REPUBLIC OF THE PHILIPPINES 11th Judicial Region REGIONAL TRIAL COURT Branch ___ Digos Cit
RE! "ETITION #OR CO$$I%%ION A% NOTAR& NOTAR& "UBLIC #OR AND AND IN T'E "RO(INCE O# DA(AO DEL%UR
ATT&) RO*ANNE +A"ATO% JURIAL "etitioner, *----------------------------------------------.
PETITION FOR NOTARIAL COMMISSION
CO$E% NO/ 0etitioner, unto this 'onorale Court, 2ost res0ect3ull a4ers! 1) That 0etitioner is o3 legal age, #ili0ino, # ili0ino, single, resident o3 Aurora Aurora 5 rd, Digos Cit, and 2aintains a regular 0lace o3 6or7 at Jose Aad %antos %t), Digos Cit8 9) That That she she is a 2e2 2e2er er in good good stan standi ding ng o3 the the "hil "hili0 i00i 0ine ne Bar Bar, Integrated Integrated Bar o3 the "hili00ines "hili00ines and the Local IB" Cha0ter Cha0ter 6here she elongs8 5) That she 0ossesses all the :uali3ications and none o3 the dis:uali3ications 3or the O33ice o3 a Notar "ulic8 ;) That she 6as ne4er con4icted o3 an cri2e in4ol4ing 2oral tur0itude8 <) That the 3ollo6ing are the 0ertinent data in connection 6ith this 0etition8 Date o3 Birth Residence Tele0hone Nu2er "ro3essional Ta Recei0t No) Issued on Roll Nu2er IB" $e2ershi0 Nu2er
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Jul 1=, 1>>? Aurora 5 rd %t), Digos Cit
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@?=9 <<5 - 195;
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195;< Januar <, 9?1 195;<
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195;<
) That she is a 0erson o3 good 2oral character as certi3ied t6o @9 eecuti4e o33icers o3 the IB", Local Cha0ter, co0ies o3 6hich are hereto attached to 3or2 0art o3 this 0etition8 ) That That atta attach ched ed here hereto to are are clea cleara ranc nces es 3ro2 3ro2 the the O33i O33ice ce o3 the the Bar Bar Con3idant o3 the %u0re2e Court and the Integrated ar o3 the "hili00ines to 3or2 0art o3 this 0etition8 =) That attached hereto is the recei0t o3 the 0a2ent o3 the a00lication 3ee as 0roo3 o3 0a2ent 3or the 3iling o3 this 0etition to 3or2 0art o3 this 0etition8 and >) That attached hereto, in a se0arate sheet o3 0a0er ut a 0art o3 this 0etition, are three @5 s0eci2ens o3 0etitioners o33icial signature, true i20 i20res ression sion o3 her dr sea seal and thre threee @5 @5 0ass 0ass0o 0ort rt siF siFe colo olored red 0hotogra0hs)
P R A Y E R
/'ERE#ORE, 0re2ises considered, it is 2ost res0ect3ull 0raed o3 this this 'onora 'onorale le Court Court that that 0etiti 0etitione onerr e issued issued a co22is co22issio sion n as Notar Notar "ulic 3or and in the "ro4ince o3 Da4ao del %ur 3or the 0eriod starting Januar 1, 9?1 to Dece2er 51, 9?1=) "etitioner 0ras 3or other relie3s ust and e:uitale under the 0re2ises) Digos Cit, "hili00ines, "hili00ines, Dece2er 1>, 9?1
ROXANNE ZAPATO ZAPATOS S JURIAL J URIAL "etitioner
RE"UBLIC O# T'E "'ILI""INE% "RO(INCE O# DA( DA(AO DEL DE L %UR!%)% %UR!%) % CIT& O# DIGO% CIT& *-------------------------------------------.
VERIFICATION AND CERTIFICAT CE RTIFICATION ION
That I, ROXANNE ZAPATO ZAPATOS-JURIAL S-JURIAL o3 legal age ,#ili0ino ,single and a resident o3 Aurora 5 rd %t), Digos Cit, a3ter ha4ing een dul s6orn to in accordance 6ith la6, do here de0ose and sa8 That I a2 the "etitioner " etitioner o3 the ao4e-entitled case8 That I caused the 0re0aration and 3iling o3 the sa2e8 That I read and understood all the contents therein8 That the are all true and correct to the est o3 2 7no6ledge and elie38 That I ha4e not co22enced an other action or 0roceeding in4ol4ing the sa2e issued in the %u0re2e Court, the Court o3 A00eals or an triunal or agenc8 That to the est o3 2 7no6ledge , no such action or 0roceeding is 0ending in the %u0re2e %u0re2e Court, the Court o3 A00eals or or an triunal or agenc8 That is I should therea3ter learn that a si2ilar action or 0roceeding has een 3iled 3iled or is 0ending 0ending in the %u0re2e %u0re2e Court Court , the Court Court o3 A00eal A00ealss or an triuna triunall or agenc agenc,, I undert underta7e a7e to re0ort re0ort the 3act 3act 6ithin 3i4e @< das there3ro2 to the Court or agenc 6herein the original 0leading and s6orn certi3ication herein ha4e een 3iled)
IN /ITNE%% /'EREO#, I ha4e hereunto set 2 hand this 1> th da o3 Dece2er 9?1 at Digos Cit, "hili00ines)
ROXANNE ZAPATO ZAPATOS S JURIAL J URIAL A33iant
%UB%CRIBED %UB%CRIBED AND AND %/ORN %/ORN TO e3ore 2e this this 1> th da o3 Dece2er 9?1 at Digos Cit, "hili00ines)
Doc) No) "age No) Boo7 No) %eries o3!
JOHN LLOYD CRUZ Notar "ulic Until Dece2er 51, 9?1 TIN No) ?>=-<-<;5 IB" No) ?>=< "TR No) ;591?> $CLE Co20liance No) ?????>
INTEGRATED BAR OF THE PHILIPPINES DAVAO DEL SUR CHAPTER Digos Cit, Da4ao del %ur "hili00ines
CLEARANCE & CERTIFICATE OF GOOD MORAL CHARACTER
T'I% I% TO CERTI#& that ATTY. ROXANNE ZAPATOS JURIAL is a 0ri4ate 0ractitioner 3or and in the "ro4ince o3 Da4ao del %ur) This ser4es to certi3 that the ao4e na2ed la6er is a 2e2er o3 the Integrated Bar o3 the "hili00ines, Da4ao del %ur Cha0ter, she is a 2e2er in good standing and has 0aid her IB" 2e2ershi0s due 3or the ear 9?1 under the O33icial O33icial Recei0t No)195 No)195 dated Dece2er 1, 1, 9?1) This clearance and certi3icate o3 good 2oral character is issued 3or 6hate4er legal 0ur0oses this 2a ser4e her est) Done on this 1> th da o3 Dece2er at Digos Cit, Da4ao del %ur, "hili00ines)
ATTY. JUAN DELA CRUZ Treasrer
ATTY. GABRIELA SILANG Se!re"ar#
RE"UBLIC O# T'E "'ILI""INE% "RO(INCE O# DA( DA(AO DEL DE L %UR!%)% %UR!%) % CIT& O# DIGO% CIT& *-------------------------------------------.
AFFIDAVIT
That I, ROXANNE ZAPATOS JURIAL, o3 legal age, #ili0ino, single and a resident o3 Aurora 5 rd %t), Digos Cit, a3ter ha4ing een dul s6orn to in accordance 6ith la6, do here de0ose and sa8 1) That I a2 the sa2e RO*ANNE +A"ATO% JURIAL 6ho caused this eecution o3 this a33ida4it8 9) That I a2 a "racticing La6er 0ro3ession 6ith o33ice address as Jose Aad %antos %t), Digos Cit8 5) That as o3 date,I a2 a00ling 3or 2 notarial co22ission 3or and in the "ro4ince o3 Da4ao del %ur and is 3iling a 0etition thereo3 6ith the Regional Trial Court, Branch____, Digos Cit8 ;) That as a re:uisite to the ao4e-stated 0etition, I a2 2ani3esting herein that I ha4e ne4er een con4icted o3 an cri2e in4ol4ing 2oral tur0itude8 <) That this a33ida4it 6as eecuted to attest to the truth o3 the 3oregoing 3acts and to su00ort 2 0etition 3or the rene6al o3 2 co22ission 3or and in the "ro4ince o3 Da4ao del %ur) IN /ITNE%% /'EREO#, /'EREO#, I ha4e hereunto set 2 hand this 1> th da o3 Dece2er 9?1 at Digos Cit, "hili00ines)
ROXANNE ZAPATO ZAPATOS S JURIAL J URIAL A33iant
%UB%CRIBED AND %/ORN TO e3ore 2e this 1> th da o3 Dece2er 9?1 at Digos Cit, "hili00ines)
Doc) No) "age No) Boo7 No) %eries o3!
JOHN LLOYD CRUZ Notar "ulic Until Dece2er 51, 9?1 TIN No) ?>=-<-<;5 IB" No) ?>=< "TR No) ;591?> $CLE Co20liance No) ?????>
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