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    SPA For SSS Death Benefit Claim

    Uploaded by

    Theresa Vasquez Vicente
    This document appoints an attorney-in-fact to act on behalf of an individual in applying for and receiving death benefits from the Social Security System due to the death of their daughter. Specifically, the attorney-in-fact is authorized to execute and submit the application, sign any necessary documents for approval and release of payment, and ultimately receive the check from SSS on behalf of the individual. The principal ratifies all actions taken by the attorney-in-fact under this special power of attorney.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    SPA For SSS Death Benefit Claim

    Uploaded by

    Theresa Vasquez Vicente
    12K views2 pages
    This document appoints an attorney-in-fact to act on behalf of an individual in applying for and receiving death benefits from the Social Security System due to the death of their daughter. Specifically, the attorney-in-fact is authorized to execute and submit the application, sign any necessary documents for approval and release of payment, and ultimately receive the check from SSS on behalf of the individual. The principal ratifies all actions taken by the attorney-in-fact under this special power of attorney.

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    SPA for SSS Death Benefit Claim

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    This document appoints an attorney-in-fact to act on behalf of an individual in applying for and receiving death benefits from the Social Security System due to the death of their daughter. Specifically, the attorney-in-fact is authorized to execute and submit the application, sign any necessary documents for approval and release of payment, and ultimately receive the check from SSS on behalf of the individual. The principal ratifies all actions taken by the attorney-in-fact under this special power of attorney.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    12K views2 pages

    SPA For SSS Death Benefit Claim

    Uploaded by

    Theresa Vasquez Vicente
    This document appoints an attorney-in-fact to act on behalf of an individual in applying for and receiving death benefits from the Social Security System due to the death of their daughter. Specifically, the attorney-in-fact is authorized to execute and submit the application, sign any necessary documents for approval and release of payment, and ultimately receive the check from SSS on behalf of the individual. The principal ratifies all actions taken by the attorney-in-fact under this special power of attorney.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    SPECIAL POWER OF ATTORNEY

    KNOW ALL MEN BY THESE PRESENTS:

    That I, ___________________________________, of legal age, Filipino citizen, single,


    with residence and postal address at
    ____________________________________________________________________
    do hereby name, constitute, and appoint
    _____________________________________________, of legal age, Filipino,
    single, with residence and postal address at
    ____________________________________________________________________
    to be my true and lawful ATTORNEY-IN-FACT for me, in my name, place and
    stead, to do and perform the following acts, to wit:

    1. To execute, sign, deliver and follow-up my Application for the Death Benefits
    due me from the Social Security System (SSS) arising from the death of my daughter,
    ________________________________________, a member of SSS, with SSS No.
    ____________________________ who died on________________________;

    2. To make, sign, execute and deliver, for and in my behalf, any documents
    which may be necessary for the approval of my Death Benefit claim application and the
    release of the check corresponding thereto in my favor;

    3. To receive the check due me from the Social Security System (SSS).

    HEREBY GIVING AND GRANTING unto my said ATTORNEY-IN-FACT full power and
    authority to do and perform each and every act which may be necessary or convenient,
    in connection with any of the foregoing as fully to all intents and purposes as I might or
    could do, if personally present and acting in person, HEREBY RATIFYING AND
    CONFIRMING all that my said ATTORNEY-IN-FACT may also do or cause to be done
    under and by virtue of these presents.

    IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of


    _________, 20___ at the City of ______________________________.

    ______________________________ _____________________________
    Attorney-in-Fact Principal

    ____________No._____________ _____________No.____________
    Date of Issue _________________ Date of Issue _________________
    Expiry Date __________________ Expiry Date __________________
    With marital consent
    __________________________

    SIGNED IN THE PRESENCE OF:


    ____________________________ ____________________________

    ACKNOWLEDGMENT

    REPUBLIC OF THE PHILIPPINES)


    PROVINCE/CITY OF ____________) S.S.

    BEFORE ME, a Notary Public for and in the _______________________,


    Province of _____________________, this ______ day of _____________, 20_____,
    personally appeared the above-named person/s, who has satisfactorily proven to me
    his/her identity through his/her/their identifying documents written below
    his/her name and signature, that they are the same person/s who executed and
    voluntarily signed the foregoing Special Power of Attorney, duly signed by his/her
    instrumental witnesses at the spaces herein provided which he/she/they acknowledged
    to me as his/her free and voluntary act and deed.
    The foregoing instrument relates to a Special Power of Attorney consisting of
    ________ (___) pages including the page on which this Acknowledgment is written, has
    been signed on the left margin of each and every page by the parties and the
    witnesses.

    WITNESS MY HAND AND NOTARIAL SEAL, this ______ day of


    _____________, 20_____, in the _______________________, Province of
    _____________________.

    NOTARY PUBLIC

    Doc. No. ___________;


    Page No. __________;
    Book No. __________;
    Series of __________.

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