Republic of the Philippines

REGIONAL TRIAL COURT

Family Court
Branch ____
First Judicial Region
Baguio City
IN RE: ADOPTION OF MINOR AND
CHANGE OF NAME OF
LIEZETTE JOY SAN JOSE CUADERNO
TO LIEZETTE JOY RAMOS ABAD
UNICA E. HAYA,
- Petitioner,
- versus-

SP. PROC. NO. ___________

LOCAL CIVIL REGISTRAR

OF BAGUIO CITY,
- Respondent.
x------------------------------------------x
PE TI TI O N FO R AD O PT I O N

WITH ALL DUE RESPECT TO THE HONORABLE COURT

Petitioner, through undersigned counsel, unto the Honorable Court
most respectfully alleges that:
1.

The herein petitioner is of legal age, single, Filipino and with

residence and postal address at No. 83 Camp 8, Kennon Rd.,
Baguio City, where she may be served with notices,
summons, orders and other court processes;

2.

The respondent, the Local Civil Registrar of Baguio City is

herein impleaded as a nominal party; the government office
tasked to implement whatever order/s that the Honorable
Court may issue relative to this case. Notices, orders,
summons and other court processes maybe served to said
office at the Baguio City Hall;

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3.

Petitioner, Unica Evangelista Haya, is a single Filipino

citizen who is 31 years of age, having been born on March
30, 1985, copy of her Certificate of Birth is hereto attached as
Annex A. She had never been married and had never
begotten a child. While minor child, QUEENIE ELSA
HANAQUE, is two (2) years of age, having been born on
April 29,2013, copy of minors Certificate of Live Birth is
hereto attached as Annex B. From said facts, the
prospective ADOPTER is more than 16 years older than the
minor child proposed to be adopted;

4.

The minor child is born to one Maura Ming Hanaque. Said

biological mother of the minor child has no stable means of
livelihood with which to support her childs basic, as well as
essential needs. Her circumstances being so, and for the best
interest of the minor child, she had left her child under the
care of the petitioner and had consented for her child to be
adopted by the herein petitioner. Copy of her Affidavit of
Consent is hereto attached as Annex C;

5.

Such circumstance of the biological mother did not however

hinder her in making occasional visits at the home of the
petitioner to see how her child was doing;

6.

Since the time QUEENIE was brought to the house of the

petitioner, the latter had been the one acting as mother to the
child; giving her basic necessities, care, comfort and love.
She had provided her a home; a safe and secure environment
for her to grow up in;

7.

Maura Ming Hanaque is neither insane, nor intemperate.

Neither did she abandon her minor child, and she possess full
knowledge of petitioners intention to adopt her minor child
and had expressly given her consent to this adoption;

8.

The petitioner is qualified under the law to adopt a child; she

being emotionally and psychologically capable of caring for
the minor child. She is financially and morally capable of
raising the child properly and adequately;

9.

The petitioner is in possession of her full civil capacity and

legal rights, she is of good moral character and have not been
convicted of any crime involving moral turpitude;

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P R AYE R
WHEREFORE, it is most respectfully prayed that after due
notice and hearing, judgment be rendered adjudging the minor child,
QUEENIE ELSA HANAQUE, freed from all legal obligations of
obedience and maintenance with respect to her natural parents and
that she be declared to all legal intents and purposes, the child of the
herein petitioner, and that her name follow that of the petitioner, thus
QUEENIE ELSA EVANGELISTA HAYA.
Baguio City, Philippines, this 6TH day of July 2015.

ATTY. YVETTE KATHRYN S. BARRIENTOS

Counsel for the Petitioner
2F Units 03-04 VMOZR Bldg., Harrison
Rd., Baguio City
IBP No. 812923; 01/01/2015 Baguio
PTR No. 1211016; 01/01/2015 Baguio
Roll No. 70522; 05/05/2005
MCLE No. 110508

REPUBLIC OF THE PHILIPPINES )

City of Baguio
) S.S.
VERIFICATION and CERTIFICATION
I, Unica E. Haya, of legal age, single, Filipino citizen and with
residence at Camp 8, Baguio City, Philippines hereby declare under oath
that:
1. I am the petitioner in the above-entitled case;
2. I have caused the preparation of this petition, the contents of which
are true and correct to the best of my knowledge and belief;
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3. I have not commenced any other action or proceeding involving the

same issues with the Supreme Court, Court of Appeals, or any other tribunal
or agency;
4. To the best of my knowledge, no such action or proceeding is
pending in the Supreme Court, Court of Appeals, or any other tribunal or
agency;
5. If I should thereafter learn that a similar action or proceeding has
been filed, or is pending before the Supreme Court, Court of Appeals or any
other tribunal or agency, I hereby undertake to report that fact within FIVE
(5) days there from to the Honorable Court.
IN WITNESS WHEREOF, I have hereunto set my hand this 6 th day of
July 2015 at Baguio City, Philippines.
_____________________
UNICA E. HAYA
SUBSCRIBED AND SWORN TO before me this 19 th day of July
2006 at Baguio City, Philippines, the person being personally known to me
to be the same person who executed the foregoing document.

Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.

ATTY. YVETTE KATHRYN S. BARRIENTOS

Notary Public for Baguio City
Appointment No. 923, Until Dec. 31,2016
2F Units 03-04 VMOZR Bldg., Harrison
Rd., Baguio City
IBP No. 812923; 01/01/2015 Baguio
PTR No. 1211016; 01/01/2015 Baguio
Roll No. 70522; 05/05/2005
MCLE No. 110508

Page 4 of 6

REPUBLIC OF THE PHILIPPINES)

BAGUIO CITY
) S. C.

AF F I D AV I T O F

CONSENT

I, MAURA MING HANAQUE, of legal age, single, Filipino citizen

with residence and postal address at 45 2 nd Road, Quezon Hill, Baguio City,
after having been duly sworn to in accordance with law, do hereby depose
and state that:
1. I am the biological mother of one QUEENIE ELSA HANAQUE
who was born on January 28, 2004 in Baguio City;
2. I was not married when I gave birth to LIEZETTE JOY;
3. My friend, UNICA E. HAYA, had helped me greatly in raising my
minor child and had expressed her desire to adopt my said child;
4. I am not insane, nor intemperate, nor have I abandoned said minor
child. I have full knowledge of the intention of UNICA E. HAYA
to adopt my minor child and having the best interest of my child in
mind, I have consented to the adoption;
5. I am aware of the fact that once QUEENIE ELSA HANAQUE
will be adopted, I shall lose ALL parental authority and that she
will become the legal child of UNICA E. HAYA;
6. I am executing this AFFIDAVIT OF CONSENT freely and
voluntarily to attest to the truthfulness of my foregoing statements
and circumstances; to prove and show that I am giving my
consent to the adoption of my minor child QUEENIE ELSA
HANAQUE by UNICA E. HAYA and for all other legal intents
and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 6 th day
of July 2015 at Baguio City, Philippines.

MAURA MING HANAQUE

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 6 th day of July
2015 at Baguio City. The Affiant exhibited to me her BIR TIN ID Card with
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TIN ID 293-464-775-000 issued in Baguio City on September 14, 2011

indicated below her name and signature. She acknowledged to me that the
same is her free and voluntary act or deed.
WITNESS MY HAND AND SEAL.

Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.

ATTY. YVETTE KATHRYN S. BARRIENTOS

Notary Public for Baguio City
Appointment No. 923, Until Dec. 31,2016
2F Units 03-04 VMOZR Bldg., Harrison
Rd., Baguio City
IBP No. 812923; 01/01/2015 Baguio
PTR No. 1211016; 01/01/2015 Baguio
Roll No. 70522; 05/05/2005
MCLE No. 110508

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