Republic of the Philippines

Department of Justice
LAND REGISTRATION AUTHORITY
Registry of Deeds
Puerto Princesa City

IN MATTER OF PETITION TO
SPLIT TRANSFER CERTIFICATE
OF TITLE NO. 12854

JOSE M. MONDRAGON
Petitioner
x- - - - - - - - - - - - - - - - - - - - x

PETITION

COMES NOW, the Petitioner JOSE M. MONDRAGON, Filipino, of legal

age, married, with residence and postal address at Barangay Bagong Bayan,
Puerto Princesa City, before this Honorable Office avers,

Petitioner is the registered owner of a certain parcel land located at

Bgy. Bancao-Bancao, Puerto Princesa City, covered by TRANSFER
CERTIFICATE OF TITLE NO. 12854, LOT 1-B-2-F, PSD-04-033449 with an
area of One Thousand (1,000) Square Meters;

Petitioner caused the subdivision of the same into five (5) lots under
approved subdivision plan number PSD-4B-014811 and describe as follows;

1. LOT 1-B-2-F-1 200 square meters

2. LOT 1-B-2-F-2 200 square meters
3. LOT 1-B-2-F-3 200 square meters
4. LOT 1-B-2-F-4 200 square meters
5. LOT 1-B-2-F-5 200 square meters

WHEREFORE, Petitioner respectfully request for the splitting of TCT No.

12854 particularly for LOT 1-B-2-F-2 as per approved technical descriptions
hereto attached.

Done this ______________ in Puerto Princesa City.

JOSE M. MONDRAGON
Petitioner
 VERIFICATION

I, JOSE M. MONDRAGON, subscribing under oath, hereby depose

and say:

1. That I am the petitioner in the above-mentioned petition; I have

caused the preparation of the same;

2. That I have fully read and understood its contents and that all the
allegations contained herein are true and correct to my own
personal knowledge.

Done this _____________ in Puerto Princesa City.

JOSE M. MONDRAGON
Affiant
ID NO. 6591-4351-3021-7645

SUBSCRIBED AND SWORN to before me this ____________ in the

City of Puerto Pincesa, affiant exhibited to me his competent evidence of
identity written below his above-stated name.