Petition For Notarial Commission

Petition for Notarial Commission
Page 1 of 12
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 Petitioners 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 petitioners
good moral character issued by Atty.____________________ and Atty.
____________________, President and Secretary, respectively, of IBP ___________
Chapter;
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;

Page 2 of 12
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.

Page 3 of 12

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.

Page 4 of 12
ANNEX A
CERTIFICATE OF MEMBERSHIP IN THE PHILIPPINE BAR (PHOTOCOPY)

Page 5 of 12
ANNEX B
CERTIFICATE OF GOOD STANDING FROM OBC

Page 6 of 12
ANNEX C
PHOTOCOPY OF IBP RECEIPT

Page 7 of 12
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

Page 8 of 12
ANNEX E
PHOTOCOPY OF PTR RECEIPT

Page 9 of 12
ANNEX F
SPECIMEN SIGNATURES OF ATTY.
1. __________________________________
2. __________________________________

Page 10 of 12
ANNEX G
PHOTOGRAPH WITH SIGNATURE

Page 11 of 12
ANNEX H

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

Page 12 of 12
ANNEX I
TRUE IMPRESSION OF THE NOTARIAL DRY SEAL OF ATTY.

Petition For Notarial Commission

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Petition For Notarial Commission

Uploaded by

Copyright:

Available Formats

Petition for Notarial Commission

Republic of the Philippines

IN THE PETITION FOR COMMISION