PETITION

COMES NOW herein petitioner and unto this Honorable Court most respectfully states: 1. The herein petitioner is a Filipino citizen, of legal age, single/married and a resident of ________________________________________________________; 2. That he is a member of the Philippine Bar, he having been admitted as such on ______________________________________________________________; 3. That he has never been convicted of any crime or misdemeanor involving moral turpitude; 4. That he is presently engaged in the general practice of law, with offices at ______________________________________________________; 5. That he has fully paid the license for the practice of law for the year ______ under Official Receipt No. _________ dated ____________________at _______________, and has likewise fully paid his IBP membership for the year _____ under Official Receipt No. ________ on _____________________, copies of which are hereto attached as Annexes "A" and "B", respectively. 6. That he complied the Mandatory Continuing Legal Education with MCLE Compliance No. _______________, dated _____________. WHEREFORE, the herein petitioner respectfully prays that he be appointed Notary Public in and for _______________ for the term ending December 31, ________. Baguio City, ___________________. ______________________ Petitioner JURAT