REPUBLIC OF THE PHILIPPINES

NATIONAL CAPITAL REGION

REGIONAL TRIAL COURT
PARANAQUE CITY
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 as Annex “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 _____.