Republic of the Philippines

FIRST JUDICIAL REGION

REGIONAL TRIAL COURT
BRANCH 5
Baguio City

In the Matter of Petition for Declaration

of Presumption of Death
SP. PROC. NO. 12345
MAYUMI F. BALO - EDROZO,
Petitioner.
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PETITI O N

Petitioner, by counsel and to this Honorable Court, alleges that:

1. The petitioner is of legal age, Filipino citizen, and a resident of 74 Rimando Road,
Aurora Hill, Baguio City;

2. The petitioner and her husband, MAKISIG P. EDROZO, were married to each other, on
November 26, 1992, before Fr. James Desmet, CICM, at the Saint William the Hermit,
Roman Catholic Church, San Fernando City; Attached herewith, marked as Annex “A”
and made an integral part of this petition is a copy of the marriage certificate;

3. Out of the said marriage, children were born, to wit:

KAREN B. EDROZO
Born on January 8, 1994 at Baguio City

MAKISIG B. EDROZO, JR.

Born on November 7, 1996 at Baguio City
- and -

GEMINI B. EDROZO
Born on November 8, 1998 at Baguio City

(Attached herewith, are the birth certificates of said children correspondingly marked as
Annex “B”, Annex “C” and Annex “D”);

4. The petitioner’s husband left the conjugal abode sometime in 2003 and no news about
said respondent had been received since then;

5. The common children have since been legally adopted by the petitioner’s parents who are
U.S. citizens and have been living in the United States since their respective adoptions
were granted;
 6. Given the lapse of time since the last news or sighting of the petitioner’s husband, the
latter may now be declared legally dead for all intents and purposes.

PRAYER

WHEREFORE, it is respectfully prayed of this Honorable Court to render judgment as

follows:

a. That after due hearing, a declaration that petitioner’s husband, MAKISIG P. EDROZO,
be declared PRESUMPTIVELY DECEASED for all legal intents and purposes;

b. That petitioner prays for which other reliefs which in the determination of this Honorable
Court may be just and equitable under the premises.

Baguio City, 1 February 2014.

ATTY. JOSELITO AGBUGGO

Counsel for the Petitioner
Suite 222, Laperal Building
Session Road, Baguio City
PTR No. 8476888; 01-03-11; Baguio City
IBP No. 876540; 01-03-11; Baguio City
RA 75436; 4-19-06; Mla.
MCLE Compliance No. IV-0000888; 09-07-10

REPUBLIC OF THE PHILIPPINES }

DONE: IN THE CITY OF BAGUIO } S.S.
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VERIFICATION AND CERTIFICATION

AGAINST FORUM SHOPPING

I, MAYUMI B.EDROZO, of legal age, Filipino, married, Filipino and a resident of 74

Rimando Road, Aurora Hill, Baguio City, after duly sworn, depose and state:

That I am the petitioner in the above-entitled case;

That I caused the preparation of foregoing Petition;

That I have read and understood the contents thereof, that the same are true of my own
personal knowledge;.
 That I further certify that I have not commenced any other action or proceedings
involving the same issue in the Supreme Court other than this action, the Court of Appeals, or
any tribunal or agency, and to the best of my knowledge, no such other action or proceeding is
pending in the Supreme Court, the Court of Appeals, or any tribunal or agency; that should I
learn that a similar action or proceeding has been filed or is pending before the Supreme Court,
the Court of Appeals, or by any other tribunal or agency, I would undertake to notify the court,
the tribunal or agency within five(5) days from such notice.

IN WITNESS WHEREOF, I have hereunto set my hands this 1 st day of February 2014
in the City of Baguio, Philippines.

MAYUMI B. EDROZO
Affiant

SUBSCRIBED AND SWORN to before me in the City of Baguio this 1st day of February
2014 by Mayumi B. Edrozo, personally known to me, who is the same person who personally
signed before me the foregoing affidavit and acknowledged that she executed the same.

JO-ANNE M. VENTIGAN
Notary Public for Baguio City
Until December 31, 2014
4F La Azotea Bldg., Session Road, Baguio City
Tel No.: (074)-442-3396
Doc. No. __; PTR No. 22222; 1/07/2014; Baguio City
Page No. __;
IBP OR No: 7654321; 1/07/2012; Baguio City
Book No. I;
Series of 2014.
Roll No.: 82112; 4/08/2004
Commission No.: 74-NC-12 (R)
MCLE Compliance No.: IV-34458; 04/28/2014
TIN No: 802-112-107