Republic of the Philippines

___
REGIONAL TRIAL COURT
OFFICE OF THE EXECUTIVE JUDGE
___
City

RE: PETITION FOR APPOINTMENT

AS NOTARY PUBLIC FOR AND IN
THE JURISDICTION OF ___ REGION Appointment No. ___
IN ___ CITY

___
Petitioner.

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COMPLIANCE
The undersigned Petitioner, ___, by way of compliance with
this Honorable Court’s Certificate of Authorization to Purchase a
Notarial Seal dated ___ (the “Certificate”), respectfully states that:

1. On ___, Petitioner was appointed by the Honorable

Executive Judge as a Notary Public for and in the City of ___, for the
term beginning on the ___ and ending on the ___. A copy of his
Appointment is attached hereto as Annex “A”.

2. On the same date, by virtue of the Appointment,

Petitioner was authorized by this Honorable Court to purchase a
notarial seal. A copy of the Certificate is attached hereto as Annex “B”.

3. Pursuant to the Certificate, Petitioner purchased a

notarial seal. An impression of the same is attached hereto as Annex
“C”, and is being presented to this Honorable Court for Approval

PRAYER

WHEREFORE, it is respectfully prayed that this Honorable

Court approve the undersigned’s notarial seal.

Other just and equitable reliefs are also prayed for.

___, ___ City, Philippines.

Compliance
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Compliance
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