REPUBLIC OF THE PHILIPPINES

NATIONAL CAPITAL JUDICIAL REGION

REGIONAL TRIAL COURT
_________ CITY

IN RE: PETITION FOR NOTARIAL

COMMISSION
SPEC. PRO. CASE No.
___________________

ABC,
Petitioner.
x-------------------------------------------------------------x

PETITION

PETITIONER, unto this Honorable Court, respectfully avers:

1. Petitioner is a Filipino Citizen with residence at

__________________________. She has been a resident of the Philippines
since birth.

2. Petitioner is __ years old having been born on _____________

as evidenced by her Certificate of Live Birth, a copy is hereto attached and
made a part hereof as Annex “A”.

3. Petitioner graduated with a degree of Bachelor of Laws at the

___________________ in ____. Petitioner took the ____ Bar Examinations
and passed the same.

4. Petitioner is an attorney-at-law and a member of the Philippine

Bar, having been admitted as such on ____________, with Roll of Attorneys
No. _______ as evidenced by a certification issued by the Office of the Bar
Confidant. A copy of the said certification is hereto attached and made a part
hereof as Annex “B”.

5. Petitioner is currently a member in good standing of the

Integrated Bar of the Philippines (IBP) as evidenced by the certification issued
by two (2) executive officers of the IBP _______Chapter. A copy of the said
certification is hereto attached and made a part hereof as Annexes “C” and
“C-1”.

6. Petitioner has no pending administrative case against him before

the Office of the Bar Confidant. A copy of the corresponding certification
issued by the said office is hereto attached and made a part hereof as Annex
“D”.

7. Likewise, petitioner has no pending criminal case involving

moral turpitude as evidenced by the certifications issued by the Office of the
Clerk of Court of ______ City. Copies of the said certification is hereto
attached and made an integral part hereof as Annexes “E” and “E-1”.

8. Petitioner is one of the admitted members of the Bar and already

paid her membership fee for _____ as evidenced by IBP Official Receipt No.
_______ dated ____________, a copy of which is hereto attached and made
a part hereof as Annex “F”. In addition, he paid his professional tax for the
fiscal year _______ as evidenced by Receipt No. ______________ dated
________________, a copy of which is hereto attached and made a part hereof
as Annex “G”.

9. Petitioner affixes her specimen and customary signature in a

clean sheet of paper hereto attached as Annex “H”.

10. In addition, three (3) 2x2-sized photographs of the petitioner with

her signature affixed thereon are hereto attached and made parts hereof as
Annexes “I”, “I-1” and “I-2”, respectively.

11. Petitioner has purchased a notarial seal. The imprints of the said
seal are likewise hereto attached and made part hereof as Annex “J”.

12. Petitioner possesses all the qualifications and none of the

disqualifications for the office of the Notary Public.

13. Pursuant to the New Notarial Law, Petitioner additionally states

that:

a) Petitioner holds office at

____________Law Offices (Firm for brevity) with
address at __________________________ City
with telephone number ________ as depicted in the
pictures of the Firm’s facade, Petitioner’s desks and
filing cabinet, copies of which are hereto attached
and made parts hereof as Annexes “K”, “K-1” “K-
2” and “K-3” respectively.

b) The said law firm leases its current

office from ________________

c) Petitioner is an Associate Lawyer in

the said firm.

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 d) Petitioner undertakes to inform the
Executive Judge within ten (10) days of any change
in the above-mentioned address.

14. To reiterate, having been admitted only on ___________,

petitioner’s MCLE compliance requirement shall begin on the next
compliance period pursuant to Section 3(a) of Bar Matter 850, as
supplemented by MCLE Governing Board Order No. 1, series of 2008 and
OCA Circular No. 67-2008.

15. Petitioner undertakes to submit her monthly reports to the

appropriate offices in compliance with the 2004 Rules on Notarial Practice.

PRAYER

WHEREFORE, premises considered, it is most respectfully prayed

that this Honorable Court issue an order GRANTING the foregoing
application for a notarial commission for the City of ____________.

_____ City, ______________.

ABC
E-mail Address: ____________
Roll No. ___________
PTR No.:
IBP No.:
MCLE Governing Board Order No. 1 Series of 2008: Admitted as Member
of the Philippine Bar on ________

VERIFICATION

REPUBLIC OF THE PHILIPPINES )

________ CITY ) S.S.

I, ABC, after having been duly sworn to in accordance with law, now
state that:

I am the Petitioner in the above entitled matter.

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 I have prepared the present Petition and all the matters stated herein are
true and correct to the best of my personal knowledge and based on authentic
records in my possession.

IN WITNESS HEREOF, I affix my signature this __ day of ________

_____ in _________ City.

ABC
Petitioner

SUBSCRIBED AND SWORN to before me this ___ day of

__________in _____City, affiant exhibited to me her Voter’s Identification
Card No. _________________ issued at _____________ and valid until
___________________.

Doc. No. __________

Page No. _________ Notary Public
Book No. _________
Series of _______