SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ____________, of legal age, single, Filipino, and a resident of

_____________, Philippines, after having been duly sworn to in accordance with
law, do hereby NAME, CONSTITUTE, and APPOINT ___________, of legal
age, Filipino and a resident of ____________, Philippines, to be my true and
lawful Attorney-in-Fact, in my name and my behalf, to do and perform all or
any of the following acts:

1. To represent me before the Land Transportation Office (LTO) with regard

the impounded motor vehicle bearing the Plate Number _________ with
Certificate of Registration No. _______ and Official Receipt No. ___________;

2. To pay the penalties and other fees with respect to the impounded motor
vehicle;

3. To process the renewal of the registration of the aforementioned motor

vehicle;

4. To comply with all the requirements required of by the LTO so that the
impounded motor vehicle can be released and thereafter, to release the
same vehicle to Mr. ________, in my behalf; and

5. To sign documents and do any other acts necessary for the performance
of the above-stated authority.

HEREBY GIVING AND GRANTING my said Attorney-in-Fact full

powers and authority to do and perform all and every act requisite or
necessary to be done, 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-in-fact shall do or cause to be done by virtue of these
presents.

______________________
Principal/Grantor
I.D. No. _______________

_________________________
Attorney-in-fact/Grantee
I.D. No. _______________

REPUBLIC OF THE PHILIPPINES)

CITY OF _______________)SS.
x-------------------------------------------x
ACKNOWLEDGMENT

BEFORE ME, Notary Public, for and in the City of ________, Philippines,
this ______ day of _____________, personally appeared the parties, known to me
and to me known to be the person who executed the foregoing instrument
and acknowledged that the same is his own free will and voluntary act and
deed.

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

Doc. No. ____

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