Professional Documents
Culture Documents
PROVINCE OF LEYTE
Petitioner.
x------------------------------------------------------------x
PETITION
Petitioner, to this Honorable Court, respectfully states that:
1. He is of legal age, having been born on September 29, 1990, single, Filipino
citizen and presently residing at Brgy. Capudlosan Macarthur, Leyte;
2. He has been admitted to the practice of law in the Philippines as shown by the
Certificate of Admission to the Philippine Bar, which contains the Petitioners
Roll of Attorney No. 62002. A copy of the Certificate of Admission to the
Philippine Bar is attached and marked as Annex A hereof;
5. He has also paid the Professional Tax Receipt due him as evidenced by PTR No.
________, dated __________, a photocopy of which is also attached herewith as
Annex E;
6. He has all the qualifications and none of the disqualifications for the Office of the
Notary Public;
7. He has never been charged nor convicted of any crime involving moral turpitude;
8. He has no commission as notary public in any other jurisdiction;
9. He has attached hereto in a separate sheet of paper specimen of his official
signatures and marked as Annex F and made an integral part hereof;
10. He has likewise attached thereto his three (3) passport size photographs each
bearing his signature on the bottom part thereof as Annex G hereof;
11. He has been issued an Appointment as Notary Public by this Honorable Court on
_________ which appointment ends on __________, attached herewith is the said
Appointment as Annex H , and a true impression of his notarial dry seal made
pursuant to law as Annex I , respectively; and
Respectfully submitted.
Petitioner
Roll No;
Page No;
Book No. I
IBP No. 934935 Leyte-Chapter
PTR No.
Republic of the Philippines )
Abuyog, Leyte )
x------------------------------------------------x
VERIFICATION
I, Atty. Rex L. Flores, Filipino, of legal age, single and a resident of Brgy.
Capudlosan Macarthur, Leyte, after having duly sworn to in accordance with law, do
hereby depose and say that:
Petitioner-Affiant
_____________________
Administering Officer
ANNEX A
CERTIFICATE OF MEMBERSHIP IN THE PHILIPPINE BAR (PHOTOCOPY)
ANNEX B
LEYTE Chapter
Tacloban, City
CERTIFICATION
THIS IS TO CERTIFY that ATTY. Rex L. Flores of Macarthur, Leyte is a
Member of the Integrated Bar of the Philippines per his IBP No. ______ and is a bona
fide member of the Integrated Bar of the Philippines, ______Chapter, Philippines.
This certification is issued upon the request of ___________ for all legal intents
and purposes.
ATTY._______________________
Chapter Secretary
ATTY.__________________
_____
Chapter President
ANNEX E
1. __________________________________
2. __________________________________
ANNEX G
Abuyog, Leyte
APPOINTMENT
BE IT KNOWN THAT:
Leyte, Philippines, is appointed by me as NOTARY PUBLIC for and within the Province
Seventeen (2017).
affixed thereon, this____ day of ___, Anno Domini, Two Thousand Seventeen (2017) at
Executive Judge
ANNEX I