I, _____________________________ residing at
_________________________________________________________________________________
in the City of ______________________ County/Province of
__________________________ Country of Haiti, Mexico or the
Dominican Republic married and being in full enjoyment of my
civil rights do hereby constitute and appoint ___________________________________________________or
his designee, Lawyer. practicing before the Courts Haiti,
Mexico or the Dominican Republic my special and lawful
attorney to represent me in the legal proceedings instituted or
to be instituted in a Court of Haiti, Mexico or the Dominican
Republic against me for an absolute annulment by reason of
the existing incompatibility of temperaments, which makes life
together unbearable, to which effect I grant this special power
of attorney in order that said attorney may accept for me in my
name, personal service in the suit for annulment filed against
me, put in for me a personal appearance in said Court: manifest
to the Court my express recognition and acceptance of its
jurisdiction to hear and try said suit for annulment and in which
I am party.
I authorize my Attorney to state to the Court my acceptance of
plaintiffs legal submission to its jurisdiction and waiver of any
other law that could be applied to this case and also my
acceptance of the validity and regularity of the proceedings in
said suit for annulment, in which I am expressly putting in my
personal appearance through my duly constituted Attorney, and
that shall hold as forever valid any decree that is handed down
therein.
I direct my said Attorney to submit to the Court for its approval
an agreement of separation entered into between myself and the
plaintiff and dated _________________ and to request that the
Court ratify and affirm the said agreement and direct each of the
parties to comply with the terms thereof and notwithstanding such
incorporation. the provisions of said agreement shall survive the
said decree and not merge therein.
I grant to the Attorney herein named such other powers as may be
necessary in the annulment proceedings above described. including
the right to file any appeals required, file cross-actions,
challenge Judges and to withdraw same, and, including the right
to substitute this mandate and revoke such substitutions, and
that I hereby ratify any and all things that may be legally done
for me in the use of this Power of Attorney, which may not be
used for any other purposes, in order that the same may be
effective and legal in ________________________________and all
other jurisdictions. Including ________________
____________________________________
SIGNATURE
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OFFICIAL NOTARY USE ONLY DO NOT WRITE BELOW THIS LINE
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Suscribed and sworn to before me this______ day of ____________,
200___
NOTARY SIGNATURE_________________________________
NOTARY NAME(PRINT) __________________________
My commission expires ______________________ NOTARY PUBLIC SEAL