Dumapias, Darleene Rae A.

Legal Counseling
IV – Teehankee April 10, 2019

REPUBLIC OF THE PHILIPPINES

12TH JUDICIAL DIVISION
REGIONAL TRIAL COURT
BRANCH 1
ILIGAN CITY

IN RE: PETITION FOR COMMISSION

AS NOTARY PUBLIC IN THE
CITY OF ILIGAN

CASE NO.123456

ATTY. ANNA BATUMBAKAL,

Petitioner.
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PETITION

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

1. Petitioner is over twenty-one years of age and a Filipino citizen;

2. Petitioner is a resident of Bayug, Brgy Hinaplanon, Iligan City since birth and
with law office address at U&J Bldg., Gen. Aguinaldo St., Pala-o. Iligan City;

3. Petitioner was admitted to the Philippine Bar on April 25, 2015 with Roll of
Attorneys No. 123456. 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;

4. 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”;

5. 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;

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

7. 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 April 24,
2018, attached as Annex “D”.

8. Petitioner has paid her Professional Tax Receipt for the year 2018 under
Official Receipt No. 1234567 dated April 24, 2018 at Iligan City. Photocopy of
the receipt is attached as Annex “E” of this petition;
Dumapias, Darleene Rae A. Legal Counseling
IV – Teehankee April 10, 2019

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

10. 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;

11. Petitioner is attaching as Annex “F”, a facsimile of her notarial seal prepared in
accordance with Sec. 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.

12. 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.

PRAYER
WHEREFORE, premises considered, it is most respectfully prayed of this Honorable
Court that:

1. The Petition For Commission As Notary Public In The City Of Iligan filed by the
undersigned be acted favourably;

2. Petitioner be commission as a Notary Public in the City of Iligan.

10 April 2019, City of Iligan.

ATTY. ANNA BATUMBAKAL

Petitioner

VERIFICATION and CERTIFICATION OF NON-FORUM SHOPPING

I, ATTY. ANNA BATUMBAKAL, under oath, depose and state that:

1. I am the petitioner in the above-entitled petition;

2. I have caused the preparation of the foregoing Petition;

3. I have read it and its contents are true and correct on my personal knowledge
and based on authentic records;

4. To the best of my knowledge, there are no other pending petitions of the same
nature before any court, tribunal or quasi-judicial agency; and
Dumapias, Darleene Rae A. Legal Counseling
IV – Teehankee April 10, 2019

5. Should I thereafter learn of any similar case pending before any other court,
tribunal or quasi-judicial agency, I shall promptly notify this court within five (5)
days from discovery.

ATTY. ANNA BATUMBAKAL

Affiant

JURAT

SUBSCRIBED AND SWORN to before me, in the City of Iligan on this 10th day of April
2019, affiant exhibiting before me her Driver’s License No. 12345 issued by Land Transportation
Office at Iligan City on October 15, 2017 .

ATTY. PILOSOPO TASYO

NOTARY PUBLIC

Doc. No. ______;

Page No.______;
Book No.______;
Series of 2019.