REPUBLIC OF THE PHILIPPINES

6TH JUDICIAL DIVISION

REGIONAL TRIAL COURT
ILOILO CITY
IN RE: PETITION FOR COMMISSION
AS NOTARY PUBLIC IN THE
CITY OF ILOILO
CASE NO. 123456
NAME,
Petitioner.
x-----------------------------------------------x
PETITION
Undersigned petitioner and unto this Honorable Court most respectfully states
that:
1. Petitioner is a Filipino citizen, over twenty-one years of age, and a resident in the
Philippines since birth and with office address at 8th floor, ABC Bldg, Iloilo City;
2. Petitioner was admitted to the Philippine Bar on April 24, 2015 with Roll of
Attorneys No. 58637. A photocopy of Petitioners Certificate of Membership in the
Philippine Bar issued by the Office of the Bar Confidant is attached as Annex A
of this petition;
3. Petitioner is a lawyer in good standing with clearances from the Office of the bar
Confidant of the Supreme Court and the Integrated Bar of the Philippines, attached
as Annexes B and C;
4. Petitioner has not been convicted in the first instance of any crime involving moral
turpitude, nor charged in any administrative case in connection with her present
profession;
5. Petitioner has not yet applied nor been commissioned as Notary Public in any other
jurisdiction;
6. Petitioner is a registered member of the Integrated Bar of the Philippines as
supported by a photocopy of the Official Receipt of yearly dues as of April 24,
2015, attached as Annex D.
7. Petitioner has paid his Professional Tax Receipt for the year 2018 under Official
Receipt No. 1234567 dated April 24, 2015 at Iloilo City. Photocopy of the receipt
is attached as Annex E of this petition;

8. Petitioner will submit all her notarial books and acknowledged documents after the
expiration of her notarial commission as provided for by law;
9. Petitioner possesses all the qualifications and none of the disqualifications for the
office of Notary Public and have read, understood, and is willing to abide with the
2004 Rules on Notarial Practice;
10.Petitioner is attaching as Annex F, a facsimile of his notarial seal prepared in
accordance with Sec. 2, Rule VII of the 2004 Rules on Notarial Practice for
approval of this Honorable Court, together with three (3) specimens of his official
signature.
11.Also submitted are petitioners three (3) passport sized colored photographs with
light background, taken not more than 30 days prior to the filing of this petition;
WHEREFORE, it is most respectfully prayed that:
A certificate of authorization to purchase notarial seal as provided under Sec. 9,
Rule III of 2004 Rules of Notarial Practice, and certificate of authority for a
Notarial Act as provided under Sec. 1, Rule IX of the same Rules be issued in
favor of the petitioner; and

VERIFICATION AND CERTIFICATION

I, ____________________, of legal age, single, Filipino and a resident of

Tabuc Suba Jaro, Iloilo City, under oath depose and state that:
I am the Petitioner in the above captioned case; I have caused the
preparation of the same; I have read the allegations contained therein; and I certify
that they are all true and correct of my personal knowledge or based on authentic
records.
IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of
December at Iloilo City, Philippines.

__________________
Affiant

SUBSCRIBED AND SWORN to before me, a notary public in and for

Iloilo City, this 2nd day of December 2015 at Iloilo City, Philippine, affiant
appearing before me with his __ No. ______ issued on __________________ at
_____________ and presenting to me a document entitled Re: Petition for
Appointment As Notary Public in Iloilo City, affiant being known to me personally
as she is a friend, and who signed said document in my presence and sworn as to
said document that she understood the contents thereof and that the same was her
free and voluntary act and deed.

________________________________
Notary Public
Until December 31, 2015
Roll of Attorneys No.
PTR No.
IBP No.
MCLE No.
Doc. No.
Page No.
Book No.
Series of 2015