Petition for Notarial Commission

REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT
_____________ JUDICIAL REGION
_____________

IN RE: PETITION FOR COMMISSION

AS NOTARY PUBLIC
_____________________________
Petitioner,
X- - - - - - - - - - - - - - - - - - - - - - - - - -- - -X

PETITION

PETITIONER, ________________________, unto

this Honorable Court, most respectfully states that:

1. She/He is of legal age and a Filipino citizen;

2. She/He is presently residing at
_________________________ and residing therein since
_________ and maintains a regular place of work in the
City of __________;
3. She/He is holding her/his private law office at
_________________________________________________
_____________;
4. She/He has satisfactorily completed the
required course in law at _________________ in
_________ (date of graduation);
5. She/He has passed the _______ Bar
Examinations and admitted to practice law in the
Philippines on _________________. Copy of the
Certificate of Bar Membership is herewith attached as
Annex “A” and made an integral part of this petition;
6. She/He is a member of the Philippine Bar in
good standing with Clearances from the Office of the Bar
Confidant of the Supreme Court and the Integrated Bar
of the Philippines. Copy of said clearances are herewith
attached as Annex “B” and Annex “C”, respectively and
made an integral part of this petition;
7. The undersigned has not been charged nor
convicted in the first instance of any crime involving
Moral Turpitude;
8. She/He desires to be commissioned as Notary
Public for and in Municipality/City of ____________ and
possesses all the qualifications and none of the
disqualifications for said office;
9. In compliance to the requirements of the
Honorable Court for Notarial Commission, attached
hereto are the following annexes and made an integral
part of this petition:
 a. Three Specimen of his/her Official Signature as Annex
“D”;
b. Picture of Desk, Sketch of Prospective Office and
sketch of the location of the office as Annex “E”, “E-1”
and “E-2”;
c. 3 pcs. 2X2 ID picture as Annex “F”;
d. Copy of IBP Membership Payment Receipt as Annex “G”;
e. Copy of PTR Receipt as Annex “H”.

PRAYER

WHEREFORE, premises considered, it is most

respectfully prayed of this Honorable Court that:
1. The Petition for Commission as Notary Public filed by
the undersigned be acted favorably; and
2. Petitioner be commissioned as a Notary Public in the
Municipality/City of ______________.
Date ____________, Municipality/ City of ____________.

__________________________
Petitioner
Address ______________________
Contact No.___________________
E-Mail Address ________________
Roll No. ______
IBP No. ______ /Date and Place of Issue
PTR No. _____ /Date and Place of Issue
 MCLE Certificate of Compliance No. ____

VERIFICATION and CERTIFICATION AGAINST FORUM

SHOPPING

I, ___________________, under oath, depose and state

that:
1. I am the petitioner in the above-entitled petition;
2. I have caused the preparation of the foregoing Petition;
3. The allegations therein are true and correct based on
my personal knowledge and authentic records;
4. To the best of my knowledge, there are no other
pending petitions of the same nature before any court,
tribunal or quasi-judicial agency; and
5. Should I thereafter learn of any similar case pending
before any other court, tribunal or quasi-judicial agency,
I shall promptly notify this court within five (5) days from
discovery.

____________________________
(Name of the Petitioner)

JURAT

SUBSCRIBED AND SWORN to before me in the _________

on this day of _________ 20___, affiant exhibiting before
me her/his (Government-issued Identification Card
No. ) issued on _________ in ___________.

NOTA
RY PUBLIC

Doc. No. ______;

Page No.______;
Book No.______;
Series of