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ACKNOWLEDGEMENT
ACKNOWLEDGEMENT
, personally appeared:
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.
of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
JURAT
VERIFICATION AND
CERTIFICATION
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.
Jurat
of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
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
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
REPUBLIC OF THE
PHILIPPINES REGIONAL
TRIAL COURT
Judicial
Region
Branch
(Venue)
JUAN DELA CRUZ
Plaintif,
Civil Case No.
– versus – (Designation of
the
Pleading)
IN SPECIAL
PROCEEDINGS
(Caption)
In the Matter of
Sp. Proc. No.
(Designation of the
Pleading)
x-------------------------
-----x
(Caption)
THE PEOPLE OF THE
PHILIPPINES
Plaintif,
Criminal Case No.
– versus – (Designation of
the
Pleading)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
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
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;
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;
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.
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.
Jurat
(Date)
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.
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 ;
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.
Issued on
Issued at
, issued on
at
.
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
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.
Issued on
Issued at
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:
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;
Valid
Until
AFFIDAVIT OF SERVICE
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:
Nature of Pleading/Paper
Issued on
Issued at
, issued on
at
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
AFFIDAVIT OF DESISTANCE
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;
Issued on
Issued at
, issued on
at
.
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
City
IN THE MATTER OF THE ADOPTION OF
Case No.
ANNE LORRAINE CO y
PONGOS,
Petitioner.
x------------------------------------------x
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.
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.
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”).
4) Q Are you the same Anne Lorraine Co y Pongo, the petitioner in this case?
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!
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.
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
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.
Copy furnished:
THE CLERK OF
COURT (Address)
ATTESTATIO
N
ATTY.
Affiant
, issued on
at
.
of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
DEED OF SALE
I, (Full name of
vendor)
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.
(Vendor)
ACKNOWLEDGEMENT
, personally appeared:
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.
of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
DEED OF SALE
(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.
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
ACKNOWLEDGEMENT
, personally appeared:
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.
of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
DEED OF SALE
(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.
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)
(Vendor)
ACKNOWLEDGEMENT
, personally appeared:
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.
of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
– and –
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:
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.
(Vendor)
(Vendee) By:
President
(in case of corporation)
ACKNOWLEDGEMENT
, personally appeared:
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.
of Issue)
PTR No. / (Date of Issue) /
(Place of Issue)
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
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”, 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
IN WITNESS WHEREOF, the parties hereto have signed this agreement the day and year
first above written, in the City/Municipality of , Philippines.
ACKNOWLEDGEMENT
, personally appeared:
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.