Sample Petition for Appointment as Notary Public
REPUBLIC OF THE PHILIPPINES
NATIONAL CAPITAL JUDICIAL REGION
REGIONAL TRIAL COURT
_________ CITY
IN THE MATTER OF
THE PETITION
FOR COMMISSION AS
NOTARY PUBLIC,
ATTY. XXX
Petitioner.
x------------------------------------------------x
P E T I T I O N
COMES
NOW, the
undersigned Petitioner, unto this
Honorable Court, most respectfully avers the following:
1.
That
the petitioner is Filipino, having been born in the Philippines on __________ and currently residing at _______________________________.
Copy of Petitionerās Birth Certificate is hereto attached as Annex āAā;
2.
That
the Petitioner has been admitted to the Philippine Bar on ____________ with
Roll No. ________, after passing the bar examination given on _________________. Copy of the Certificate of Membership is hereto attached as Annex āBā;
3.
That
the Petitioner has no pending administrative case against her as certified by
the Office of the Bar Confidant of the Supreme Court of the Philippines on
___________. Copy of the
Certificate of No Pending Case is hereto attached as Annex āCā;
4.
That
the Petitioner has neither been convicted before any court or quasi-judicial
body of a crime involving moral turpitude nor has been charged of any such
offense. Petitioner has acquired a Clearance dated ____________ and valid
until ___________, issued by the National Bureau of Investigation (NBI).
Copy of the NBI Clearance is hereto attached as Annex āDā;
5.
That
the Petitioner is a member in good standing of the Integrated Bar of the
Philippines (IBP) with ____________. Copy of the Certificate of Good
Standing, IBP ID, Official Receipts for the payment of IBP dues and
Professional Tax as Annex āEā āFā āGā
āHā, respectively;
6.
That
Petitioner has not yet complied with the required units of the Mandatory
Continuing Legal Education (MCLE) since she just been admitted to the
Philippine Bar on _____________ but will be seeking an MCLE schedule to enroll
with anytime and comply with the units mandated by the Supreme Court; [If with compliance, provide the Certificate of Compliance]
7.
That
the Petitioner is currently holding an _______ position at (Government Agency) but she was able to secure permission
or authority to engage in the limited Practice of Profession from __________ signed by the _________________on ________________. Copy of the Permission or Authority to Engage in
Limited Practice of Profession is hereto attached as Annex āIā; [Applicable only to lawyers employed by the Government]
8.
That
by virtue of said Permission or Authority issued in favor of the Petitioner,
she has established her office at ________________ , with number ____________;
9.
In
compliance with other requirements for the grant of a notarial commission also
attached are the following:
a. Three specimen
of her official signature over printed name, as Annex āJā
b. Three pieces of
Passport-sized pictures with signature affixed, as Annex āKā
c.
Picture of office together with the Petitioner, as Annex āLā
d.
Three imprints of dry seal, Annex āMā.
PRAYER
WHEREFORE,
Petitioner
most respectfully prays of this Honorable Court that after due notice,
publication and hearing, a Commission as a Notary Public for and within this
jurisdiction of this Honorable Court be issued in favor of herein Petitioner.
Other reliefs just and equitable
under the circumstances are likewise prayed for.
Respectfully submitted this _____ of January 2024, in the ______________, Philippines.
_________________________
Petitioner
Republic of the
Philippines)
______________________)
S.S.
VERIFICATION AND CERTIFICATION AGAINST
FORUM SHOPPING
I, ___________________________, of legal age, and a resident of __________________________, after having been duly sworn to an oath in accordance with
law, do hereby depose and state that:
1. I am the petitioner in the
above-entitled petition;
2. I caused the
preparation of the foregoing petition and attest that all the allegations contained
therein are true and correct of my own personal knowledge and based on
authentic records;
3. the pleading is
not filed to harass, cause unnecessary delay or needlessly increase the cost of
litigation, and the factual allegations therein have evidentiary support or, if
specifically, so identified, will likewise have evidentiary support after a
reasonable opportunity for discovery;
4. I have not
commenced nor caused the commencement of any other action or proceedings
involving the same issues raised herein before the Regional Trial Court, the
Supreme Court, the Court of Appeals or different Divisions thereof, or any
other tribunal or agency and that to the best of my knowledge, no other action
or proceedings is pending before the Regional Trial Court, the Supreme Court,
the Court of Appeals or different Division thereof, or in any other tribunal or
agency; and
5. should I learn
that a similar action or proceedings has been filed or is pending before the
Supreme Court, the Court of Appeals, or different Divisions thereof, or any
tribunal or agency, I will notify the Court, tribunal or agency within five (5)
days from such notice.
IN WITNESS WHEREOF, I have set my hand this __________ day of ________, 2024 in ________, Philippines.
___________________________
Affiant
.
SUBSCRIBED AND
SWORN TO before
me this ________________ in the City of ___________, Philippines by affiant
presenting to me her IBP ID with no. ______________as competent evidence of her
identity.
Doc.
No. _____
Page
No. _____
Book
No. _____
Series
of 2024.
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