REPUBLIC OF THE PHILIPPINES

NATIONAL CAPITAL JUDICIAL REGION

Regional Trial Court
______ City

IN RE: PETITION FOR NOTARIAL

COMMISSION FOR AND IN THE
CITY OF _____

____________________ Application # ____________

Petitioner.
x- - - - - - - - - - - - - - - - - - - - - - - - - x

PETITION
The undersigned petitioner, _______________, unto this Honorable
Court respectfully states that:

1. She is a Filipino citizen, married, over twenty one (21) years old
and a resident of ________________, copies of the picture of the
petitioner with signature at the bottom part are hereto attached
as Exhibits “A”, “A-1” and “A-2”;

2. She has completed her law studies at _____________;

3. She has her office located at ______________________, copies of

the picture of the office are attached hereto as Exhibits “B” and
“B-1”;

4. She was admitted to the Philippine Bar on ________________, a

copy of the certificate of admission is hereto attached as Exhibit
“C”;

5. She has acquired her clearance from the Regional Trial Court
from _________ , hereto attached as Exhibits “G”;

6. She has no pending administrative case as evidenced by the

certification issued by the Office of the Bar Confidant which is
hereto attached as Exhibit “H”;

7. She is a bona fide member in good standing of the Integrated

Bar of the Philippines, ______ Chapter, attached is a copy of his
Certificate of Good Standing as Exhibit “D”, and has paid her
membership due on _______ as evidenced by IBP Official Receipt
______ issued by the Integrated Bar of he Philippines, hereto
attached are copies as Exhibits “E” and “E-1”;

8. That she has completed the required units in compliance with

the Mandatory Continuing Legal Education as mandated by the
Supreme Court. Attached herewith is a copy of her MCLE
Compliance Certificate as Exhibit “F”
 9. She has paid her Professional Tax for the fiscal year _____ under
Professional Tax Receipt _______, a copy is hereto attached as
Exhibit “G”;

10. She has attached herewith and made integral parts hereof
his specimen signatures and the true impressions of his dry
seal as Exhibits “H”, “H-1”, “H-2” and “I”, “I-1” and “I-2”;

11. She possesses all the qualifications and none of the

disqualifications of a Notary Public;

12. She has not applied for commission before any other
jurisdiction;

13. She undertakes to inform the Executive Judge within ten

(10) days in case of any change in the given address and to
submit her monthly report religiously;

14. She now desires to be granted Notarial Commission as

Notary Public for and in the City of _____.

PRAYER
WHEREFORE, in view of the foregoing, it is respectfully prayed of
this Honorable Court, after due notice, publication and hearing to grant
this Petition for Appointment of Notarial Commission of the herein
Petitioner for and in the City of _______________.

Other just and equitable reliefs are likewise prayed for.

Date . ______City.

________________________________
Petitioner
REPUBLIC OF THE PHILIPPINES)
________ CITY. . . . . . . . . . . . . . . )S.c.

VERIFICATION AND CERTIFICATION

I, ___________, of legal age, married, Filipino and a resident of

___________, under oath depose and state that:

I am the Petitioner in the above captioned case; I have caused the

preparation of the same; I have read the allegations contained therein;
and I certify that they are all true and correct to the best of my own
knowledge.

I further certify under oath that I have not commenced any similar
action before the Supreme Court, Court of Appeals, or before any court,
tribunal or agency concerned; and should I learn of any similar cause of
action filed before any of the aforesaid bodies, I undertake to notify this
Honorable Court within five (5) days from notice.

In witness whereof, I have hereunto set my hand this _____, at ____

City.

______________________________
Affiant

SUBSCRIBED AND SWORN TO before me this __th day of _____ at

Taguig City, Philippines. Affiant exhibited to me her IBP ID.