THIS IS TO AUTHORIZE (Name), of legal age, a resident of (Address) , to do and perform any and all of the following acts:
(In case of a corporation, replace above with: THIS IS TO AUTHORIZE [Name of Corporation], a domestic corporation existing under and by virtue of the laws of the Philippines, with principal office located at [Address], to do and perform the following acts:)
TO RENT my house and lot located at (Address), more particularly described as follows:
Block No. _________ Lot No. __________
Lot Area: __________ square meters
Transfer Certificate of Title No. __________
(In case of rent, replace above with: That (Name /Corporation) shall receive a commission fee equivalent to ONE MONTH RENT as stipulated in the Rental /Lease Contract, payable upon the execution of the instrument.
In case of renewal of lease, (Name /Corporation) shall receive an equivalent of ONE MONTH RENT for every year of lease as stipulated in the Rental /Lease Contract, payable upon the execution of the instrument.)
This exclusive (or Non-Exclusive) authority shall become ineffective only after 30 (60 or 90) days from receipt of either party of a written notice terminating such authority.
_______________________________
OWNER
Signature Over Printed Name
Name of Owner: ________________________________
Spouse: ________________________________________
Home Address: _________________________________
Telephone Nos. _________________________________
Office Address: _________________________________
Telephone Nos. _________________________________
Date: _______________________