REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT OF

PUERTO PRINCESA AND PALAWAN
4TH Judicial Region
Puerto Princesa City

IN RE: PETITION FOR THE RENEWAL OF

NOTARIAL COMMISSION IN THE CITY OF
____________________________,

ATTY. ______________________________________ NPL No. _____________

Petitioner.
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PETITION

PETITIONER, ____________, unto this Honorable Court, respectfully

states that:

1. Petitioner was commissioned Notary Public for and in the

_________________ for the period beginning 04 February 2015 and ending
31 December 2016 in an Order of the Office of the Executive Judge of
_________ dated 04 February 2015. Said Order is hereto attached as Annex
A;

2. That as such, petitioner is now filing this instant petition for the
renewal of her notarial commission as Notary Public;

3. 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;

4. Petitioner is a registered member of the Integrated Bar of the

Philippines as supported by a photocopy of the Official Receipt of yearly
dues for the year 2017, attached as Annex B;

5. Petitioner has paid her Professional Tax for the current year
and was issued Professional Tax Receipt (PTR) No. _________ dated
___________attached as Annex C;

6. In support of this petition is a Manifestation from IBP-

________and clearances from the Office of the Bar Confidant, National
Bureau of Investigation and Office of the Executive Judge which are
attached herewith as Annexes D, E, F and G;

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 7. Petitioner will submit all her notarial books and acknowledged
documents after the expiration of her notarial commission as provided by
law;

8. Petitioner possesses all the qualification and none of the

disqualifications for the office of Notary Public and have read, understood
and is willing to abide with the 2004 Rules on Notarial Practice;

PRAYER

WHEREFORE, it is most respectfully prayed that petitioner be re-

appointed and commissioned as Notary Public for and in the City of
______________.

Other reliefs as may be just and equitable in the premises are

likewise prayed for.

____________. _________________, Philippines.

(ATTY’S BOX)

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Republic of the Philippines )
_________________________)S.S.

VERIFICATION

I, _______________, of legal age, Filipino, married and a resident of

_______________________, after being sworn in accordance with law,
hereby depose and say:

1. That I am the Petitioner in the above-entitled case;

2. That I have caused the preparation and filing of the same; and,
3. That the allegations contained therein are true and correct of my
own personal knowledge or based on authentic records.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my

signature this ______________ at ______________, Philippines.

_______________________

SUBSCRIBED AND SWORN to before me this __________________ affiant

exhibiting to me her ____________________.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book. No. ______;
Series of 2018.

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