Republic of the Philippines

REGIONAL TRIAL COURT

FIRST JUDICIAL REGION
BRANCH 9
La Trinidad, Benguet

In re:
PETITION FOR ADOPTION OF MINOR SPECIAL PROCEEDINGS
HEIDI JEAN RAMOS SAMSON by CASE NO. __________
SPOUSES RODOLFO AND LUDIVINA
RAMOS, WITH CHANGE OF NAME FOR : ADOPTION

SPOUSES RODOLFO RAMOS AND

LUDIVINA RAMOS,
Petitioners.
x------------------------------------------------x

PETITION

Petitioners, through undersigned counsel, and unto this most Honorable Court,
allege that:

1. The petitioners are Spouses RODOLFO RAMOS and LUDIVINA RAMOS, both of legal
ages, Filipino Citizens, and residents of Km. 16 Asin Road, Tuba, Benguet,
Philippines, where they have established residence for more than three (3) years
now and where they may be served with summons and other Court processes.
Petitioners were wed on December 22, 1965 in Baguio City. They have seven
children namely: Jaime T. Ramos, Gloria Ramos-Samson, Lourdes Ramos-Czerr, Eliza
Ramos-Boynton; Rowell Ramos; Leonardo Ramos, Lou Ramos and Myrna Ramos,
who are all of legal ages. Machine copy of petitioners’ Marriage Certificate is hereto
attached as Annex “A”, to form part of this petition.
2. The Local Civil Registrar in the Municipality of La Trinidad, Benguet is a government
entity charged with the recording, registration, and custody of public records and
other matters, with postal address at La Trinidad Municipal Hall, La Trinidad,
Benguet, Philippines.
3. Petitioners desire to adopt HEIDI JEAN RAMOS SAMSON, who was born on February
20, 2000 in Dau, Mabalacat, Pampanga, to parents GLORIA and APOLLO SAMSON.
The adoptee has been under the petitioner’s care and custody since birth. A
machine copy of her Certificate of Live Birth is hereto attached as Annex “B”, to form
an integral part hereof.
4. Petitioners attest that they are in possession of full civil capacity and legal rights to
adopt the minor, HEIDI JEAN RAMOS SAMSON. They possess all the qualifications,
and none of the disqualifications for adopting said minor. They are both possessed
of good moral character; and have not been convicted of any crime involving moral
turpitude.
5. They are likewise emotionally and psychologically capable of caring for said minor,
and are in a position to support and care for her.
6. They further attest that HEIDI JEAN RAMOS SAMSON is not disqualified by law to be
adopted, and that to their knowledge she does not have any estate of value.
 7. The natural mother of HEIDI JEAN RAMOS SAMSON does not object and fully gives
her consent to this Adoption. She has executed her Affidavit of Consent hereto
attached as Annex “C” to form part hereof. HEIDI JEAN’s biological father is now
deceased.
8. Affidavits of Consent of the Petitioners’ other children are hereto attached as
Annexes “D”, “E”, “F”, “G”, “H”, “I” and all attached to form an integral part hereof.
9. This adoption is for the best interests of HEIDI JEAN RAMOS SAMSON.

PRAYER

WHEREFORE, premises considered, it is most respectfully prayed of this Honorable

Court that:

1. After trial and hearing, the PETITIONERS’ prayer for adoption of minor HEIDI
JEAN RAMOS SAMSON be granted;

2. Adoptee’s name be changed from HEIDI JEAN RAMOS SAMSON to HEIDI JEAN
TUMANAN RAMOS;

3. The Office of the Local Civil Registrar of La Trinidad be ordered to cancel the
birth certificate of HEIDI JEAN RAMOS SAMSON, and to issue a new one for
HEIDI JEAN TUMANAN RAMOS, properly reflecting the entries in accordance
with this adoption if so granted.

Such other measures of relief as are just and equitable under the circumstances are
likewise prayed for.

Baguio City, for La Trinidad, Benguet, Philippines. 1 June 2011.

ATTY. MARIA REMEDIOS L. BELLO

Counsel for Petitioners
Suites 501 & 504 JF Burnham Suites
Kisad Road, Baguio City
PTR No. 1050304; 1-05-11, Baguio City
IBP No. 580636; 1-05-10, Lifetime
Baguio-Benguet Chapter

REPUBLIC OF THE PHILIPPINES }

DONE: IN THE CITY OF BAGUIO } S.S.
X ========================== X
 VERIFICATION AND CERTIFICATION
AGAINST FORUM SHOPPING

We, SPOUSES RODOLFO AND LUDIVINA RAMOS, the petitioners in this case, have
caused the preparation of the petition for adoption of a minor; we have read the aterial and
relevant allegations therein contained are true and correct of our personal knowledge.

We hereby certify that we have not heretofore commenced any action or filed any
claim involving the same issues before any other court, tribunal or quasi-judicial agency;
that to the best of our knowledge, there is no such pending action or claim and that if we
should hereafter learn that the same or similar action or claim has been filed or is pending,
we shall report such fact within five (5) days there from to the Honorable Court.

IN WITNESS WHEREOF, we have hereunto affix our signature this 1 st day of June
2011, in the City of Baguio, Philippines.

ROLANDO RAMOS LUDIVINA RAMOS

Affiant Affiant

SUBSCRIBED AND SWORN to before me in the City of Baguio this 1 st day of June
2011 by Spouses Rolando and Ludivina Ramos, personally known to me, who are the same
persons who personally signed before me the foregoing affidavit and acknowledged that
they executed the same.

LIYA ORTEGA-RODRIGUEZ
Notary Public
Until December 31, 2012
Doc. No. _82___; PTR No. 050183/Baguio City/01-11-11
Page No. 17__; Roll of Atty. No. 8121983
Book No. I ; IBP Lifetime Membership No. 9031984
Series of 2011. Baguio-Benguet