Professional Documents
Culture Documents
Special Proceedings
Case No.12345
For: CHANGE OF NAME
Petitioner, through the undersigned counsel and unto this Honorable Court, most
respectfully avers that:
1. Petitioner is of legal age, single, Filipino and a resident of #74 Rimando Road,
Aurora Hill, Baguio City, Philippines where notices and other court processes
may be served;
2. Petitioner seeks the change of his name in his Certificate of Live Birth (Copy of
which is hereto attached as ANNEX “A”, to make an integral part hereof.);
3. Petitioner was born in Manabo, Abra, Philippines on November 25, 1981 as the
eldest child of Spouses RONALDO PATAYAN and ANN P. PATAYAN;
4. Petitioner’s Certificate of Live Birth bears Registry No. 9801, and duly registered
on November 28, 1981;
6. The ground for filing this petition is to remove confusion as to his scholastic
records and other legal effects and my first name appearing on my Certificate of
Live Birth;
7. His name is always subject to ridicule and even to threats especially at their
place in Manabo, Abra where they are associated with the infamous former
governor;
c) Tax Identification
9. Petitioner also have no pending administrative, criminal, or civil case in any court
of law or quasi-judicial body; and
10. Petitioner is filing this petition in accordance with Rule 103 of the Rules of
Court.
PRAY E R
2. ordering the Municipal Registry Office of Manabo, Abra to make the necessary
changes in their records in the Certificate of Live Birth of Farland Dao-ayan Valera.
Such other reliefs just and equitable are likewise prayed for.
I, RICKY P. PATAYAN, of legal age, Filipino and a resident f #66 Tabora, Baguio City,
Philippines, after having been sworn to in accordance with law, do hereby depose and say:
2. That I have caused the preparation and filing of this petition for change of
name; and,
3. That I have read the material and relevant allegations therein contained and the
same are true and correct based on my personal knowledge and authentic
records.
Further, I certify:
1. That I have not heretofore commenced any action or filed any claim involving
the same issues before any other court, tribunal or quasi-judicial agency; that to
the best of my knowledge, there is no such pending action or claim and that if I
should hereafter learn that the same or similar action or claim has been filed or is
pending, I shall report such fact within five (5) days there from to the Honorable
Court.
RICKY P. PATAYAN
Affiant
SUBSCRIBED AND SWORN to before me in the City of Baguio this 1st day of February
2014 by RICKY P. PATAYAN, personally known to me, to be the same person who personally
signed before me the foregoing and acknowledged that he executed the same.
JO-ANNE M. VENTIGAN
Notary Public for Baguio City
Until December 31, 2014
4F La Azotea Bldg., Session Road, Baguio City
Tel No.: (074)-442-3396
PTR No. 22222; 1/07/2012; Baguio City
IBP OR No: 7654321; 1/07/2012; Baguio City
Roll No.: 82112; 4/08/2004
Commission No.: 74-NC-12 (R)
MCLE Compliance No.: IV-34458; 04/28/2012
TIN No: 802-112-107