REPUBLIC OF THE PHILIPPINES

____________ JUDICIAL REGION

REGIONAL TRIAL COURT
Branch ____
_________________

RE: IN THE MATTER OF THE ISSUANCE OF THE SECOND OWNER’S

DUPLICATE COPY OF TRANSFER CERTIFICATE OF TITLE NO.
______________ OF THE REGISTRY OF DEEDS FOR
__________________________

LRC CASE NO. _____________

____________________,
Petitioner.

x----------------------------------------------x

PETITION

COMES NOW, the Petitioner, ____________________________________, by

and through the undersigned counsel and unto this Honorable Court,
respectfully alleges that:

1. The Petitioner is of legal age, Filpino, single/married, and a

resident of _______________________, where he/she may be served with
court processes;

2. The Petitioner is a lawful and registered owner of a parcel of

land together with the improvements therein, identified as
__________________ of the consol. subd. plan, _____________________
located in the _______________, Province of ___________, with an area of
_________ (___) SQ. METERS, more or less, embraced by Transfer
Certificate of Title No. ______________ duly issued by the Registry of
Deeds for _________________, which parcel of land is particularly
described as follows:

Transfer Certificate of Title No. _________________

(please indicate here the technical description)

 A Copy of Transfer Certificate of Title No. _______ is hereto attached
as Annex “A”;

3. The parcel of land covered by the aforesaid certificate of title is part of

the ____________________ located in ______________________;

4. The Petitioner usually kept the owner’s duplicate copies of all the
certificate of titles for its real estate properties in the vault together with all
the other important documents of the Petitioner. The said vault is under
the control and supervision of the Petitioner;

5. After diligent search to the vault of Transfer Certificate of Title No.

________, the same could not be found;

6. The Petitioner exerted all efforts to look and determine the

whereabouts of the said certificate of title but despite these efforts, the
Petitioner still failed to locate the said certificate and apparently they were
misplaced and deemed lost;

7. Consequently, the Petitioner executed an Affidavit of Loss, which was

registered with the Register of Deeds for ___________ and annotated at the
back of the original Transfer Certificate of Title No. ____________ in the
possession of said Office under Entry No. _________________, a copy of the
Affidavit of Loss is hereto attached as Annex “B” and made as an integral
part hereof;

8. The issuance of the Second Owner’s Duplicate Copy of TCT No.

________________ can be based and drawn from a certified true copy of the
original copy thereof secured by Petitioner from Registry of Deeds for
_____________ (Annex “C”);

9. Subject property covered by TCT No. __________ is also covered by

Tax Declaration No. ______________ issued by the Office of the _______
Assessor, a copy of which is hereto attached as Annex “D”;

10. The Petitioner is up to date in the payment of the real estate taxes for
the subject property as evidenced by a Certification issued by the Office of
the ____________ Assessor, a copy of which is attached as Annex “E”.

PRAYER

WHEREFORE, premises considered, it is respectfully prayed of the

Honorable Court that after due notice and hearing, a decision be rendered
by this Honorable Court directing the Registry of Deeds of
_______________ to cause the issuance of a new Owner’s Duplicate Copy of
TCT No. ___________ with like faith and integrity as the lost certificate of
title for all legal intents and purposes.

Other reliefs and remedies as may be deemed just and equitable

under the premises are likewise prayed for.

RESPECTFULLY SUBMITTED. _____(place)________, date.

ATTY. MMM
(address of the Counsel)
(Contact No. of the Counsel)
IBP No. _________ / date of issue / place of issue
PTR No. ________ / date of issue / place of issue
Roll of Attorney’s No. _________
MCLE Compliance No. ___________

Republic of the Philippines )

Makati City ) S.S.

VERIFICATION WITH CERTIFICATION OF

NON-FORUM SHOPPING

I, _______________, of legal age, married and with office and postal

address at ____________________________________, after having been duly
sworn to in accordance with law do hereby depose and state that:

1. I am the Petitioner in the above-entitled case;

2. I have caused the preparation of the foregoing Petition and that

the allegations therein are true and correct of my own personal knowledge
based on authentic documents on record;

3. I have not heretofore commenced any other action or proceeding

involving the same issues in the Supreme Court, the Court of Appeals, or
any other tribunal or agency as are raised in this case;

4. To the best of my knowledge, no such action or proceeding is

pending in the Supreme Court, the Court of Appeals or any tribunal or
agency; and
5. If I should thereafter be aware or learn that a similar action or
proceeding has been filed or is pending before the Supreme Court, the
Court of Appeals or any other tribunal or agency, I will undertake to report
this fact within five (5) days there from to this Court.

________________
Affiant

JURAT

SUBSCRIBED AND SWORN to before me this ____________________,

affiant, personally appeared and exhibited to me his/her Government
Issued ID No. ____________ issued on ___________ in _____________,
Philippines.

NOTARY PUBLIC

Doc. No. _____;

Page No. _____;
Book No._____;
Series of _____.