January 28, 2018

ATTY. __________________
Register of Deeds
Office of the Register of Deeds
Talavera, Nueva Ecija

REQUEST FOR ISSUANCE OF TITLE

This is to respectfully request your good office to please issue a separate

title in the name of ______________________, married to ___________, of legal
age, Filipino, and a resident of ________________________, with respect to
________________________ with an area of ______________________ square
meters, located at _________________ covered by Transfer Certificate of Title
No. __________.

This is in connection with the Deed of Absolute Sale executed by the

registered owner of the above said lot ____________________, in favor of
____________________________, dated _________________.

Undersigned is authorized thru a Special Power of Attorney executed by

_________________ dated ___________________.

Thank you for your kind consideration regarding this matter.

Very truly yours,

_________________
Affiant
__________________

SUBSCRIBED AND SWORN TO before me this __ day of January 2018, at

_______________. Affiant above presented his driver’s license issued on April 6,
2015 at _________________________________.

NOTARY PUBLIC

Doc. No.____
Page No. ____
Book No.____
Series of _____