin area where my locker is located was burned; thus, these identification cards are now lost beyond recovery.

4. As such, I am executing this affidavit to attest to the foregoing facts and to support the application for the issuance of the new ones in lieu of those ones which were lost.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in ___________, Metro Manila, Philippines.

_____________

Affiant

SUBSCRIBED AND SWORN to before me this _______ day of __________________ in __________________, Metro Manila, affiant exhibiting to her Government Issued ID No. __________ issued on _____________ at ____________.

 NOTARY PUBLIC

Doc. No. Page No. Book No. Series of 2017.

Affidavit of Loss (Passport)

Republic of the Philippines)

                                     ) S.S.

AFFIDAVIT OF LOSS

(PASSPORT)

I, ___________________, of legal age, Filipino, single and a resident of _______________________________, after having been duly sworn to in accordance with law, depose and state THAT:

1. On January 12, 2010, I was issued a Philippine Passport by the Department of Affairs in Manila;

2. Recently, I had tried to look for the said passport but the same could not be found;

3. Despite diligent search and efforts to locate the said passport, I could not find the same such that I believe that it is now lost beyond recovery; 

4. As such, I am executing this affidavit to attest to the foregoing facts and to support the application for the issuance of a new one in lieu of the one which was lost. 

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in ___________, Metro Manila, Philippines.

_______________

Affiant

SUBSCRIBED AND SWORN to before me this _______ day of __________________ in __________________, Metro Manila, affiant exhibiting to her Government Issued ID No. __________ issued on _____________ at ____________.

Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2017.

Affidavit of Loss

Republic of the Philippines)

                                     ) S.S.

AFFIDAVIT OF LOSS OF SPA

I, ________________, of legal age, Filipino, single and a resident of _________________________, after having been duly sworn to in accordance with law, depose and state THAT:

On November 17, 2016, a Special Power of Attorney was executed by the registered owners ________ and ____________ acknowledged before Notary Public ____________ (Doc. No. ___; Page No. __; Book No. __; Series of 2016) authorizing Ms.________ to sell the property covered by CCT Nos. ______ and ______ and execute necessary documents relative thereto.

Sometime in July 2017, the original copy of the said Special Power of Attorney given to me could not be found and that despite of diligent search and efforts, the same could no longer be found such that I now believe that it is now lost beyond recovery.

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and for whatever legal purposes that this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in ___________, Metro Manila, Philippines.

___________

Affiant

SUBSCRIBED AND SWORN to before me this _______ day of __________________ in __________________, Metro Manila, affiant exhibiting to her Government Issued ID No. ____________.

	Doc. No. Page No. Book No. Series of 2017.

 

Legal Forms: Motion for Hold Departure Order

REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
____ JUDICIAL REGION
BRANCH __, ____ CITY

PEOPLE OF THE PHILIPPINES,
Plaintiff,

- versus -

CRIMINAL CASE No.__
For: Frustrated Murder

Juan Berto,
Accused.

x -------------------------------x

URGENT MOTION

FOR ISSUANCE OF HOLD DEPARTURE ORDER

COMES NOW, the plaintiff, by undersigned private counsel with the conformity of the public prosecutor and unto this Honorable Court, respectfully moves for issuance of a Hold Departure Order (HDO) against the accused, and alleges that:

1) The accused has applied for employment abroad in an employment agency in Cubao, Quezon City, and such application is now currently under process. Copies of accused’s application form and his resume submitted to said agency are hereto attached as Annexes “A” and “B” respectively;

2) The accused has used, and is currently using, the name Juan Pedro in his application where in fact his real name is Juan Berto;

3) In adopting an alias, the accused’s act of applying for an employment abroad is definitely regarded as being done in bad faith considering that a criminal case against him is pending before this Honorable Court;

4) The application is done for the purpose of absconding and thereby evading prosecution for his offense;

5) A Watch List Order (WLO) against the accused has already been issued by the Department of Justice (DOJ) upon application of the plaintiff. Copy thereof is hereto attached as Annex “C”;

6) Preventing the accused from leaving the country is proper considering that the crime charged against him is a serious offense;

7) All precautions should be observed to ensure proper dispensation of justice.

WHEREFORE, premises considered, it is respectfully prayed that a Hold departure Order be immediately issued against the accused.

Quezon City, Philippines, 13 January 2011.

Atty. ____________________
Private Counsel for Plaintiff

PTR No. _________; (date); Q.C.
IBP Lifetime No. _______; (date)
Roll of Attorneys No. _________
Address: __________________
Mobile No. _________________

Email: ____________________

CONFORME:

___(Name)________

Public Prosecutor

NOTICE OF HEARING

Atty. _____________

Counsel for the Accused
Address:___________

GREETINGS:

Please take notice that the foregoing Urgent Motion for Issuance of Hold Departure Order shall be submitted for the consideration and approval of the Honorable Court on Friday, January 21, 2011, at 2:00 p.m. or as soon as counsel and matter may be heard.

_______(Name of Counsel for Movant)_______

EXPLANATION OF SERVICE

The above Urgent Motion for Issuance of Hold Departure Order was not served personally to respondent/counsel for respondent and service by registered mail was resorted to due to distance and lack of the undersigned’s personnel thereby rendering personal service thereof inconvenient and impracticable.

________(Name of Counsel for Movant)_______

COPY FURNISHED:

Atty. ___________

Counsel for Accused

Address :