REPUBLIC OF THE PHILIPPINES

6th Judicial Region

Regional Trial Court
Iloilo City
IN RE: PETITION FOR APPOINTMENT
AS NOTARY PUBLIC IN ILOILO CITY
CASE NO.
______________________________________
JOSE MARIA BORROMEO DELA LLANA,
Petitioner.
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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 BORROMEO
Building, Gen. Luna St. Iloilo City;
2. Petitioner was admitted to the Philippine Bar on April 11, 2011 with Roll of
Attorney No. 020381. 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
January 2015, attached as Annex D;
7. Petitioner has paid his Professional Tax Receipt for the year 2014 under
Official Receipt No. 1234567 dated March 13, 2015 at Iloilo City.
Photocopy of the receipt is attached as Annex E of this petition;
8. Petitioner will submit his notarial books and acknowledged documents after
the expiration of his notarial commission as provided for by law;
9. Petitioner possesses all the qualification and none of the disqualifications for
the Office of the Notary Public and have read, understood and is willing to
abide with the 2004 Rules on Notarial Practice;
10.Petitioner is attaching at Annex F, a facsimile of his notarial seal prepared
in accordance with Section 2, Rule 7 of the 2004 Rules on Notarial Practice
for approval of this Honorable Court, together with 3 specimens of his
official signature.

11.Also submitted are petitioners 3 passport sized colored photographs with

light background, take 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
Section 9, Rule 3 of 2004 Rules on Notarial Practice, and certificate of
authority for a notarial act as provided under Section 1, Rule IX of the same
Rules be issued in favor of the petitioner.
Iloilo City, Philippines, December 1, 2015
VERIFICATION AND CERTIFICATION
I, Jose Maria Borromeo Dela Llana, of legal age, married, Filipino and a
resident of Asico Subdivision, Molo, Iloilo City, under oath depose and state that:
a) I am the Petitioner in the above captioned case; I have caused the
preparation of the same;
b) I have read the allegations contained therein; and
c) 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 1 st day of December at
Iloilo City, Philippines.
___________________
Affiant
SUBSCRIBED AND SWORN to before me, a notary public in and for Iloilo City,
this __th day of _______ 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 he is a friend, and
who signed said document in my presence and sworn as to said document that he
understood the contents thereof and that the same was his free and voluntary act
and deed.
SHIRLEM O. SY
Notary Public
Until December 31, 20__
Roll of Attorneys No.
PTR No.
IBP No.
MCLE No.
Doc. No.
Page No.
Book No.
Series of 20__

ATTY. JOSE MARIA B. DELA LLANA

ATTY. JOSE MARIA B. DELA LLANA

02038

PETITIONER ATTY. JOSE MARIA BORROMEO DELA LLANA

SPECIMEN SIGNATURE

ATTY. JOSE MARIA BORROMEO DELA

ATTY.JOSE MARIA B.

LLANA

DELA
DELA LLANA
LAW OFFICE,

Gen. Luna St., Iloilo City

ATTY. JOSE MARIA B. DELA LLANA