Republic of the Philippines

REGIONAL TRIAL COURT

8TH Judicial Region
Calbayog City

OFFICE OF THE EXECUTIVE JUDGE

IN RE: PETITION FOR APPOINTMENT

AND COMMISSION AS NOTARY PUBLIC
IN CALBAYOG CITY, MUNICIPALITY
OF STA. MARGARITA, MUNICIPALITY OF
STO. NIO, MUNICIPALITY OF ALMAGRO,
AND MUNICIPALITY OF TAGAPUL-AN

JEFFREY R. BERNATE
Petitioner
x----------------------------------------x

P E T I T I O 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 ith office address at "#C
#uilding,$opez %aena &t., %aro 'loilo City().

2. Petitioner was admitted to the Philippine #ar on "pril 11, 2011 with
roll of attorney no. 1*1-1-. A photocopy of petitioners Certificate of
/embershipin the Philippine #ar issued by the 0ffice of the #ar
Confidant is attached as annex "__ of this petition

3. Petitioner is a layer in good standing ith clearances from the

0ffice of the#ar Confidant of the &upreme Court and the 'ntegrated
#ar of thePhilippines, attached as "nnees 3#4 and 3C

4. Petitioner has not been convicted in the first instance of any crime
involvingmoral turpitude, nor charged in any administrative case in
connection with her present profession

5. Petitioner has not yet applied nor been commissioned as otary

Public inany other 7urisdiction
6. Petitioner is a registered member of the 'ntegrated #ar of the Philippines
assupported by a photocopy of the 0fficial +eceipt of yearly dues as of
%anuary )*16, attached as "nne 394(.

7. Petitioner has paid his Professional ;a +eceipt for the year )*15
under0fficial +eceipt o. *518<*< dated /arch 12, )*16 at 'loilo City.
Photocopy of the receipt is attached as "nne 3=4 of this petition(-.
8. Petitioner ill submit her notarial boo>s and acknowledged documents
afterthe epiration of her notarial commission as provided for by la(<.

9. Petitioner possesses all the ?ualification and none of the dis?ualifications

for the 0ffice of the otary Public and have read, understood and is illing
toabide ith the 2004 Rules on otarial Practice(

10. Petitioner is attaching at "nne 3F4, a facsimile of her notarial seal

prepared in accordance ith &ection ), +ule of the )**5 +ules on otarial
Practice for approval of this Honorable Court, together ith 3 specimens of
his official signature.

11. Also submitted are petitoners 3 passport sized colored photographs with
light background, taken not more than 30 days prior to the filing of this
petition.

WHEREFORE, it is most respectfully prayed of this Honorable Court,

after due notice, publication and hearing that: A Certificate of Authorization
to Purchase Notarial Seal as provided under Section 9, Rule III of 2004 Rules
on Notarial Practice, and a Certificate of Authority for a Notarial Act as
provided under Section 1, Rule IX of the same rules be issued in the favor of
the petitioner

Calbayog City, Samar, Philippines, June 233, 2017

ATTY. JEFFREY R. BERNATE

Petitioner
Bernate Cmpd., P-1, Brgy. Capoocan, Calbayog
City, Samar
Roll No. 32434 / May 24, 2017
IBP No. 4343 / May 24, 2017 / Samar
PTR No. 34134 / date / Calbayog City
MCLE Compliance: NEW
Mobile No. +639173160898
Email Address: jrbernate1234@gmail.com

VERIFICATION AND CERTIFICATION

I, JEFFREY R. BERNATE, of legal age, married, Filipino, and a resident of

Bernate Cmpd., P-1, Brgy. Capoocan, Calbayog City, Samar, Philippines,
under oath depose and state that:

a) I am the petitioner in the above captioned case; I have caused the

preparation of the same;
b) I have read the allegations contained therein; and
c) I certify that they are all true and correct of my personal knowledge
or based on authentic records.
d) I further certify under oath that I have not commenced any similar
action before the Supreme Court, Court of Appeals, or before any
court, tribunal or agency concerned; and should I learn of any
similar cause of action filed before any of the aforesaid bodies, I
 undertake to notify this Honorable Court within five (5) days from
notice.

In witness whereof, I have hereunto set my hand this ___th day of June
at Calbayog City, Samar, Philippines.

___________________
Affiant

SUBSCRIBED AND SWORN to before me, a notary public in and for

Calbayog City this ____ day of ________ 2017 at Calbayog City, Samar,
Philippines, affiant appearing with his LTO Driving License No. ________ issued
on __________ at ___________ and presenting to me a document entitled Re:
RE: PETITION FOR APPOINTMENT AND COMMISSION AS NOTARY PUBLIC
IN CALBAYOG CITY, MUNICIPALITY OF STA. MARGARITA, MUNICIPALITY OF
STO. NIO, MUNICIPALITY OF ALMAGRO, AND MUNICIPALITY OF TAGAPUL-AN,
affiant being known to me personally as he is a friend, and who signed said
document in my presence and sworn as to said document that he understood
the contents thereof and that the same was his free and voluntary act and
deed.

PETITION
The undersigned petitioner, _______________, unto this Honorable
Court
respectfully states that:
1. She is a Filipino citizen, married, over twenty one (21) years old and a
resident of ________________, copies of the picture of the petitioner with
signature at the bottom part are hereto attached as Exhibits A, A-1 and
A-2;
2. She has completed her law studies at _____________;
3. She has her office located at ______________________, copies of the picture
of the office are attached hereto as Exhibits B and B-1;
4. She was admitted to the Philippine Bar on ________________, a copy of the
certificate of admission is hereto attached as Exhibit C;
5. She has acquired her clearance from the Regional Trial Court
from
_________ , hereto attached as Exhibits G;
6. She has no pending administrative case as evidenced by the certification
issued by the Office of the Bar Confidant which is hereto attached as Exhibit
H;
7. She is a bona fide member in good standing of the Integrated Bar of the
Philippines, ______ Chapter, attached is a copy of his Certificate of Good
Standing as Exhibit D, and has paid her membership due on _______ as
evidenced by IBP Official Receipt ______ issued by the Integrated Bar of he
Philippines, hereto attached are copies as Exhibits E and E-1;
8. That she has completed the required units in compliance with the
Mandatory
Continuing Legal Education as mandated by the Supreme Court. Attached
herewith is a copy of her MCLE Compliance Certificate as Exhibit F
9. She has paid her Professional Tax for the fiscal year _____ under
Professional
Tax Receipt _______, a copy is hereto attached as Exhibit G;

10. She has attached herewith and made integral parts hereof his
specimen
signatures and the true impressions of his dry seal as Exhibits H, H-1, H-
2 and I, I-1 and I-2;
11. She possesses all the qualifications and none of the disqualifications of a
Notary Public;
12. She has not applied for commission before any other jurisdiction;
13. She undertakes to inform the Executive Judge within ten (10) days in
case of
any change in the given address and to submit her monthly report
religiously;
14. She now desires to be granted Notarial Commission as Notary Public for
and
in the City of _____.
PRAYER

REPUBLIC OF THE PHILIPPINES)________ CITY. . . . . . . . . . . . . . . )S.c.