REPUBLIC OF THE PHILIPPINES

____________ JUDICIAL REGION

REGIONAL TRIAL COURT
Branch ____
_________________

RE: IN THE MATTER OF

THE ISSUANCE OF THE
SECOND OWNER’S
DUPLICATE COPY OF
TRANSFER CERTIFICATE
OF TITLE NO. ______________
OF THE REGISTRY OF
DEEDS FOR
__________________________
LRC CASE NO. _____________
____________________,
                               Petitioner.
x----------------------------------------------x
                            

PETITION

COMES NOW, the Petitioner,

____________________________________, by and through the
undersigned counsel and unto this Honorable Court, respectfully
alleges that:
1.                The Petitioner is of legal age, Filpino, single/married,
and a resident of _______________________,  where he/she may be
served with court processes;
2.                The Petitioner is a lawful and registered owner of a
parcel of land together with the improvements therein, identified
as __________________ of the consol. subd. plan,
_____________________ located in the _______________, Province of
___________, with an area of _________ (___) SQ. METERS, more or
less, embraced by Transfer Certificate of Title No. ______________
duly issued by the Registry of Deeds for _________________, which
parcel of land is particularly described as follows:
   Transfer Certificate of Title No. _________________
(please indicate here the technical description)
          A Copy of Transfer Certificate of Title No. _______ is hereto
attached as Annex “A”;
3.      The parcel of land covered by the aforesaid certificate
of title is part of the ____________________ located in
______________________;
4.      The Petitioner usually kept the owner’s duplicate
copies of all the certificate of titles for its real estate properties in
the vault together with all the other important documents of the
Petitioner. The said vault is under the control and supervision of
the Petitioner;
5.      After diligent search to the vault of Transfer Certificate
of Title No. ________, the same could not be found;
6.      The Petitioner exerted all efforts to look and determine
the whereabouts of the said certificate of title but despite these
efforts, the Petitioner still failed to locate the said certificate and
apparently they were misplaced and deemed lost;
7.      Consequently, the Petitioner executed an Affidavit of
Loss, which was registered with the Register of Deeds for
___________ and annotated at the back of the original Transfer
Certificate of Title No. ____________ in the possession of said Office
under Entry No. _________________, a copy of the Affidavit of Loss is
hereto attached asAnnex “B” and made as an integral part
hereof;
8.      The issuance of the Second Owner’s Duplicate Copy of
TCT No. ________________ can be based and drawn from a certified
true copy of the original copy thereof secured by Petitioner from
Registry of Deeds for _____________ (Annex “C”);
 9.      Subject property covered by TCT No. __________ is also
covered by Tax Declaration No. ______________ issued by the Office
of the _______ Assessor, a copy of which is hereto attached
as Annex “D”;
         
10.    The Petitioner is up to date in the payment of the real
estate taxes for the subject property as evidenced by a
Certification issued by the Office of the ____________ Assessor, a
copy of which is attached as Annex “E”.
                                          
PRAYER
WHEREFORE, premises considered, it is respectfully prayed
of the Honorable Court that after due notice and hearing, a
decision be rendered by this Honorable Court directing the
Registry of Deeds of _______________ to cause the issuance of a
new Owner’s Duplicate Copy of TCT No. ___________ with like faith
and integrity as the lost certificate of title for all legal intents and
purposes.
          Other reliefs and remedies as may be deemed just and
equitable under the premises are likewise prayed for.
          RESPECTFULLY SUBMITTED. _____(place)________, date.

ATTY. MMM
(address of the Counsel)
(Contact No. of the Counsel)
IBP No. _________ / date of issue / place of issue
PTR No. ________ / date of issue / place of issue
Roll of Attorney’s No. _________
MCLE Compliance No. ___________

Republic of the Philippines )

Makati  City                               ) S.S.

VERIFICATION WITH CERTIFICATION OF

 NON-FORUM SHOPPING

          I, _______________, of legal age, married and with office and

postal address at____________________________________, after having
been duly sworn to in accordance with law do hereby depose and
state that:
                                     
1.                I am the Petitioner in the above-entitled case;
2.                I have caused the preparation of the foregoing Petition and that
the allegations therein are true and correct of my own personal
knowledge based on authentic documents on record;
3.                I have not heretofore commenced any other action or proceeding
involving the same issues in the Supreme Court, the Court of
Appeals, or any other tribunal or agency as are raised in this case;
4.                To the best of my knowledge, no such action or proceeding is
pending in the Supreme Court, the Court of Appeals or any
tribunal or agency; and
5.                If I should thereafter be aware or learn that a similar action or
proceeding has been filed or is pending before the Supreme
Court, the Court of Appeals or any other tribunal or agency, I will
undertake to report this fact within five (5) days there from to this
Court.

________________
Affiant

JURAT
SUBSCRIBED AND SWORN to before me this
____________________, affiant, personally appeared and  exhibited
to me his/her Government Issued ID No. ____________ issued on
___________ in _____________, Philippines.

NOTARY PUBLIC                            
                                                                            
Doc. No. _____;
Page No. _____;
Book No._____;
Series of _____.