Republic of the Philippines

REGIONAL TRIAL COURT

Xxx Judicial Region
Province of xxx
IN RE: PETITION FOR REAPPOINTMENT
AND RECOMMISSION AS NOTARY PUBLIC
for the CITIES/MUNICIPALITIES OF THE
PROVINCE OF xxx UNDER THE
TERRITORIAL JURISDICTION OF THIS COURT

xxx
Petitioner
X -------------------------------------- X

PETITION
PETITIONER, xxx to this Honorable Court, most
respectfully files this petition/application for reappointment
and
recommission
as
a
Notary
Public
for
the
municipalities/cities in the Province of xxx for a term ending
on Dec. 31, xxx In support of this petition, she most
respectfully states that:
1. She was previously granted a Notarial Commission
by Order dated xxx signed by Executive Judge xxx
Attached is a copy of the Order marked as Annex
xxx.
2. She possesses the eligibility for commissioning as
Notary Public as shown by her following personal
circumstances:
a.
b.
c.
d.
e.
f.
g.
h.

Nationality
: Filipino
Date/ Place of Birth
: xxx
Residence
: xxx
Telephone No.
: xxx
PTR Number
: xxx
Roll of Attorney No. : xxx
MCLE Compliance: xxx
IBP Number
: xxx

3. She has satisfactorily completed the required

course in law at the xxx.
4. She is a member of the Philippine Bar, having been
admitted on xxx as evidenced by a photocopy of
her Certificate of Membership attached hereto as
Annex xxx and made an integral part of this
Petition;
5. She has been a resident of the Philippines since
birth;
6. She holds
office at xxx with telephone number
xxx, a photograph of her office and a sketch
thereto herein attached as Annex xxx and xxx
and made an integral part of this Petition;
7. She is a member of good standing of the Integrated
Bar of the Philippines, xxx Chapter, as evidenced
by IBP Official Receipt No.xxx dated xxx and the
Certification of Good Moral Character issued by two
(2) executive officers of the local chapter of the
Integrated Bar of the Philippines, and Certificate of
No Pending Case from the Supreme Court,
photocopies of which are hereto attached as Annex
xxx ,
Annex xxx
and Annex xxx
respectively, and made an integral part of this
Petition;
8. She has paid her Professional Tax for the current
year and was issued Professional Tax Receipt (PTR)
No. xxx dated xxx, copy of which is attached as
Annex xxx and made an integral part of this
Petition.
9. She is a government employee and was given
authority to practice her profession by the Head of
her office, copy of such written authority is hereto
attached as Annex xxx and made an integral
part of this Petition;

10.Her passport-size unretouched color photographs

with her specimen signature at the bottom part of
each photograph, and true impressions of her dry
seal, duly attached respectively as Annex xxx,
and Annex xxx,
are also made an integral part
of this Petition;
11.She has never been convicted of any crime
involving moral turpitude before any court or
tribunal in the Philippines;
12.She has not been appointed Notary Public in any
other jurisdiction for the term applied for.
13.She has submitted her complete notarial records
for the term of the previous notarial commission in
the Office of the Clerk of Court, Regional Trial
Court, xxx City, Province of xxx; and
14.She undertakes to immediately and promptly
inform this Honorable Court of any change in her
address or contact number and to submit or report
to the Office of the Clerk of Court copies of all
deeds notarized by her.

PRAYER
WHEREFORE, Petitioner most respectfully prays that
she be reappointed and recommissioned as Notary Public
for and in municipalities/cities in the Province of xxx under
the territorial jurisdiction of this Honorable Court for the term
ending on December 31, xxx
xxx, Philippines, xxxx.
Name of Petitioner
Address
Contact No.
IBP No. xxx
Roll No. xxx
PTR No. xxx

MCLE No. xxx

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