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    Spa Sss Claim

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    JF Dan
    The document appoints and constitutes [name] as attorney-in-fact to represent and receive any funeral benefits from the Social Security System arising from the death of the principal's husband. The attorney-in-fact accepts this appointment and is granted full power to perform any acts necessary to receive these benefits. The principal signs and dates the document in the presence of a notary public.

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    Spa Sss Claim

    Uploaded by

    JF Dan
    1K views2 pages
    The document appoints and constitutes [name] as attorney-in-fact to represent and receive any funeral benefits from the Social Security System arising from the death of the principal's husband. The attorney-in-fact accepts this appointment and is granted full power to perform any acts necessary to receive these benefits. The principal signs and dates the document in the presence of a notary public.

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    Spa Sss Claim

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    The document appoints and constitutes [name] as attorney-in-fact to represent and receive any funeral benefits from the Social Security System arising from the death of the principal's husband. The attorney-in-fact accepts this appointment and is granted full power to perform any acts necessary to receive these benefits. The principal signs and dates the document in the presence of a notary public.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views2 pages

    Spa Sss Claim

    Uploaded by

    JF Dan
    The document appoints and constitutes [name] as attorney-in-fact to represent and receive any funeral benefits from the Social Security System arising from the death of the principal's husband. The attorney-in-fact accepts this appointment and is granted full power to perform any acts necessary to receive these benefits. The principal signs and dates the document in the presence of a notary public.

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    © All Rights Reserved
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    You are on page 1of 2

    SPECIAL POWER OF ATTORNEY

    KNOW ALL MEN BY THESE PRESENTS:

    I, _____________________, of legal age, with residence at _____________________, do


    hereby NAME, APPOINT and CONSTITUTE, _____________________, of legal age,
    Filipino, with office at _____________________, to be my true and lawful attorneys
    to act in, manage and conduct all my affairs, and for that purpose in my name
    and in my behalf to do and execute all of any of the following acts, deeds and
    things, to wit:

    1. To receive and collect from the Social Security System any and all
    sums of money/checks which I may claim as funeral benefits
    arising from the death of my husband, _____________________;

    2. To represent, execute, pay the fees required, sign any and all
    document(s) and paper(s) as well as claim/receive for and in my
    behalf said document(s) from the Social Security System as well as
    to do any and all acts in order to accomplish the aforestated acts
    and deeds.

    My attorney-in fact hereby accepts this appointment subject to its terms and
    agrees to act and perform in said fiduciary capacity consistent with my best
    interest as they in their best discretion deems advisable, and I affirm and ratify
    all acts so undertaken.

    GIVING AND GRANTING unto said attorney-in-fact full power and authority to
    do and perform all and every act and thing whatsoever requisite and necessary
    to be done in and about the premises, hereby ratifying and confirming all that
    said attorney-in-fact shall lawfully do or cause to be done by virtue of these
    presents.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this ___day of


    August, 2013 at __________________________.

    ______________________________
    Principal

    With my conformity:

    _____________________
    Attorney-in-fact

    Signed in the presence of:

    ______________________________ _________________________
    2

    ACKNOWLEDGMENT

    REPUBLIC OF THE PHILIPPINES)


    ________________________ )S.S.

    BEFORE ME, a Notary Public for and in the _____________ of


    _______________, this ____ day of August , 2013, personally appeared:

    GOVERNMENT DATE AND


    NAME ISSUED ID PLACE ISSUED

    All known to me and to me known to be the same person who executed


    the foregoing Special Power of Attorney and he acknowledged to me that the same
    is his free and voluntary act and deed.

    This Special Power of Attorney consists of two (2) pages, including this
    page whereon this acknowledgment is written.

    IN WITNESS WHEREOF, I have hereunto set my hand and affixed my


    notarial seal on the place and date first above-written.

    NOTARY PUBLIC

    Doc. No. ____;


    Page No. ____;
    Book No. ____;
    Series of 2013.

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