REPUBLIC OF THE PHILIPPINES

NATIONAL CAPITAL JUDICIAL REGION

REGIONAL TRIAL COURT
____________ CITY
BRANCH ___

IN RE: PETITION FOR ISSUANCE OF NEW OWNER’S DUPLICATE COPY OF

ORIGINAL/TRANSFER CERTIFICATE OF TITLE NO. _____________,

[NAME],
Petitioner,

vs. LRC CASE NO. _______

REGISTER OF DEEDS OF __________CITY,

and all other persons that may be affected thereby,
Respondent.

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

PETITION

PETITIONER, by the undersigned counsel, and unto the Honorable Court, most
respectfully states that:

1. Petitioner [Full name], is of legal age, Filipino, single/married/widowed, and

a resident of [Address]. He may be served with summons and other court
process through the undersigned counsel at [office address].

2. Respondent Registry of Deeds of the ____ City holds office at [address] where
it may be served with summons and other legal processes of the Honorable
Court.

3. Petitioner is the registered owner of a parcel of land located at [address]

consisting of __________ (_____) square meters and covered by [Original or]
Transfer Certificate of Title (OCT/TCT) No.__ and the same is registered with the
Office of the Register of Deeds of _________ City.

4. Said property is declared for realty tax purposes under Tax Declaration No.
____________. Payment of the required real property taxes on the said property is
updated as of the current year as evidenced by [Official Receipt No.], a copy of
which is hereto attached as ANNEX “_______”

5. [Narrate circumstances surrounding loss of the title]

Ex: The Owner’s Duplicate Copy of OCT/TCT No. ___ of petitioner is

usually kept in the locked cabinet in his home office. However, on [date],
the petitioner's house was damaged by fire. As a result, several valuables
 were lost and/or destroyed including the Owner’s Duplicate Copy of
OCT/ TCT No. _________. Despite diligent efforts, petitioner’s Owner’s
Duplicate Copy ofof OCT/ TCT No. _________ is no longer recoverable and
petitioner is left with no other recourse but to institute the instant
action.

6. Pursuant to Section 109 of Presidential Decree (P.D.) No. 1529, petitioner

has sent a sworn notice to the Register of Deeds of ____ City which the latter
received on [Date] , a copy of which is hereto attached as ANNEX “__”

7. Petitioner manifests that OCT/TCT No. ___ is free of any encumbrances and
is not pledged or delivered to any person or entity to guarantee payment of any
obligation. [If there are any encumbrances, provide a detailed description of
such encumbrances].

PRAYER

WHEREFORE, it is most respectfully prayed of the Honorable Court that, after

due notice and hearing, judgment be rendered ordering the Register of Deeds of
_________ City to issue a new owner’s duplicate copy of [Original or] Transfer
Certificate of Title No. _________ in lieu of the lost one in favor of the petitioner.

Petitioner likewise prays for other relief as may be just and equitable under the
premises.

[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:

1. I am the petitioner in the pleading/document entitled [Petition for the

Issuance of the Owner’s Duplicate Copy of Certificate of Title No _______]
and in such capacity, caused this petition to be prepared;
2. I have read its contents and affirm that they are true and correct to the
best of my own personal knowledge;
3. 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], [Place].

[SIGNATURE]
[NAME] _________________

SUBSCRIBED AND SWORN TO before me in the City of _______________

on this day of __________, 20______, affiant exhibiting before me his Government
Issued ID No. _______________ issued on __ [Date] ___ at __ [Place]_______ which
expires on ___ [Date]____.

[Signature]
[Name]
Notary Public
Until [Date]
PTR No. [Number]
Issued at [Place]
On [Date]

Doc. No. _______;

Page No. _______;
Book No. _______;
Series of [YEAR].