1

REPUBLIC OF THE PHILIPPINES

FIRST JUDICIAL REGION
REGIONAL TRIAL COURT
BRANCH ___, LAOAG CITY

IN RE: PETITION FOR THE RE-ISSUANCE

OF A NEW OWNER’S DUPLICATE
COPY OF ORIGINAL CERTIFICATE
OF TITLE NO. P-4670 IN LIEU OF
THE LOST ONE.

Petitioners,

- versus - LRC NO. _______

THE REGISTER OF DEEDS OF ILOCOS

NORTE,
Respondent.
x-------------------------------------------------------------x

PETITION

COMES NOW THE PETITIONER, by and through the undersigned

counsel, unto this Most Honorable Court, most respectfully aver that:

PARTIES

PRAYER

WHEREFORE, premises considered, it is respectfully prayed that after

due notice and hearing, judgment be rendered by this Most Honorable
Court declaring null and void the owner’s duplicate copy of Original
Certificate of Title No. P-4670 which had been lost and destroyed, and
ordering and directing the Register of Deeds of Ilocos Norte, after payment
to it of the fees prescribed by law, to issue a new owner’s duplicate
certificate in lieu of the lost one in favor of the Petitioner, which shall in all
respects be entitled to like faith and credit as the original duplicate, in
accordance with the provisions of Section 109 of Act No. 496, as amended
by Presidential Decree No. 1529.

Other forms of relief are likewise prayed for.

November 26, 2022, Laoag City, Iloccos Norte.

Counsel for Petitioner

2

REPUBLIC OF THE PHILIPPINES)

CITY OF LAOAG ) s.s.

VERIFICATION AND CERTIFICATION

OF NON-FORUM SHOPPING

I, , after having been duly sworn to in accordance with law, hereby

depose and state that:

1. I am the Petitioner in the above-captioned case;

2. That I have caused the preparation and filing of the instant petition
and have read and understood the allegations in the foregoing
petition;

3. That the allegations in this pleading are true and correct based on
my personal knowledge and on authentic documents;

4. That this pleading is not filed to harass, cause unnecessary delay,

or needlessly increase the cost of litigation;

5. That the factual allegations in this pleading have evidentiary

support or, if so identified, will likewise have evidentiary support
after a reasonable opportunity for discovery;

6. That I hereby certify to the truthfulness of the allegations in this

pleading;

7. That I further hereby certify:

a. I have not commenced any action or filed any claim
involving the same issues in any court, tribunal or quasi-
judicial agency and to the best of my knowledge, no
action or claim is pending therein;
b. If there is such other pending or claim, I will give this
Honorable Court a complete statement of the present
status thereof;
c. If I should thereafter learn that the same or similar action
or claim has been filed or is pending, I undertake to
report such fact within five (5) days therefrom to this
Honorable Court.

IN WITNESS WHEREOF, I have affixed my signature below on

this ___________________ at Laoag City, Ilocos Norte, Philippines.

Petitioner
3

SUBSCRIBED AND SWORN to before me this ___________________

at Laoag City, Ilocos Norte, Philippines after exhibiting to me his
identification card as indicated below his name and signature.

Doc. No. ______;

Page No. ______;
Book No. XIV;
Series of 2022.