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LEGAL FORMS | Atty. Erik C.

Lazo Legal Forms Reviewer

ACKNOWLEDGEMENT

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


CITY OF ) S.S.

BEFORE ME, this day of 20 in the City of

, personally appeared:

Name Competent Evidence of Identity Place of Issue Date of Issue

known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date
and place above written.

Doc. No. ; NOTARY PUBLIC for


Page No. ; Commission Serial
No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place

of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)

JURAT

SUBSCRIBE and sworn to before me, this day of 20 in the City of


by with Passport No.
, issued on at
.

Doc. No. ; NOTARY PUBLIC


Page No.
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

Commission Serial No.


;

1 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place
of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)

2 2nd Semester, School Year 2015 – 2016


Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING OF PLEADING

VERIFICATION AND
CERTIFICATION

REPUBLIC OF THE PHILIPPINES )


CITY OF ) S.S.

I, , Filipino, of legal age, residing


at
, after being sworn to in accordance with law, depose
and say THAT:

1. I am the Plaintiff in the above-entitled case;

2. The facts stated in the above complaint are true and correct to the best of my knowledge and
authentic records;

3. I have not commenced any action or filed any claim involving the same issues in any court,
tribunal or quasi-judicial agency and, to the best of my knowledge, no such other action or
claim is pending in them; and

4. If I should learn that the same or similar action or claim has been filed or is pending after its
filing, I shall report that fact within five (5) days from notice to the court or where
the complaint or initiatory pleading has been filed.

(Date and venue)

Name and Signature of Affiant

Jurat

SUBSCRIBE and sworn to before me, this day of 20 in the City of


by with Passport No.
, issued on at
.

Doc. No. ; NOTARY PUBLIC


Page No. ; Commission Serial
No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place

of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

3 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

4 2nd Semester, School Year 2015 – 2016


Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

CAPTIONS AND TITLES

IN THE SUPREME COURT

REPUBLIC OF THE
PHILIPPINES SUPREME
COURT
Manila
JUAN DELA CRUZ
Petitioner,
S.C. G.R. No.

– versus – (Designation of
the
Pleading)

PEDRO DELOS
SANTOS
Respondent.
x------------------------------x

IN THE COURT OF APPEALS

REPUBLIC OF THE
PHILIPPINES COURT OF
APPEALS Manila
JUAN DELA CRUZ
Petitioner,
C.A. G.R. No.

– versus – (Designation of
the
Pleading)

PEDRO DELOS
SANTOS
Respondent.
x------------------------------x
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

5 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

IN THE REGIONAL TRIAL COURT

REPUBLIC OF THE
PHILIPPINES REGIONAL
TRIAL COURT
Judicial
Region
Branch
(Venue)
JUAN DELA CRUZ
Plaintif,
Civil Case No.

– versus – (Designation of
the
Pleading)

PEDRO DELOS SANTOS


Defendant.
x------------------------------x

IN SPECIAL
PROCEEDINGS

(Caption)
In the Matter of
Sp. Proc. No.

(Designation of the
Pleading)
x-------------------------
-----x

IN THE REGIONAL TRIAL


COURT

(Caption)
THE PEOPLE OF THE
PHILIPPINES
Plaintif,
Criminal Case No.

– versus – (Designation of
the
Pleading)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

6 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

JUAN DELA CRUZ


Accused.
x------------------------------x

7 2nd Semester, School Year 2015 – 2016


Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

PETITION FOR APPOINTMENT AS NOTARY PUBLIC

IN THE MATTER OF THE APPLICATION FOR APPOINTMENT AS NOTARY PUBLIC


Case No.
ANNE LORRAINE CO y
PONGOS,
Petitioner.
x------------------------------------------x

PETITIO
N

Undersigned Petitioner and unto this Honorable Court most respectfully states that:

1. Petitioner is a Filipino citizen, over twenty-one years of age, and a resident in the Philippines
since birth and with office address
at

2. Petitioner was admitted to the Philippine Bar on with Roll of Attorneys


No. . A photocopy of Petitioner’s Certificate of Membership in the Philippine
Bar issued by the Office of the Bar Confidant is attached as Annex “A” of this petition;

3. Petitioner is a lawyer in good standing with clearances from the Office of the Bar Confidant of
the Supreme Court and the Integrated Bar of the Philippines, attached as Annexes “B” and “C”;

4. 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;

5. Petitioner has not yet applied nor been commissioned as Notary Public in any other
jurisdiction;

6. Petitioner is a registered member of the Integrated Bar of the Philippines as supported by a


photocopy of the Official Receipt of yearly dues as of ,
attached as Annex “D”;

7. Petitioner has paid his Professional Tax Receipt for the year under Official Receipt
No. dated at . Photocopy of
the
receipt is attached as Annex “E” of this petition;

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

9. Petitioner possesses all the qualifications 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;

10. Petitioner is attaching as Annex “F”, a facsimile of her notarial seal prepared in accordance
with Section 2, Rule VII of the 2004 Rules on Notarial Practice for approval of this Honorable
Court, together with three (3) specimens of her official signature;

11. Also submitted are petitioner’s three (3) passport sized colored photographs with light
background, taken not more than 30 days prior to the filing of this petition;

WHEREFORE, it is more respectfully prayed that:


LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

8 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

A certificate of authorization to purchase notarial seal as provided under Section 9, Rule III of the
2004 Rules of Notarial Practice, and certificate of authority for a Notarial Act as provided under Section
1, Rule IX of the same Rules be issued in favor of the petitioner.

(Venue, date and signature)

VERIFICATION AND CERTIFICATION

REPUBLIC OF THE PHILIPPINES )


CITY OF ) S.S.

I, , Filipino, of legal age,


residing at
, after being sworn to in accordance with law, depose
and say THAT:

1. I am the Plaintiff in the above-entitled case;

2. The facts stated in the above complaint are true and correct to the best of my knowledge and
authentic records;

3. I have not commenced any action or filed any claim involving the same issues in any court,
tribunal or quasi-judicial agency and, to the best of my knowledge, no such other action or
claim is pending in them; and

4. If I should learn that the same or similar action or claim has been filed or is pending after its
filing, I shall report that fact within five (5) days from notice to the court or where
the complaint or initiatory pleading has been filed.

(Date and venue)

Name and Signature of Affiant

Jurat

SUBSCRIBE and sworn to before me, this day of 20 in the City


of
by with Passport No.
, issued on at
.

Doc. No. ; NOTARY PUBLIC


Page No. ; Commission Serial
No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


of Issue) IBP No.
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

/ (Date of Issue) / (Place

9 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

PTR No. / (Date of Issue) /


(Place of Issue)

10 2nd Semester, School Year 2015 – 2016


Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

DEMAND LETTER TO VACATE A CONDOMINIUM UNIT

(Date)

Mr. May Utang


(Address)

Dear Mr. Utang:

It has been 30 days since you received my letter dated and still, you have
failed to pay and still refuses to pay your arrears which have now amounted to
PESOS (₱ ).

Please be reminded that I have sent you several letters of demand for you to pay your back rentals and
to vacate the premises but the same letters have been left unanswered. Consider this then, as my last
and final demand for you to pay your account within five (5) days from receipt and to VACATE the
premises within ten (10) days from receipt of this notice. Otherwise, I shall be constrained to
commence suit to protect my interests.

Very truly yours,

Miss Anne Lorraine Pongos Co

11 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

AFFIDAVIT OF LOSS – DRIVER’S LICENSE

REPUBLIC OF THE PHILIPPINES )


CITY OF ) S.S.
x----------------------------------------
---------x

AFFIDAVIT OF
LOSS

I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
, after
having been duly sworn to in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land Transportation laws, rules and
regulations, and was issued a corresponding Non-Professional Driver's License with number
which is valid until ;

2. Sometime on , said driver's license was misplaced and


got lost;

3. Efforts were exerted to locate said driver's license, but in spite of diligent search, it could not
be found and the same is now beyond recovery;

4. Said Driver's License has not been confiscated by the LTO, Police or other Traffic Enforcers for
any traffic violation;

5. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to
support my application for the issuance of a new Non-Professional Driver's License, in lieu of
the one that was lost.
IN WITNESS WHEREOF, I have hereunto set my hand this day 20
of in the City of , Philippines.

Anne Lorraine Pongos


Co
Affiant
Philippine Passport No.

Issued on

Issued at

SUBSCRIBE and sworn to before me, this day of 20 in the City of


by with Passport No.

, issued on
at
.

Doc. No. ; NOTARY PUBLIC


Page No.
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

Commission Serial No.


;

12 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place
of Issue)

PTR No. / (Date of Issue) /


(Place of Issue)

13 2nd Semester, School Year 2015 – 2016


Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

AFFIDAVIT OF LOSS – PAWNSHOP TICKET

REPUBLIC OF THE PHILIPPINES )


CITY OF ) S.S.
x----------------------------------------
---------x

AFFIDAVIT OF
LOSS

I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
, after
having been duly sworn to in accordance with law, depose and state THAT:
1. Sometime , I pawned
on my

with Tambunting Pawnshop located


at
and for
which I was issued Pawn Ticket/Receipt No. ;

2. I kept the said pawn ticket in my wallet for safekeeping but unfortunately my wallet got lost;

3. Despite diligent search and efforts to locate the said wallet and pawn ticket, I could not find
the same such that I believe that they are now lost beyond recovery;

4. As such, I am executing this affidavit to attest to the foregoing facts and to enable
me to secure a duplicate or substitute copy of the ticket and/or redeem the above-described
item which I pawned.
IN WITNESS WHEREOF, I have hereunto set my hand this day 20
of in the City of , Philippines.

Anne Lorraine Pongos


Co
Affiant
Philippine Passport No.

Issued on

Issued at

SUBSCRIBE and sworn to before me, this day of 20 in the City of


by with Passport
, issued on N
. o.
at
Doc. No. ; NOTARY
PUBLIC

Page No. ; Commission Serial


No.
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


14 2nd Semester, School Year 2015 –
2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

IBP No. / (Date of Issue) /


of Issue) (Place

PTR No. / (Date of Issue) /


(Place of Issue)

15 2nd Semester, School Year 2015 – 2016


LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

AFFIDAVIT OF LOSS – PHILIPPINE PASSPORT

REPUBLIC OF THE PHILIPPINES )


CITY OF ) S.S.
x----------------------------------------
---------x

AFFIDAVIT OF
LOSS

I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
, after
having been duly sworn to in accordance with law, depose and state THAT:

1. On , I was issued a Philippine Passport by


the
Department of Affairs in Manila;

2. Recently, I had tried to look for the said passport but the same could not be found;

3. Despite diligent search and efforts to locate the said passport, I could not find the same such
that I believe that it is now lost beyond recovery;

4. As such, I am executing this affidavit to attest to the foregoing facts and to


support the application for the issuance of a new one in lieu of the one which was lost.
IN WITNESS WHEREOF, I have hereunto set my hand this day 20
of in the City of , Philippines.

Anne Lorraine Pongos Co


Affiant
Non-Professional Driver's License No.

Valid
Until

SUBSCRIBE and sworn to before me, this day of 20 in the City of


by with Passport
, issued on N
. o.
at
Doc. No. ; NOTARY
PUBLIC

Page No. ; Commission Serial


No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place
of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

PTR No. / (Date of Issue) /


(Place of Issue)

16 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

AFFIDAVIT OF SERVICE

REPUBLIC OF THE PHILIPPINES )


CITY OF ) S.S.
x----------------------------------------
---------x

AFFIDAVIT OF
SERVICE

I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
, after
having been duly sworn to in accordance with law, depose and state THAT:

1. That I am employed as a messenger of


Atty. with office address
at

2. That on , I served a copy of the following


pleading/paper by registered mail in accordance with Section 10 of Rule 13 of the Rules of
Court:

Nature of Pleading/Paper

in Case No. entitled " v. " by depositing a copy in the


post office in a sealed envelope, plainly addressed to the defendant's lawyer at his office with postage fully
paid, as evidenced by Registry Receipt No. attached and with instructions to the post master to
return the mail to sender after ten (10) days if undelivered.
IN WITNESS WHEREOF, I have hereunto set my hand this day 20
of in the City of , Philippines.

Anne Lorraine Pongos


Co
Affiant
Philippine Passport No.

Issued on

Issued at

SUBSCRIBE and sworn to before me, this day of 20 in the City of


by with Passport No.

, issued on
at
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

Doc. No. ; NOTARY PUBLIC


17 2nd Semester, School Year 2015 –
2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

Page No. ; Commission Serial


No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place
of Issue)

PTR No. / (Date of Issue) /


(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

18 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

AFFIDAVIT OF DESISTANCE

Republic of the Philippines


Department of Justice
National Prosecution Service
OFFICE OF THE CITY PROSECUTOR

City

AFFIDAVIT OF
DESISTANCE

I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
, after
having been duly sworn to in accordance with law, depose and state THAT:

1. I am the private complainant in a criminal case for Reckless Imprudence Resulting to Damage
to Property against docketed as IS
No.
before the Office of the City Prosecutor,
(City/Municipality and Province);

2. In this regard, the accused has already paid the damage to our vehicle;

3. In view of the payment by the accused and considering that I was not injured, I would like to
manifest that I now completely and absolutely exonerate the accused from any liability
in connection with the above-mentioned criminal case and that I am no longer interested, and
I hereby desist, in prosecuting the said criminal case;

4. As such, I respectfully pray that the aforementioned case


against
be withdrawn and/or dismissed.
IN WITNESS WHEREOF, I have hereunto set my hand this day 20
of in the City of , Philippines.

Anne Lorraine Pongos


Co
Affiant
Philippine Passport No.

Issued on

Issued at

SUBSCRIBE and sworn to before me, this day of 20 in the City of


by with Passport No.

, issued on
at
.
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

Doc. No. ; NOTARY PUBLIC

19 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

Page No. ; Commission Serial


No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place
of Issue)

PTR No. / (Date of Issue) /


(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

20 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

JUDICIAL AFFIDAVIT – DIRECT TESTIMONY OF AN ADOPTER IN AN ADOPTION CASE

Republic of the Philippines


REGIONAL TRIAL COURT
National Capital Judicial Region
Branch

City
IN THE MATTER OF THE ADOPTION OF
Case No.
ANNE LORRAINE CO y
PONGOS,
Petitioner.
x------------------------------------------x

JUDICIAL AFFIDAVIT OF ANNE LORRAINE CO y


PONGOS

I, , of legal age, married, and living at ,


petitioner in this case, state under oath as follows:

PRELIMINARY
STATEMENT
The person examining me is Atty. with address at
. The
examination is being held at the same address. I am answering his questions fully conscious that I do so
under oath and may face criminal liability for false testimony and perjury.

The judicial affidavit of petitioner Anne Lorraine Co y Pongos is executed to serve as her direct
testimony in the instant case. This judicial affidavit is offered to prove the following:

(1) Petitioner Anne Lorraine Co y Pongos has all the qualifications and all the
requirements to adopt , a minor; and
(2) Minor may be adopted as provided by law.

It is respectfully prayed that the Honorable Tribunal admit this Judicial Affidavit of Anne Lorraine
Co y Pongos as the Direct Examination of the petitioner in order to expedite the proceedings.

QUESTIONS were propounded by petitioner’s counsel,


Atty.
, in English, which the petitioner fully understands,
while ANSWERS were given/made by petitioner Anne Lorraine Co y Pongos in English/Tagalog and
the corresponding translation of her answer is provided after each question.

1) Question (Q) Please state your name and other personal circumstances for the record.
Answer (A) I am Anne Lorraine Co y Pongos, years old, a resident
of
single and a businesswoman. I am a Filipino ,
citizen.

2) Q What is your business?


A I have a plastic factory in Valenzuela City and a dormitory in Sampaloc,
Manila.
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

3) Q Do you have any proof that you really own a factory and a dormitory?
A Yes, ma’am! I have all the pertinent documents (Exhibit “A”).

21 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

4) Q Are you the same Anne Lorraine Co y Pongo, the petitioner in this case?
A Yes, ma’am!

5) Q Have you been convicted of any crime?


A No, ma’am!

6) Q Do you have a child?


A None!

7) Q Have you undergone pre-adoption services?


A Yes, ma’am!

8) Q Do you have any proof that you really have undergone pre-adoption services?
A Yes, ma’am (Exhibit “B”).

9) Q Do you think you are in a good position to provide for all the needs of the
child you want to adopt, to support, educate and care for the child to
be adopted?
A Yes, ma’am!

10) Q Why or how?


A As a businesswoman, I earn more than three hundred seventy five thousand
pesos (₱375,000.00) a month. That is a net, not
gross.

11) Q Why do you want to adopt a child?


A Because I am single and I cannot have a fetus in my womb since I am not in a
romantic relationship. Still, I want to become a mother, a real and
genuine mother. I want to love a child and be loved by my child.

12) Q Who is the child that you want to adopt? State her other personal
circumstances for the record.
A Her name is , years old and she
is currently under the care of CHILDREN’S SHELTER OF CEBU. Her
biological
parents are both Filipinos and both residents of Cebu.

13) Q When, how and when did you meet


?
A I met her last year, August 29th, 2015, when I and my cousins had vacation in
Cebu from August 18th, 2015 to September 5th, 2015. One of my cousins asked
us to go with her in CHILDREN’S SHELTER OF CEBU. My cousin was at
the fence of deciding to adopt a child. There, I
saw
and was introduced to her
by one of the staffs of CHILDREN’S SHELTER OF CEBU.

14) Q Why is she in CHILDREN’S SHELTER OF CEBU? Where are her parents?
A According to one of the staffs of CHILDREN’S SHELTER OF
CEBU who
introduced me to whose name I cannot

remember. was brought into CHILDREN’S

SHELTER OF CEBU by her biological parents because her biological parents


could not afford to raise her and give or provide her needs as they
only do laundry for the others for their living and her father could not find a
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

good and stable job because of his serious illness which I do not know.
Thus, they
decided to bring into CHILDREN’S
SHELTER OF CEBU.

22 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

15) Q Have you met her biological parents?


A Not yet!

16) Q Do you have any idea if she is available for adoption?


A Yes! She has been declared, judicially, available for adoption (Exhibit “C”).

17) Q What is the age of again?


A years old.

18) Q How did you know?


A I asked the staff who introduced me to her and I also asked her. The said staff
also showed me the Certificate of Live Birth
of
(Exhibit “D”).

19) Q Do you have documents necessary to adopt a child?


A Yes, ma’am! I have (Exhibits “C”, “C-1” to “C-
8”).
IN WITNESS WHEREOF, I have hereunto set my hand this day 20
of in the City of , Philippines.

ANNE LORRAINE CO y PONGOS


Affiant

SUBSCRIBED and sworn to before me, this day of 20 in the City of


, Philippines. I hereby certify that I have personally examined the affiant
and that I am convinced that she understood and voluntarily executed the Judicial Affidavit.

Copy furnished:

THE CLERK OF
COURT (Address)

ATTESTATIO
N

I, Atty. , of legal age, single and a resident of


, after having been duly sworn to in
accordance with law, hereby depose and state that:

1) I am the counsel of ANNE LORRAINE CO y PONGOS in Case No. ;


2) I faithfully recorded or caused to be recorded the questions I asked and the corresponding
answers that the witness gave for her Judicial Affidavit; and
3) Neither I nor any other person then present or assisting her coached the affiant regarding the
latter’s answers.

IN WITNESS WHEREOF, I have hereunto set my hand this day of 20


in the City of , Philippines.
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

23 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

ATTY.
Affiant

24 2nd Semester, School Year 2015 – 2016


Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

SUBSCRIBE and sworn to before me, this day of 20 in the City


of
by Atty. with Passport No.

, issued on
at
.

Doc. No. ; NOTARY PUBLIC


Page No. ; Commission Serial
No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place

of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

25 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

DEED OF ABSOLUTE SALE – REGISTERED LAND

DEED OF SALE

KNOW ALL MEN BY THESE PRESENTS:

I, (Full name of
vendor)

Filipino, single/married to , of legal age, with residence and


post- office address at ,

for and in consideration of the sum of PESOS (₱ ), Philippine


currency, to me in hand paid by

(Full name of vendee)

Filipino, of legal age with residence and post-office address at

do hereby SELL, TRANSFER, and CONVEY, absolutely and unconditionally, unto the
said
, his/her heirs and assigns, that certain parcel (or parcels) of land,
together with the buildings and improvements thereon, situated in (City and Province), and more
particularly described as follows:

(Description)

of which I am the registered owner in fee simple in accordance with the Land Registration Act, my title
thereto being evidenced by Transfer Certificate of Title No. issued
by the Register of Deeds of (City and Province).

It is hereby mutually agreed that the vendee shall bear all the expenses for the execution and
registration of this deed of sale.

IN WITNESS WHEREOF, I have hereunto signed this deed of sale day of


20 in the City/Municipality of , Philippines.

(Vendor)

SIGNED IN THE PRESENCE


OF:
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

26 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


CITY/MUNICIPALITY OF ) S.S.

BEFORE ME, this day of 20 in the City/Municipality of

, personally appeared:

Name Competent Evidence of Identity Place of Issue Date of


Issue

known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date
and place above written.

Doc. No. ; NOTARY PUBLIC for


Page No. ; Commission Serial
No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place

of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

27 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

DEED OF ABSOLUTE SALE – UNREGISTERED LAND

DEED OF SALE

KNOW ALL MEN BY THESE PRESENTS:

(Full name of vendor), Filipino, single/married to , of


legal age, with residence and post-office address
at
, for and in consideration
of the sum of PESOS (₱ ), Philippine currency, to him/her in hand paid by

(Full name of vendee), Filipino, of legal age, with residence and post-office
address at
,

do hereby SELL, TRANSFER, and CONVEY, absolutely and unconditionally, unto the said
, DOES HEREBY SELL, TRANSFER, AND CONVEY unto said

(Full name of vendee), his/her heirs and assigns, that certain parcel (or parcels) of land, together
with all the buildings and improvements thereon belonging to the vendor and in present possession of
, situated
in
, and more particularly
described as follows, to wit:

(Description: State nature of each piece of land and its improvements, situation,
boundaries, area in square meters, whether or not the boundaries are visible on the land
by means of monuments or otherwise, and in the affirmative case, in what they consist;
the permanent improvements, if any, existing on the property for current year or years
when registration is made; the assessed value of the property for the year.)

That it is hereby declared that the boundaries of the foregoing land are visible by means
of
; that the permanent improvements existing thereon consist
of
(If none, state so); that the land is
assessed
for the current year at ₱ as per Tax Declaration , and the
No.

buildings and/or improvements, at ₱ as per Tax Declaration No.


, of the City/Provincial Assessor of ;

The above-described real estate, not having been registered under Act No. 496 nor under
the Spanish Mortgage Law, the parties hereto have agreed to register this instrument under the provisions
of Section 194 of the Revised Administrative Code, as amended by Act No. 3344.
IN WITNESS WHEREOF, the parties hereto have signed this deed of transfer this (
20 in the City/Municipality of , V
Philippines. e
n
d
o
r
)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

(Vendee) day of

SIGNED IN THE PRESENCE


OF:

28 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

29 2nd Semester, School Year 2015 – 2016


Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


CITY/MUNICIPALITY OF ) S.S.

BEFORE ME, this day of 20 in the City/Municipality of

, personally appeared:

Name Competent Evidence of Identity Place of Issue Date of


Issue

known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date
and place above written.

Doc. No. ; NOTARY PUBLIC for


Page No. ; Commission Serial
No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place

of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

30 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

DEED OF ABSOLUTE SALE – PORTION OF A PIECE OF LAND (PORTION OF REAL ESTATE)

DEED OF SALE

KNOW ALL MEN BY THESE PRESENTS:

I, (Full name of vendor), Filipino, single/married to , of legal


age, with residence and post-office address
at
,

for and in consideration of the sum of PESOS (₱ ), Philippine


currency, to me in hand paid by

(Full name of vendee), Filipino, of legal age with residence and post-office address
at
,
do hereby SELL, TRANSFER, and CONVEY unto the , his/her
said

heirs and assigns, the certain parcel (or parcels) of land, together with the buildings and improvements
thereon, situated in (City and Province), and more particularly described as follows:

(Copy here the description of the portion sold as subdivided as per plan and technical
description of such portion approved and certified by the Bureau of Lands)

which said parcel of land is a portion of Lot No. , Block No. of the Cadastral Survey
of
the , as described in the Transfer Certificate of Title of the
No.

Registry of Deeds of , issued in


favor of
;

That the remaining portion of parcel of land from which the above-described portion
was segregated, is described as follows:

(Copy here the description of the remaining portion as per plan and technical description
approved and certified by the Bureau of Lands)

IN WITNESS WHEREOF, I have hereunto signed this deed on this day of


20 in the City/Municipality of , Philippines.

(Vendor)

SIGNED IN THE PRESENCE


OF:
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

31 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

32 2nd Semester, School Year 2015 – 2016


Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


CITY/MUNICIPALITY OF ) S.S.

BEFORE ME, this day of 20 in the City/Municipality of

, personally appeared:

Name Competent Evidence of Identity Place of Issue Date of


Issue

known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date
and place above written.

Doc. No. ; NOTARY PUBLIC for


Page No. ; Commission Serial
No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place

of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

33 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

CONTRACT TO SELL OF A CONDOMINIUM UNIT (SHORT VERSION)

DEED OF ABSOLUTE SALE

KNOW ALL MEN BY THESE PRESENTS:

This Deed of Absolute Sale made and executed in the City/Municipality


of
, this day of 20 , by and between:

, of legal age, single/married to


, Filipino/Filipinos (if married), and residing
at
,
hereinafter referred to as the “Vendor”/“Vendors”;

(or , a domestic corporation duly organized


and existing under the laws of the Philippines, with postal address
at herein duly
represented by , President , hereinafter referred to as
the
“Vendor”;)

– and –

, of legal age, single/married to


, Filipino, and residing
at
,
hereinafter referred to as the “Vendee”;

(or , a domestic corporation duly organized


and existing under the laws of the Philippines, with postal address
at herein duly
represented by , President , hereinafter referred to as
the
“Vendee”;)

WITNESSETH

WHEREAS, the vendor/vendors is/are the true and lawful owner/owners of a condominium
unit including any and all improvements existing thereon, situated
at
, covered by Condominium Transfer Certificate of
Title No.
of the Registry of Deeds of , and
which property is specifically described as follows:

(Description of the property)


LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
WHEREAS, the Vendee has offered to buy the subject property from the Vendor/Vendors for and
in consideration of the sum of PESOS (₱
), Philippine currency, and the Vendor/Vendors has/have accepted the offer;

WHEREAS, the VENDOR/VENDORS agrees/agree to shoulder and pay the corresponding


capital gain tax. Transfer of title to property from the VENDOR/VENDORS to the VENDEE shall be
shouldered by the latter. Notarial fee and costs of preparation of this deed of absolute sale shall be
shouldered by the
34 2nd Semester, School Year
2015 – 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

VENDOR/VENDORS. The VENDEE, on the other hand, agrees to pay all real estate taxes from the time of
this deed of absolute sale is executed.

NOW THEREFORE, for and in consideration of the said amount


of
PESOS (₱ ), receipt of which
in full is hereby acknowledged by the vendor/vendors to his/her/their/its full and complete
satisfaction, the VENDOR/VENDORS hereby SELLS, TRANSERS AND CONVEYS (or SELL, TRANSER
AND CONVEY) in a manner absolute and irrevocable unto the VENDEE, his/her/its heirs, successors
and assigns, all his/her/its rights, title and interest in the above-described property, free from
any and all liens and encumbrances.
IN WITNESS WHEREOF, the parties hereto have signed this deed of transfer this day of
20 in the City/Municipality of ,
Philippines.

(Vendor)

(Vendee) By:

President
(in case of corporation)

SIGNED IN THE PRESENCE


OF:

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


CITY/MUNICIPALITY OF ) S.S.

BEFORE ME, this day of 20 in the City/Municipality of

, personally appeared:

Name Competent Evidence of Identity Place of Issue Date of


Issue
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

35 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date
and place above written.

Doc. No. ; NOTARY PUBLIC for


Page No. ; Commission Serial
No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place

of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

36 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

EASEMENT OF RIGHT OF WAY

EASEMENT OF RIGHT OF WAY

KNOW ALL MEN BY THESE PRESENTS:


This AGREEMENT OF EASEMENT OF RIGHT OF WAY, entered into day of
this

20 , by and between “A”, owner of the dominant estate, of age, single (or married
to ), and resident of , and “B”,
owner of the servient estate, of age, single and resident of ,

WITNESSETH

That “A” is the owner of a parcel of agricultural land located in


, Philippines, and more particularly described as follows:

(Description of A’s property)

which property is covered by Transfer Certificate of Title No. of the Registry of


Deeds of the province of , which lot is adjacent to “B’s”
property, and more particularly described as follows:

(Description of B’s property)

which property is covered by Transfer Certificate of Title No. of the Registry of


Deeds of the province of ;

That “A”, in order to have access to and from, and to cultivate his/her above-mentioned land, and
so as to have an outlet to , which is the nearest public road and least
burdensome to the servient estate and to third persons, it would be necessary for him/her to
pass through “B’s” property, and for this purpose, a path or passageway of not less than two (2) meters
wide through the whole length of the western side of “B’s” property is necessary for the use of “A” and for
all his/her needs in cultivating his/her estate;

That said path or passageway is particularly described in the attached plan, Annex “A”.
WHEREFORE, for and in consideration of the sum PESOS
of

(₱ ), receipt whereof is hereby acknowledged by “B”, the latter agrees and permits “A” to
have a permanent easement of right of way over the abovementioned property of said “B” limited to not
more than two (2) meters wide throughout the whole length of the western side of said property and as
specifically indicated in the attached plan which is made an integral part of this contract, as Annex “A”.

It is further agreed that “B” shall deliver unto “A” all the necessary papers, deeds, and titles in
relation to the servient estate in order to facilitate the registration of the above-mentioned right of way,
in accordance with law.

This agreement shall be binding between the parties and upon all their heirs, successors,
and assigns.
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

37 2nd Semester, School Year 2015 –


2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

IN WITNESS WHEREOF, the parties hereto have signed this agreement the day and year
first above written, in the City/Municipality of , Philippines.

(Signature of owner of dominant estate) (Signature of


owner of servient estate)

SIGNED IN THE PRESENCE


OF:

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )


CITY/MUNICIPALITY OF ) S.S.

BEFORE ME, this day of 20 in the City/Municipality of

, personally appeared:

Name Competent Evidence of Identity Place of Issue Date of


Issue

known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date
and place above written.

Doc. No. ; NOTARY PUBLIC for


Page No. ; Commission Serial
No.

Book No. ; Until December


31,

Series of 20 . Roll of Attorney


IBP No. / (Date of Issue) / (Place
of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

38 2nd Semester, School Year 2015


– 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer

PTR No. / (Date of Issue) /


(Place of Issue)

39 2nd Semester, School Year 2015


– 2016
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
Co, Anne Lorraine Pongos |高安安

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