Republic of the Philippines REGIONAL TRIAL COURT DESIGNATED FAMILY COURT Sixth Judicial Region Branch___, Kalibo, Aklan

IN THE MATTER OF THE ADOPTION OF THE MINOR MARY ANN LAGUNBAY, SPOUSES LEWIS MORTALLA AND SALVADORA TORTUYA MORTALLA, Petitioners. x-----------------------------x

Sp. Proc. Case No.___

PETITIONERS, through counsel, before this Honorable Court most respectfully state: 1. That petitioners are lawful husband and wife, of legal ages, Filipino citizens, and with postal address at McKinley St., Poblacion, Makato, Aklan, where they may be served with summons and other court processes; 2. That the said spouses desire to adopt minor child, Mary Ann Lagunbay, six (6) years of age, who was born in Tibiawan, Makato, Aklan, on December 10, 2005. Herewith as Annex A is a photostatic copy of the certificate of live birth of the minor child, Mary Ann Lagunbay, and is made integral part hereof; 3. That the father of the child is unknown being the illegitimate son of Marites G. Lagunbay, Filipino, of legal age, single, and is residing at Tibiawan, Makato, Aklan; 4. That Marites G. Lagunbay has consented to the adoption of the minor child, Mary Ann Lagunbay, as shown by an instrument executed and signed by her, a copy of which is attached to this petition as Annex B and made an integral part hereof; 5. 6. That the herein petitioners would like to give the minor child good education and a secured future and to erase the stigma of his illegitimacy; That herein petitioners, especially Salvadora T. Mortalla, have known the minor care for the child; 7. That herein petitioners are childless and can very well support and can provide education to the minor child Mary Ann Lagunbay; child from birth and have developed a kind of parental love and

8. minor

That this adoption will serve the best interests and well-being of the child Mary Ann Lagunbay.

PRAYER WHEREFORE, it is most respectfully prayed that this Honorable Court, after due notice, publication and hearing, would render judgment to the effect that henceforth, the minor child Mary Ann Lagunbay be free from all legal obligations of obedience and maintenance with respect to his natural parent, and be, to all legal intents and purposes, the child of the petitioners, and that the surname of the child of the petitioners, and that the surname of the child of the petitioners, and that the surname of the child be changed to Mary Ann Tortuya Mortalla, which is the surname of the petitioners. Petitioners likewise pray for such other and further relief or reliefs as this Honorable Court may deem proper and just in the premises. Iloilo City, February 17, 2011. ATTY. HENNESSY KESHIA T. MATIONG Counsel for the Plaintiff N. Tesorero St., Poblacion, Makato, Aklan IBP No. 5678* Kalibo, Aklan* 27 Sept. 2013 PTR No.9101112 *Kalibo, Aklan*28 Sept. 2013 Roll of Atty. No.11281988*Page496* BookX11 MCLE Compliance Exempted

VERIFICATION AND CERTIFICATE AGAINST NON-FORUM SHOPPING

We, spouses Lewis Mortalla and Salvadora Tortuya Mortalla , of legal age, Filipino and a resident of McKinley St., Poblacion, Makato, Aklan, after having been sworn to in accordance with the law, hereby depose and say that: 1. 2. 3. 4. We are the petitioners in this instant petition; We caused the personal preparation of the foregoing petition; We have read the same and the contents thereof are true and correct of our personal knowledge; That we have not theretofore commenced any action or proceeding involving the same issues in the Supreme Court, the Court of Appeals, or any tribunal action or proceeding is pending in the above-stated Courts or to any other tribunal or agency; that if there is any other action or proceeding which is either pending or may have been terminated other than the above-mentioned,

we must state the status thereof; and that if we should thereafter learn that a similar action or proceeding has been filed or is pending before the Supreme Court, the Court of Appeals, or any other tribunal or agency, we undertake to report the same within five (5) days therefrom to the court or agency wherein the original pleading and sworn certificate contemplated herein have been filed. IN WITNESS THEREOF, we hereby affix our signatures this 17 th day of March 2012, Makato, Aklan, Philippines.

LEWIS MORTALLA Affiant

SALVADORA T. MORTALLA Affiant

SUBSCIBED AND SWORN TO before me this 17th day of March 2012, in the Municipality of Makato after petitioners SPOUSES LEWIS MORTALLA and SALVADORA T. MORTALLA showed to me their Drivers Licenses numbered 1234567 and 7654321 respectively, issued on January 6, 2011 and issued in Kalibo, Aklan.

ATTY. HENNESSY KESHIA T. MATIONG Notary Public N. Tesorero St., Poblacion, Makato, Aklan IBP No. 5678* Kalibo, Aklan* 27 Sept. 2013 PTR No.9101112 *Kalibo, Aklan*28 Sept. 2013 Roll of Atty. No.11281988* Page496*BookX11 MCLE Compliance Exempted Commission No. 1234* Until Dec. 31, 2012

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