Petition for Notarial Commission

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Republic of the Philippines REGIONAL TRIAL COURT __Judicial Region Branch ___ _____City

IN THE PETITION FOR COMMISION AS NOTARY PUBLIC IN AND FOR THE PROVINCE OF _____________

___________________________, Petitioner. x------------------------------------------------------------x

PETITION Petitioner, to this Honorable Court, respectfully states that: 1. She is of legal age, having been born on _______, single, Filipino citizen and presently residing at _____________________;

2. She has been admitted to the practice of law in the Philippines as shown by the Certificate of Admission to the Philippine Bar, which contains the Petitioner’s Roll of Attorney No. 62002. A copy of the Certificate of Admission to the Philippine Bar is attached and marked as Annex “A” hereof;

3. She is a member of good standing of the Philippine Bar as shown by the clearance issued by the Office of the Bar Confidant of the Supreme Court a copy of which is attached as Annex “B” hereof;

4. She is likewise a bona fide member of the Integrated Bar of the Philippines. A photocopy of her IBP Receipt showing her IBP No.934935 is attached and marked as Annex “C” hereof. Also attached and mark herewith as Annex “D” is the Certificate of petitioner’s good moral character issued by Atty.____________________ and Atty. ____________________, President and Secretary, respectively, of IBP ___________ Chapter;

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5. She has also paid the Professional Tax Receipt due her as evidenced by PTR No. ________, dated __________, a photocopy of which is also attached herewith as Annex “E”;

6. She has all the qualifications and none of the disqualifications for the Office of the Notary Public;

7.

She has never been charged nor convicted of any crime involving moral turpitude;

8. She has no commission as notary public in any other jurisdiction;

9. She has attached hereto in a separate sheet of paper specimen of her official signatures and marked as Annex “F” and made an integral part hereof; 10. She has likewise attached thereto his three (3) passport size photographs each bearing her signature on the bottom part thereof as Annex “G” hereof;

11. She has been issued an Appointment as Notary Public by this Honorable Court on _________ which appointment ends on __________, attached herewith is the said Appointment as Annex “H” , and a true impression of her notarial dry seal made pursuant to law as Annex “I” , respectively; and

WHEREFORE, Petitioner respectfully prays that she be commissioned as Notary Public for and in the Province of _______.

Respectfully submitted.

____________________, Philippines.

Petitioner

Roll No; Page No; Book No. I IBP No. 934935 Chapter PTR No.

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Republic of the Philippines Province of ____ City of _____

) ) S.S )

x------------------------------------------------x

VERIFICATION I, ______, Filipino, of legal age, single and a resident of ______ City, after having duly sworn to in accordance with law, do hereby depose and say that: 1. I am the petitioner in the above-entitled Petition; 2. I have caused the preparation of the foregoing Petition; and 3. I certify that I have read and understood the contents thereof and verify that the facts stated therein are true and correct based on my personal knowledge and authentic records.

IN WITNSESS WHEREOF, I have hereunto affixed my signature this ______ day of ______, 2013, at ______________.

Petitioner-Affiant

SUBSCRIBED AND SWORN TO BEFORE ME in the City of ______________ this______ day of______, 2013 by ______________, a person known to me and to me known to be the same person who personally signed before me the foregoing Petition and acknowledged that she executed the same, and exhibiting to me her _______ as competent proof of her identity.

_____________________ Administering Officer

Doc. No. ______; Page No. ______; Book No. ______; Series of 2013.

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ANNEX “A” CERTIFICATE OF MEMBERSHIP IN THE PHILIPPINE BAR (PHOTOCOPY)

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ANNEX “B” CERTIFICATE OF GOOD STANDING FROM OBC

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ANNEX “C” PHOTOCOPY OF IBP RECEIPT

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ANNEX “D” CERTIFICATE OF GOOD MORAL CHARACTER FROM IBP –_________ CHAPTER

INTEGRATED BAR OF THE PHILIPPINES ______Chapter ________ City

CERTIFICATION THIS IS TO CERTIFY that ATTY. _______ of _________ is a Member of the Integrated Bar of the Philippines per her IBP No. ______ and is a bona fide member of the Integrated Bar of the Philippines, ______Chapter, Philippines. This certification is issued upon the request of ___________ for all legal intents and purposes. ___________, Philippines, ___________.

ATTY._______________________ Chapter Secretary

ATTY._______________________ Chapter President

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ANNEX “E” PHOTOCOPY OF PTR RECEIPT

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ANNEX “F”

SPECIMEN SIGNATURES OF ATTY.

1. __________________________________

2. __________________________________

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ANNEX “G” PHOTOGRAPH WITH SIGNATURE

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ANNEX “H”

Republic of the Philippines REGIONAL TRIAL COURT _______ Judicial Region OFFICE OF THE EXECUTIVE JUDGE ______ City

APPOINTMENT

BE IT KNOWN THAT: ATTY. ________ is a resident of ________ss City, Philippines, is appointed by me as NOTARY PUBLIC for and within the Province of ________, Philippines, for a term starting from the ____________________ day of __________ to _____________of ____________ Anno Domini, Two Thousand Thirteen (2013).

GIVEN UNDER MY HAND and caused the Seal of this Court to be affixed thereon, this____ day of ___, Anno Domini, Two Thousand Thirteen (2013) at the City of _______, Philippines.

Executive Judge

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ANNEX “I” TRUE IMPRESSION OF THE NOTARIAL DRY SEAL OF ATTY.