Republic of the Philippines

REGIONAL TRIAL COURT

11th Judicial Region
Tagum City, Davao del Norte
RE: PETITION FOR APPOINTMENT AS
___________
NOTARY PUBLIC FOR AND IN THE
CITY OF TAGUM/PROVINCE OF
DAVAO DEL NORTE

NC No.

LUEL C. MENDEZ
Petitioner,
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - x

PETITION
Petitioner, LUEL C. MENDEZ, respectfully alleges:
1.

That he is a citizen of the Republic of the Philippines;

2.

That he is over 21 years, having been born on December 27,

1963;
3.

That he is a resident of Block 15, Lot 34, Villa Cacacho Subd.,

Mankilam, Tagum City, Davao del Norte, Philippines;

4.

That he maintains a regular place of work or business at Door 5

& 6, 2nd Floor, SKL Building, Osmea Street, Tagum City, Davao
del Norte, with telephone number (084) 216-1540;

5.

That he is a member of Philippine Bar, having passed the Bar

Examination given in 2002 and admitted to the practice on
March 20, 2003, with Roll No. 47793, Page No. 60, Book No. XX,
attached hereto as Annex A is his Certificate of Membership of
the Philippine Bar; his IBP No. 1039970 and PTR No. 1843541,
was

issued

on

October

26,

2016

and

January

4,

2016

respectively;
6.

That

he

posses

disqualifications for
7.

all

the

qualifications

and

none

of

the

the office of Notary Public;

That he has never been convicted of any crime involving moral

turpitude;
more

Page Two
Petition
Luel C. Mendez
8.

That attached hereto as Annex B, are the three (3) specimens

of his official signature and true impression of his dry seal made
pursuant to law;

9.

That a Certificate of Good Moral Character was jointly issued by

Atty. Gerald B. Racho, Chapter President and Atty. Guineverre Q.
Etulle-Tenaja, Chapter Treasurer of the Integrated Bar of the
Philippines (IBP), Province of Davao del Norte, attached hereto as
Annex C and Certification duly issued by the Supreme Court
that he has no pending administrative case, attached hereto as
Annex D;

10.

That three (3) passport size pictures are also attached as

Annexes E, E-1 and E-2, taken five (5) days before filing of
this petition;

11.

That Official Receipts were issued in favor of petitioner by the

Office of the Clerk of Court, as proof of payment for the filing of
this petition and attached as Annexes F, F-1, F-2 and F-3
hereof.

Done this 24th day of November 2016 at Tagum City, Davao del
Norte.

LUEL C. MENDEZ
Petitioner
PTR No. 1843541; 01-04-16
IBP No. 1039970; 10-26-16
Roll No. 47793, 03-20-03
SUBSCRIBED AND SWORN TO BEFORE ME this 24th day of
November 2016 at Tagum City, Davao del Norte, affiant exhibited to
me his Tax Identification No. 128-971-087-000.

Doc. No. ______

Page No. ______
Book No. ______

Series of 2016

Page Three
Petition
Luel C. Mendez

CERTIFICATION/VERIFICATION
I, LUEL C. MENDEZ, of legal age, Filipino, married and a resident
of Block 15, Lot 34, Villa Cacacho Subd., Mankilam, Tagum City, Davao
del Norte, Philippines, under oath do hereby depose and state:
That I am the Petitioner in the above-entitled case and that I
have caused the preparation of this Petition;
That I have read the same and that the contents hereof are true
and correct of my own knowledge;
That I hereby certify have not commenced any other action or
proceeding involving the same issue in the Supreme Court, the Court
of Appeals, or different divisions thereof, or any tribunal or agency, and
that to the best of my knowledge, no such action or proceeding is
pending in Supreme Court, the Court of Appeals, or different divisions
thereof, or any other tribunal or agency;
That should I learn that a similar action or proceeding has been
filed or is pending before the supreme Court, the Court of Appeals, or
different divisions thereof or any other tribunal or agency, I will notify
this court within five (5) days from such notice.
IN WITNESS WHEREOF, I have hereunto affixed my signature
this 24th day of November 2016 at Tagum City, Davao del Norte,
Philippines
LUEL C. MENDEZ
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 24th day of
November 2016 at Tagum City, Davao del Norte, affiant exhibited to
me his Tax Identification No. 128-971-087-000.
Doc. No. _____
Page No. _____
Book No. _____
Series of 2016

Re:

Petition for Appointment

as Notary Public
Luel C. Mendez

SPECIMENS OF PETITIONERS OFFICIAL

SIGNATURE AND TRUE IMPRESSION OF
HIS DRY SEAL

Re:

Petition for Appointment

as Notary Public
Luel C. Mendez

PASSPORT SIZE PICTURES

OF THE PETITIONER