Republic of the Philippines

[REGION]
[COURT]
[BRANCH], [CITY]

In the matter of settlement

of the Estate of the deceased
_________________,

____________ SP PROC. No. _____

Petitioner For Summary Settlement of
Estate of Small Value

x ------------------------------------ x

PETITION FOR SUMMARY SETTLEMENT OF ESTATE OF SMALL VALUE

PETITIONER, by undersigned counsel, and unto this Honorable Court, respectfully avers:

1. That the petitioner, a resident of __________________ [ADDRESS] is the [RELATION TO

DECEASED] of the deceased, ______________, who died intestate on _____________;
2. That the said deceased, __________, left real estate located in __________________, the gross
value of which does not exceed ten thousand pesos (Php 10,000.00) as evidenced by the
certificate of assessed value of said property, issued by the Registry of Deeds of _________,
hereto attached as ANNEX “A” and made an integral part of this petition;
3. That the following persons of all age are the sole, lawful, and exclusive heirs of the said deceased

[NAME OF HEIRS]

4. That the deceased left no debts;

5. That it is desired that the estate of the deceased _______________, be settled summarily and
apportioned and divided among the above-mentioned heirs, without the appointment of an
executor or administrator.

PRAYER

WHEREFORE, it is respectfully prayed that:

(a) That, after notice to all interested parties, and due publication in a newspaper of general
circulation of this petition, and after due hearing in accordance with law, this Honorable Court
proceed summarily, without the appointment of an executor or administrator, to apportion,
divide and award the above estate among the lawful heirs of the deceased, after the payment
of just debts;
(b) That the costs of these proceedings be apportioned among the several heirs in accordance
with the value of the estate that may be awarded to each respectively;
(c) That such further orders be made as may deemed just and equitable.

[CITY] ___________; [DATE] _____________.

[SIGNATURE]
[NAME] ______________
Counsel for Petitioner/s
[ADDRESS] _______________________
IBP Lifetime No. ____________; [CITY] _____________
PTR No. _______________; [DATE], [CITY]
Roll of Attorney No. _______________________
MCLE Compliance No. ____________________

VERIFICATION & CERTIFICATION AGAINST FORUM SHOPPING

I, [NAME] _____________________, of legal age, do hereby state that: I am the plaintiff in the
pleading/document entitled [PLEADING/DOCUMENT BEING VERIFIED] ___________________ and in
such capacity, caused this Complaint to be prepared; I have read its contents and affirm that they are true
and correct to the best of my own personal knowledge; I hereby certify that there is no other case
commenced or pending before any court involving the same parties and the same issue and that, should I
learn of such a case, I shall notify the court within five (5) days from my notice.

IN WITNESS WHEREOF, I have signed this instrument on [DATE]_____________.

[SIGNATURE]
[NAME] _________________

SUBSCRIBED AND SWORN TO before me in the City of _______________ on this day of

[MONTH AND YEAR]_________________, affiant exhibiting before me his Government Issued ID no.
_______________ issued on [DATE}__________________ at [PLACE OF
ISSUANCE]_____________________.

[SIGNATURE]
[NAME]_______
Notary Public

Until [DATE]__________________
PTR No. [NUMBER] ____________
Issued at [PLACE]______________
On [DATE] ___________________

Doc. No.
Page No.
Book No.
Series of [YEAR] ___________.