Sample form No.

1:
Approval of Notarial Seal (in duplicate)

Date

Hon. GIRLIE M. BORREL-YU

Executive Judge
Regional Trial Court
Ormoc City

SIR:

Pursuant to the 2004 Rules on Notarial Practice, Undersigned respectfully submits for approval
prior to use his Notarial Seal and its impression on this paper.

Seal

Seal

Seal

Thank you very much.

Very truly yours,

Name of Notary Public

Notarial Commission No.
Commission expires on ________
Roll No. ______
PTR No. _______ issued on ____
issued at ________

Finding the Notarial Seal of Atty. _________ in accordance with the Rules on Notarial Practice,
it is hereby Approved for use.

Ormoc City, (date).

GIRLIE M. BORREL-YU
Executive Judge
Sample Form No. 2:
Monthly Notarial Report Transmittal
(in duplicate– original (RTC-OCC), duplicate (file of Notary Public)

Date

EXECUTIVE JUDGE
Regional Trial Court
Ormoc City

Thru: CLERK OF COURT

RTC-OCC
Ormoc City

RE: MAY 2019 Notarial Reports

SIR:

In compliance with the relative provisions of the 2004 Rules of Notarial Practice, I am
respectfully transmitting herewith the following:

1. Certified photocopies of the entries in my Notarial Register for the month of MAY 2019
as follows:

Book No. Page Nos. Doc. Nos.

2. Duplicate original copy of the documents cited above which were acknowledged before
me for the month of MAY 2019 consisting of __________ (_____) documents.

Respectfully yours,

Name of Notary Public

Notarial Commission No.
Commission expires on ________
Roll No. ______
PTR No. _______ issued on ____
issued at ________

Date received:
Received by:
Signature:

Checked by:
Signature:
Date checked:
Action taken:
Sample Form No. 2-A:
Monthly Notarial Report Transmittal
(in duplicate – original (RTC-OCC), duplicate (file of Notary Public)

Date

EXECUTIVE JUDGE
Regional Trial Court
Ormoc City

Thru: CLERK OF COURT

RTC-OCC
Ormoc City

RE: MAY 2019 Notarial Reports

SIR:

In compliance with the relative provisions of the 2004 Rules of Notarial Practice, I hereby
certify that NO DOCUMENT of whatever nature was notarized by the undersigned for the
month of MAY 2019.

Respectfully yours,

Name of Notary Public

Notarial Commission No.
Commission expires on ________
Roll No. ______
PTR No. _______ issued on ____
issued at ________

Date received:
Received by:
Signature:

Checked by:
Signature:
Date checked:
Action taken:
Sample form No. 3:
 Cover leaf for photocopies of notarial register book pages.

NOTARIAL REGISTER BOOK PAGES (PHOTOCOPY)

For the month of: __________________

Notarial Registry Book of : ______________________

Notarial Commission No.: ______________________

Doc. Nos.: ____ to ____

Page Nos: ____ to _____
Book No.: _______

 Use board sheet/thick folder

Sample form No. 4:

 Cover leaf for duplicate copy of all instruments.

DUPLICATE ORIGINAL COPY

OF ACKNOWLEDGED DOCUMENTS

For the month of: __________________

Notarial Registry Book of: ______________________

Notarial Commission No.: ______________________

Doc. Nos.: ____ to ____

Page Nos: ____ to _____
Book No.: _______

Batch ___ of ____

 Use board sheet/thick folder

 Bind up to 100 documents per batch