REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
_____________ JUDICIAL REGION
_____________
IN RE: PETITION FOR COMMISSION
AS NOTARY PUBLIC
_____________________________
Petitioner,
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-X
PETITION
PETITIONER, ________________________, unto this
Honorable Court, most respectfully states that:
1.
She/He is of legal age and a Filipino citizen;
2.
She/He is presently residing at _________________________
and residing therein since _________ and maintains a regular place of work in
the City of __________;
3.
She/He is holding her/his private law office at
______________________________________________________________;
4.
She/He has satisfactorily completed the required
course in law at _________________ in _________
(date of graduation);
5.
She/He has passed the _______ Bar Examinations and
admitted to practice law in the Philippines on _________________. Copy of the Certificate of Bar Membership is
herewith attached as Annex “A” and
made an integral part of this petition;
6.
She/He is a member of the Philippine Bar in good
standing with Clearances from the Office of the Bar Confidant of the Supreme
Court and the Integrated Bar of the Philippines. Copy of said clearances are herewith attached
as Annex “B” and Annex “C”, respectively and made an integral
part of this petition;
7.
The undersigned has not been charged nor convicted
in the first instance of any crime involving Moral Turpitude;
8.
She/He desires to be commissioned as Notary Public
for and in Municipality/City of ____________ and possesses all the
qualifications and none of the disqualifications for said office;
9.
In compliance to the requirements of the Honorable
Court for Notarial Commission, attached hereto are the following annexes and
made an integral part of this petition:
a.
Three Specimen of his/her Official Signature as Annex “D”;
b.
Picture of Desk, Sketch of Prospective Office and sketch of the location of the office as Annex “E”,
“E-1” and “E-2”;
c.
3 pcs. 2X2 ID picture as Annex “F”;
d.
Copy of IBP Membership Payment Receipt as Annex “G”;
e.
Copy of PTR Receipt as Annex “H”.
PRAYER
WHEREFORE, premises
considered, it is most respectfully prayed of this Honorable Court that:
1.
The Petition for Commission as Notary Public filed
by the undersigned be acted favorably; and
2.
Petitioner be commissioned as a Notary Public in
the Municipality/City of ______________.
Date
____________, Municipality/ City of ____________.
__________________________
Petitioner
Address
______________________
Contact
No.___________________
E-Mail Address
________________
Roll No. ______
IBP No. ______
/Date and Place of Issue
PTR No. _____ /Date
and Place of Issue
MCLE Certificate of Compliance No. ____
VERIFICATION and
CERTIFICATION AGAINST FORUM SHOPPING
I, ___________________, under
oath, depose and state that:
1. I am the petitioner in the above-entitled petition;
2. I have caused the preparation of the foregoing Petition;
3. The allegations therein are true and correct based on my personal
knowledge and authentic records;
4. To the best of my knowledge, there are no other pending petitions of the same nature before
any court, tribunal or quasi-judicial agency; and
5. Should I thereafter learn of any similar case pending before any other
court, tribunal or quasi-judicial agency, I shall promptly notify this court
within five (5) days from discovery.
____________________________
(Name of the Petitioner)
JURAT
SUBSCRIBED AND SWORN to before me in the _________ on this day of _________
20___, affiant exhibiting before me her/his (Government-issued Identification Card No. ) issued on
_________ in ___________.
NOTARY PUBLIC
Doc. No. ______;
Page No.______;
Book No.______;
Series of ______.
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