(Jurat for Joint Affiants)

SUBSCRIBED AND SWORN to before me, this _____________, by

_____________ who exhibited to me (his/her) Community Tax Certificate
No. _____________ issued at _____________ on _____________ and by
_____________ who exhibited to me (his/her) Community Tax Certificate
No. _____________ issued at _____________ on _____________.

Notary Public

Doc. No. ______;

Page No. ______;

Book No. ______;

Series of ______;
 VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

I, _______________________, of legal age, after having been duly sworn in accordance with law,
depose and state that:

1. I am a plaintiff in the above-stated case;

2. I caused the preparation of the foregoing complaint;

3. I have read the contents thereof and the facts stated therein are true and correct of my personal
knowledge and/or on the basis of copies of documents and records in my possession;

4. I have not commenced any other action or proceeding involving the same issues in the Supreme
Court, the Court of Appeals, or any other tribunal or agency;

5. To the best of my knowledge and belief, no such action or proceeding is pending in the Supreme
Court, the Court of Appeals, or any other tribunal or agency;

6. If I should thereafter 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 undertake to report
that fact within five (5) days therefrom to this Honorable Court.

___________________________

Affiant

SUBSCRIBED AND SWORN to before me this ___ day of __________ 200_ at

_________________ affiant exhibiting to me his Community Tax Certificate
No.____________________ issued on ________________ 200_ at ______________ City.

Doc. No. ;
Page No. ;
Book No. ;
Series of 200_.

REPUBLIC OF THE PHILIPPINES

6th Judicial Region

Regional Trial Court

Iloilo City

IN RE: PETITION FOR APPOINTMENT

AS NOTARY PUBLIC IN ILOILO CITY

CASE NO.
____________________________

RUZZEL DIANE I. ODUCADO,

Petitioner.

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

PETITION

Undersigned Petitioner and unto this Honorable Court most respectfully states that:

1. Petitioner is a Filipino citizen, over twenty-one years of age, and a resident in the Philippines
since birth and with office address at ABC Building, Lopez Jaena St., Jaro Iloilo City;

2. Petitioner was admitted to the Philippine Bar on April 11, 2011 with Roll of Attorney No.
101818. A photocopy of petitioners Certificate of Membership in the Philippine Bar issued by
the Office of the Bar Confidant is attached as Annex A of this petition;

3. Petitioner is a lawyer in good standing with clearances from the Office of the Bar Confidant of
the Supreme Court and the Integrated Bar of the Philippines, attached as Annexes B and C;

4. Petitioner has not been convicted in the first instance of any crime involving moral turpitude,
nor charged in any administrative case in connection with her present profession;

5. Petitioner has not yet applied nor been commissioned as Notary Public in any other jurisdiction;

6. Petitioner is a registered member of the Integrated Bar of the Philippines as supported by a

photocopy of the Official Receipt of yearly dues as of January 2015, attached as Annex D;

7. Petitioner has paid his Professional Tax Receipt for the year 2014 under Official Receipt No.
0416909 dated March 13, 2015 at Iloilo City. Photocopy of the receipt is attached as Annex E
of this petition;
 8. Petitioner will submit her notarial books and acknowledged documents after the expiration of
her notarial commission as provided for by law;

9. Petitioner possesses all the qualification and none of the disqualifications for the Office of the
Notary Public and have read, understood and is willing to abide with the 2004 Rules on Notarial
Practice;

10. Petitioner is attaching at Annex F, a facsimile of her notarial seal prepared in accordance with
Section 2, Rule 7 of the 2004 Rules on Notarial Practice for approval of this Honorable Court,
together with 3 specimens of his official signature.

11. Also submitted are petitioners 3 passport sized colored photographs with light background,
take not more than 30 days prior to the filing of this petition;

WHEREFORE, it is most respectfully prayed that:

A certificate of authorization to purchase notarial seal as provided under Section 9, Rule 3 of 2004 Rules
on Notarial Practice, and certificate of authority for a notarial act as provided under Section 1, Rule IX of
the same Rules be issued in favor of the petitioner.

Iloilo City, Philippines, December 1, 2015

VERIFICATION AND CERTIFICATION

I, Ruzzel Diane I. Oducado, of legal age, married, Filipino and a resident of Don Francisco Village, Jaro,
Iloilo City, under oath depose and state that:

a) I am the Petitioner in the above captioned case; I have caused the preparation of the
same;

b) I have read the allegations contained therein; and

c) I certify that they are all true and correct of my personal knowledge or based on
authentic records.

In witness whereof, I have hereunto set my hand this 1st day of December at Iloilo City, Philippines.

___________________

Affiant
SUBSCRIBED AND SWORN to before me, a notary public in and for Iloilo City, this __th day of _______
2015 at Iloilo City, Philippine, affiant appearing before me with his __ No. ______ issued on
__________________ at _____________ and presenting to me a document entitled Re: Petition for
Appointment As Notary Public in Iloilo City, affiant being known to me personally as she is a friend, and
who signed said document in my presence and sworn as to said document that she understood the
contents thereof and that the same was her free and voluntary act and deed.

________________________________

Notary Public

Until December 31, 20__

Roll of Attorneys No.

PTR No.

IBP No.

MCLE No.

Doc. No.

Page No.

Book No.

Series of 20__

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