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Republic of the Philippines

REGIONAL TRIAL COURT
Ninth Judicial Region
Branch 15
Zamboanga City

PETITION FOR THE ADOPTION

OF THE MINOR CHILD, TRIXIE SP. PROC. No. ______________
MARIE C. POTENCIANO.

SPOUSES JOSELITO L.
SALAZAR and MARCELA V.
SALAZAR.
Petitioners.
X----------------------------------------X

PETITION

COME NOW, Petitioners through undersigned counsel and

unto this Honorable court, most respectfully aver that:

THE PARTIES

1. Petitioners are both of legal age, Filipino citizens and residents

of Zone 7, Boalan Asinan, Zamboanga City, Philippines, where
they may be served with summons, orders and other processes
of this Honorable Court;

STATEMENT OF FACTS

2. Petitioners were married at 174 R. Pascual Street, San Juan,

Metro Manila, on 16 January 2004, duly solemnized by Rev.
Carlos M. Sebastian, as evidenced by their Certificate of
Marriage, herein attached as Annex A and made an integral
part hereof;

3. Petitioners possess full civil capacity and legal rights, are

persons of good moral character and were never convicted of
any crime involving moral turpitude, as evidenced by the
Barangay Clearance, Zamboanga City Police Clearance, City
Prosecutors Clearance, Regional Trial Court and Municipal
Trial Court in Cities Clearances and National Bureau of
Investigation (NBI) Clearance, herein attached as Annex B
collectively, to form integral parts hereof;

4. Petitioner JOSELITO L. SALAZAR is currently connected with

PTC-Andriaki Shipping Company, Makati City, Manila,
Philippines, as a Seaman/Chief Officer and has been with the
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said company for fifteen (15) years now and is earning a

monthly salary of SIX THOUSAND SIX HUNDRED ($6,600.00)
DOLLARS, American currency. A machine copy of his
Statement of Crew Wages in USD Attalia is hereto attached as
Annex C and made an integral part hereof;

5. Petitioners are physically, emotionally and psychologically

capable to take care of children and are more than Thirty Three
(33) years older than the Adoptee and are in a good position to
support and take good care of the same and of themselves, in
keeping with the means of the family. Machine copies of the
Petitioners respective Certificate of Live Birth are hereto
attached as Annexes D and E and made integral parts
hereof;

6. The Adoptee, TRIXIE MARIE C. POTENCIANO (Trixie for

brevity) was born on 29 May 2008 at the Zamboanga City
Medical Center (ZCMC), Sta. Catalina, Zamboanga City, out of
Spouses EROLD DIAZ POTENCIANO and MILDRED
CAMINAN POTENCIANO. The fact of Chelseas birth was
registered before the Civil Registry of Zamboanga City and a
copy of her Certificate of Live Birth is herein attached as Annex
F and made an integral part of this Petition;

7. Adoptee is not disqualified by law to be adopted and the

adoptee has no estate;

8. On 18 March 2013, Spouses EROLD DIAZ POTENCIANO and

MILDRED CAMINAN POTENCIANO executed a Joint-Affidavit
of Intent and Consent in favor of herein Petitioners, per Doc.
No. 108; Page No. 26; Book No. 78; Series of 2013 duly
registered under the Notarial Register of Atty. Gian Paolo U.
Enriquez, purposely to declare their intention and consent to
place the Adoptee under Petitioners care and custody. A
machine copy of the Joint Affidavit of Intent and Consent is
hereto attached Annex G and made an integral part hereof;

9. Since then, Petitioners have taken good care of Adoptee, who

is now aged 5 years and 9 months, and have given her all the
love, attention, affection and other necessities, all the while
treating her as their very own child. Moreover, Petitioners
developed a parental love for and bond to the Adoptee. The
Adoptee, on the other hand, had grown accustomed to
Petitioners presence and charge and lovingly responds to them
as her own parents, calling them Daddy and Mommy. A
machine copy of a Family Pictures of the Petitioners and the
Adoptee is hereto attached as Annex H;
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10. Petitioners formally tendered their intention to adopt Trixie

before DSWD-IX and pursuant thereto, Petitioners adoption of
Trixie, who had been in their custody the corresponding
supervision and visits were conducted by the authorized Social
Workers of DSWD-IX. Thereafter, a Child Study Report and
Home Study Report both dated 19 July 2013 was prepared by
ROWENA R. MENDOZA, RSW (Miss Mendoza), Social Welfare
Officer II, DSWD-IX and approved by the OIC Regional Director
ZENAIDA L. AREVALO, CESO IV (Director Arevalo); Machine
copies of said Child Study Report and Home Study Report are
hereto attached as Annexes I and J, respectively and made
integral parts of this hereof;

11. The first name, surname or names by which the Adoptee is to

be known and registered in the Civil Registry is TRIXIE MARIE
VILLARAMA SALAZAR, which is what the Adoptee is known to
Petitioners, their relatives and friends.

PRAYER

WHEREFORE, it is most respectfully prayed of this Honorable

Court that after due notice, publication and hearing, a decree of
adoption be issued in favor of Petitioners to the effect that henceforth,
the child TRIXIE be freed from all legal obligations of obedience and
maintenance with respect to the state as represented by the
Department of Social Welfare and Development-IX and her natural
parents, and be, to all legal intents and purposes, the child of
Petitioners, and that the name of said child be changed to TRIXIE
MARIE VILLARAMA SALAZAR, which is the name said child is
known to Petitioners.

Other reliefs that are just and equitable under the premises are
likewise prayed for.

City of Zamboanga, Philippines, _____ May 2014.

GIAN PAOLO U. ENRIQUEZ

Counsel for Petitioners
ENRIQUEZ CAPIN and GAUGANO LAW OFFICES
2nd Floor, LDM Bldg., Pilar St., Zamboanga City
PTR No. 078955-01/02/2014
IBP No. 896559-01/02/2014
at Zamboanga City
Roll No. 49871-05/02/05
MCLE Compliance No. III- 0012187-04/13/10
MCLE Compliance No. IV- 0000617-11/05/10
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Copy furnished:
Registry Receipt hereof
The Honorable Solicitor General indicated:
Amorsolo St., Legaspi Village, _______________________
Makati City, Philippines dated __________________
Office of the City Prosecutor
Zamboanga City

Office of the City Civil Registrar

Zamboanga City

EXPLANATION

Pursuant to Section 11, Rule 13 of the Rules of Court, it is

respectfully manifested that the foregoing Petition for Adoption, is
being served on the Office of the Solicitor General via registered mail
with return card due to distance.

GIAN PAOLO U. ENRIQUEZ