PETITION

COMES NOW the petitioners, by the undersigned counsel, and

unto this Honorable Court, respectfully aver:

1. That the petitioners are husband and wife, both of legal age,
and residents of _____________________________;

2. That they have no legitimate children or descendants and

hereby desire to jointly adopt a minor, named __________________,
who is ___ years of age, legitimate child of _________________;

3. That the father of said minor is now dead, and only her
mother, named _____________, is alive;

4. That said mother, _________________, is not insane, nor

intemperate, nor has she abandoned such minor, and with full
knowledge of petitioners' intention hereby expressly gives her written
consent to the adoption, as evidenced by Annex "A" hereto attached
and made an integral part of this petition;

5. That the petitioners are qualified to adopt the said minor, and
will be able financially and morally, to bring up and educate said
minor, properly and adequately.

WHEREFORE, it is respectfully prayed. that upon due notice

and hearing:

(a) Judgment be entered adjudging that the minor

child______________be freed from all legal obligations of obedience
and maintenance with respect to her natural parents and that she be
declared to all legal intents and purposes, the child of the herein
petitioners, and that her surname be changed to that of the
petitioners.

Baguio City, _______________________.

_____________Signature of Lawyer__________
ATTY. _____ Name of Lawyer _____________
OFFICE: _______________________________
ROLL NO. _____ ADMITTED AT BAR: ______
IBP NO. ________ ; __/__/__ ; ______________
PTR NO ________ ; __/__/__ ; ______________
MCLE COMPLIANCE No. __________; _______