Republic of the Philippines

REGIONAL TRIAL COURT

7th Judicial Region

OFFICE OF THE EXECUTIVE JUDGE

IN RE: PETITION FOR RENEWAL

OF APPOINTMENT AS NOTARY
PUBLIC FOR CEBU CITY

____________________________ NOTARIAL COMMISSION NO._____

Petitioner,
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PETITION

PETITIONER, by himself, most respectfully avers: That

I. Pertinent Information of petitioner:

1) Date of birth : ____________
2) Residence : _____________
3) Cellphone Number: __________
4) Citizenship : Filipino
5) Age : 45 years old
6) Residence : Resident in the Philippines for at least one (1) year
7) Office : Maintains a regular place of work in Cebu City particularly
at _____________.
8) IBP Membership: Member in good standing of the Philippines Bar
9) Not convicted of any crime involving moral turpitude.
10)PTR no. __________
11)Roll of Attorneys No. __________
12)IBP Membership No. IBP no.___________
13) Notarial Commission no. __________

II. Annexes/Exhibits:
ANNEX DESCRIPTION
“A” Certification dated October 8, 2021 of the Office of the
Bar Confidant with Official Receipt No.
“B” Regional Trial Court Clearance dated November 26,
2021 with Official Receipt No.
“C” Municipal Trial Court in Cities Clearance dated
November 26, 2021 with Official Receipt no.
“D” Certification of good standing from IBP Cebu City
Chapter dated December 6, 2021
“E” Integrated Bar of the Philippines Receipt for IBP
Membership dues CY 2022
“F” Professional Tax Receipt dated December 2, 2021 with
 Official Receipt no.
“G” National Bureau of Investigation Clearance no. ____
valid until December 02, 2022
“H” Three (3) specimen signatures of the petitioner
“I” Three (3) Impressions of the Notarial Seal
“J” Clearance Issued by the Executive Judge
“K” Official Receipt of the filing fees

WHEREFORE, premises considered, petitioner most respectfully prays that

an Order be issued renewing petitioner's appointment as Notary Public for Cebu
City for the period covered July 1, 2022 to December 31, 2023.

27 January 2022, Cebu City, Philippines.

Republic of the Philippines )

2
City of Cebu…...……………..…)ss.
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VERIFICATION

I, ________________, of legal age, Filipino, and presently residing at

____________________________________, after having been duly sworn to in
accordance with law, hereby states:

1. I am the petitioner in the instant case.

2. I have caused the preparation and filing of the same.
3. All the allegations therein are true and correct based on my personal
knowledge or based on authentic documents; (b) the petition is not
filed to harass, cause unnecessary delay, or needlessly increase the
cost of litigation; (c) the factual allegations therein have evidentiary
support or, if so specifically so identified, will likewise have evidentiary
support after a reasonable opportunity for discovery.
4. I have not applied for notarial commission in any other court of the
Philippines.

I have hereunto affixed my signature this _________________ in Cebu

City, Philippines.

_______________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this ________________ in the

City of Cebu, Philippines. Affiant exhibited to me his IBP ID no. __________, a
copy of which is attached hereto as proof of his identity.

Doc. No. ___________;

Page No. ___________;
Book No. ___________;
Series of 2022.