Filipinos and residents of _____________________ hereby authorizes ___________________________, of legal age, Filipino, married and a resident of _______________________ to construct a building in our Lot No. _______________ covered by TCT No. ________________ situated in __________________________.
Done this _______________ at __________________.
Affiant Affiant ID No: _____________ ID No: ______________ Issued on: __________ Issued on: ___________
SUBSCRIBED AND SWORN to before me this ________ at
________________ by affiants known to me and exhibited their competent identity.