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1、授權書(請詳閱下頁之填寫說明)Po wer of Attor ney授權人(Princi pal)中文姓名(Name in Chinese)英文姓名(Name in English)性別(Sex)出生年月日(Date of Birth)出生地(P lace of Birth)護照號碼(P ass port No.)身分證號碼(ID No.)(Pl ease see the instructions before filling the form)國內住址(Address in Taiwan, R.國外住址被授權人(Agent)授權事項(Scope of Authorization)授權期間(D
2、uration of Authorization)性別(Sex)出生年月日(Date of Birth)護照或身分證號碼(P ass port/ ID No.)姓名(Name)住址(Address)備註(Note)授權人與被授權人之關係(Relationship to the P rinci pal)房地標示 及權利範圍(Land Locati on andExtent of Ownershi p)辦理不動產變更登記之轄區地政事務所 (Com petent Land Office)自中華民國 日止Since日至中華民國(Day)(Month)(Year) till(Day)(Month)(Ye
3、ar)授權人簽字(P ri nci pal Sig nature):備註:1.授權(委託)辦理戶籍登記前,當事人應先向戶政事務所洽詢是否得授權(委託)他人申請。2.請領國民身分證之當事人如在國中華民國文件證明專用貼紙授權書格式一之填寫說明、授權人欄:請將授權人之姓名、性別、出生年月日、出生地、護照或身分證 號碼、住址,逐欄詳實填寫。、被授權人欄:依被授權人之姓名、性別、出生年月日、出生地、 戶籍住址逐欄詳實填寫。、房地標示及權利範圍:依授權處分房地標示範圍填寫。 段 分之 ) 路段 分之身分證字號、例如:土地標示:台北市部或持分房屋標示:台北市(全部或權利範圍小段地號土地(全號樓建物四、授權事
4、項欄:(一)依實際授權事項填寫,非授權事項勿須填寫。(辦理出售、移轉、贈例如:代理本人就前開(土地、建物)全權行使與、出典、 抵押、出租、分割、補(換)發權利書狀、征收稅款等手續及其他有關權利變更管理、收益、處分等行為)。例如:代理本人領取戶籍謄本或辦理有關戶籍登記事項等。(二)授權事項為授權國內親友代為辦理有關不動產處分事宜者,務須於房地 標示及權利範圍欄內逐一列明所處分之房地標示。如授權事項為授權國 內親友代為辦理有關遺產繼承登記事宜者,應詳載房地標示,倘確無法 詳填,至少應填寫不動產所在地之縣(市)名稱。(三)授權事項僅為代領印鑑證明者,宜以印鑑登記辦法規定之委任書 填寫之。倘使用本授權
5、書則須比照該委任書內容填寫。即本人未曾 辦理過印鑑登記者,須先註明:代理本人申請印鑑登記;其欲變更登 記者,亦須比照註明;同時亦須註明所授權領取之印鑑證明份數,以利 國內戶政單位作業並保障授權人權益。例如:代理本人申請印鑑登記並領取印鑑證明份。五、授權期間欄:由授權人自行填寫,俾便確定授權之起算及終止日期。六、授權書內容不得塗改,如填寫錯誤,應全份重新填寫或由授權人於更正處簽 章以示負責,再由駐外館處加蓋校正章。七、授權書內如有空欄應加蓋本欄空白戳記,房地標示及權利範圍欄及授權事項欄內如有空白處,應在連接最後一行文字末尾處(或左方),加蓋以下空白戳記。1.2.3.4.In structi on
6、sPrinc ip al:Provide the Principal name, sex, date of birth, p lace of birth, p ass port/IDnu mbers and address.Agent: Pro vide the Age nt' aame, sex, date of birth, p lace of birth, ID nu mbers andregistered address.Land Location and Extent of Ownership: (denoting the subject Iands/buildings)Fo
7、r exa mple:Land: Land No.Building:,P arcel,Secti onDistrict, Taipei (% own ersh ip)Floor, No.Section,Tai pei (Alley,Street/Road,% own ershi p)Scope of Authorization:(1)Describe the scope of authorizati on. For exa mple, the Age nt is authorized to han dle thesale, transfer, gifting, mortgaging, leas
8、ing, or dividing of the subject Iands/buildings,re-issuanceof Iand/building deeds, tax payments, and other matters related to theman ageme nt, p roceeds, and dis posals of the subject Ian ds/build ings.For exa mple: the Age nt is authorized to receive an d/or apply for the certificate ofhousehold re
9、gistrati on.If the Scope of Authorization is related to authorizing relatives/friends in the ROC todis pose of Ian ds/build ings on behalf of the Princip al, the app lica nt shall pro videdetailed information on the “ LandLocation and Extent of Ownership ” and the“CompetenL and Office. ”f the Scope
10、of Authorization is related to authorizingrelatives/frie nds in the ROC as Age nts to apply for registrati on of in herita nee on behalfof the Princip al, the app lica nt shall pro vide detailed in formatio n of the Land Locati on,or the n ame of the county (city) in which the subject Ian d(s)/build
11、i ng(s) is/are locatedin case the detailed in formatio n is not being available.For matters related to the recei ving of the seal certificate on behalf of the Princip al, theapp lica nt shall use the Letter of Appoin tme nt as described in the Regulati ons of SealRegistratio n. If the app lica nt wi
12、shes to use this Po wer of Attor ney in stead, he/she shallinclude all information as required in the Letter of Appointment. If the Principal hasnot applied for a seal certificate before, a supplementary phrase such as “ tcapply forseal registati on on behalf of the Principal” shall be in eluded in
13、the Power of Attor ney5.6.7.If the Principal wishes to ask the Age nt to apply for a cha nge of registered seal onhis/her behalf, the p hrase shall be cha nged accord in gly. The app lica nt shall also sp ecifythe nu mber of cop ies to be issued.For exa mp le: authoriz ing the Age nt to apply for an
14、d receiveseal certificate.cop ies of theDuration of Authorization: The Principal shall specify the duration of authorization inorder to decide whe n this docume nt starts and ceases to take effect.The contents of the Power of Attorney shall not be altered. In case of mistakes occurringwhile compi et
15、i ng this docume nt, the app lica nt shall either fill out a new app licatio n form orsign or attach his/her seal on the mistake(s) and have the Overseas Mission attach acorrecti on mark on the mistake(s) as proof of the truthfu In ess of the docume nt.A “ Blank fnark shall be stamped in the boxes of the Power of Attorney in case ofunavailability of
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