Republic of the Philippines

Department of Justice

LAND REGISTRATION AUTHORITY

Register of Deeds of Butuan City

IN RE: IN THE MATTER OF ADMINISTRATIVE RECONSTITUTION OF THE ORIGINAL COPY OF

ORIGINAL CERTIFICATE OF TITLE NO. 123456 IN THE REGISTER OF DEEDS OF

BUTUAN CITY

LRC Case No. 1132-2016

LAGUSTO M. TITULADO,

Petitioner.

x---------------------------x

PETITION

COMES NOW, petitioner LAGUSTO M. TITULADO, before this Reconstituting Officer thru Register
of Deeds, respectfully alleges:

1. That petitioner is of legal age, single, Filipino citizen and residing at 61, Lawaan Street, Nasipit,
Butuan City;

2. That petitioner is the registered owner of a parcel of land located at 41 Tac-an Street, Nasipit,
Butuan City and covered by Original Certificate of Title No.1234567, Register of Deeds of Butuan City,
free of any encumbrances;

3. That on July 16, 2015 the office of the register of Deeds of Butuan City was burned and all the
Torrens Titles in said office including Original Certificate No.1234567 were burned;

4. That said certificate of title was never mortgaged or sold to anyone.

5. That submitted herewith are the following papers in support of this petition:

(a) Owner’s/Duplicate Certificate of Title and three (3) photocopies thereof.

(b) Real estate tax receipt representing full payment of at least two (2) years prior to the filing of
the petition; and

(c)Tax Declaration

(d) Others.
 PRAYER

WHEREFORE, it is respectfully prayed that the Original Certificate of Title No. 1234567 lost or
destroyed in the files of the said Registry of Deeds due to fire be ordered reconstituted based on the
Owner’s Duplicate Certificate of Title hereto attached in the name of herein petitioner and in
accordance with Republic Act No. 6732.

Other just and equitable reliefs are likewise prayed for.

Respectfully submitted.

January 5, 2016

City of Butuan.

VERIFICATION

LAGUSTO M. TITULADO after having been duly sworn to in accordance with law, deposes and
says: that he is the petitioner; that he caused the preparation of the foregoing petition; that he has read
the contents thereof and the facts stated thereon are true and correct to his/her knowledge.

LAGUSTO M. TITULADO

Affiant

SUBSCRIBED AND SWORN to before me this 5th day of January, 2016, affiant exhibited to me his
Residence Certificate No. 45632 issued on January 4, 2015, at Nasipit, Butuan City, Philippines.

ATTY. GAB QUIJADA, CPA

Notary Public
Until December 31, 2017
PTR NO. 123333
Issued at Butuan City
On December 31, 2014
Doc. No 150
Page No. 3
Book No.1
Series of 2016
 AFFIDAVIT

REPUBLIC OF THE PHILIPPINES)

CITY OF BUTUAN )S.S.

x-------------------------------------------x

LAGUSTO M. TITULADO, Filipino, of legal age, single and a resident of 61, Lawaan Street, Nasipit,
Butuan City, province of Agusan del Norte, after having been duly sworn in accordance with law hereby
depose and state:

1. That I am the registered owner of the parcel of land covered by Original Certificate of Title
No. 1234567; of the Registry of Deeds of Butuan City;
2. That the original copy of the aforesaid Original Certificate of Title on file with the Registry of
Deeds of Butuan City was lost or destroyed due to fire;
3. That no deed or other instrument affecting the property had been presented for
registration, or if there is any, the nature hereof the date of its presentations, as well as the
names of the parties, and whether, the registration of such deed or instrument is still
pending accomplishment;
4. That the owner’s duplicate certificate is in due form without any apparent intentional
alterations or erasures;
5. That the Certificate of Title is not the subject of litigation or investigation, administrative or
judicial, regarding its genuine or due execution or issuance;
6. That the certificate of Title was in full force and effect at the time it was lost or destroyed;
7. That the Certificate of Title is covered by a tax declaration regularly issued by the Assessor’s
Office; and
8. That the Real Estate Taxes have been fully paid up to at least two (2) years prior to the filing
of the petition for reconstitution.
9. That this owner’s duplicate of title is being submitted as basis for administrative
reconstitution pursuant to Republic Act No.6372;
10. That I am executing this affidavit in connection with my petition for administrative
reconstitution of the original copy of Original Certificate of Title No. 1234567;

Further affiant sayeth not.

LAGUSTO M. TITULADO
Petitioner

SUBSCRIBED AND SWORN to before me this 5th day of January, 2016, affiant exhibited to me his
Residence Certificate No. 45632 issued on January 4, 2015, at Nasipit, Butuan City, Philippines.

ATTY. GAB QUIJADA, CPA

Notary Public
Until December 31, 2017
PTR NO. 123333
Issued at Butuan City
On December 31, 2014
Doc. No 151
Page No. 3
Book No.1
Series of 2016