Republic of the Philippines

Department of Justice
LAND REGISTRATION AUTHORITY
Register of Deeds of Cebu Province

IN RE: IN THE MATTER OF ADMINISTRATIVE RECONSTITUTION

OF THE TRANSFER CERTIFICATE OF TITLE NO. 14344 IN
THE REGISTER OF DEEDS OF CEBU PROVINCE

LRC Case No.12345

VERONA D. AGUILAR,
Petitioner

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

PETITION

COMES NOW the petitioner and before this Reconstituting Officer

thru the Register of Deeds, respectfully states:

1. That petitioner is of legal age, single, and resident of Punta, San

Remigio, Cebu;
2. That the petitioner is the registered owner of a parcel of land
covered by and described in Original Certificate of Title No. 14344 of the
Registry of Deeds of Cebu Province;
3. That the original of the aforesaid Original Transfer Certificate of
Title on file with the Registry of Deeds of Cebu Province was lost or
destroyed due to the_____________________;
4. That submitted herewith are the following papers in support of this
petition:
(a) Owner’s Original Duplicate Transfer Certificate of Title and
three (3) photocopies thereof;
(b) Real estate tax receipt representing full payment of at least
two (2) years prior to the filing of the petition;
(c) Tax Declaration;
(d) Others.

PRAYER

WHEREFORE, it is respectfully prayed that the original of Transfer

Certificate of Title No. 14344 lost or destroyed in the files of the said
Registry of Deeds be ordered reconstituted on the basis of the owner’s
duplicate transfer certificate of title and in accordance with Republic Act
No. 6732.

San Remigio, Cebu, February 19, 2016

VERIFICATION

Verona D. Aguilar after having been duly sworn to in accordance with

law, deposes and says: that she is the petitioner; that she caused the
preparation of the foregoing petition; that she has read the contents thereof
and the facts stated therein are true and correct to her knowledge.

Verona D. Aguilar
Affiant

SUBSCRIBED AND SWORN to before me, this 19th day of

February, 2016 in the Municipality of San Remigio, Cebu, affiant exhibited
to me her Community Tax Certificate No. 54321, issued on January 11,
2016 at Barangay Punta, San Remigio, Cebu, Philippines.

ATTY. JUAN DELA CRUZ

NOTARY PUBLIC
Poblacion, San Remigio, Cebu
Until December 31, 2016
Roll of Attorney No. 45678
IBP 5311989; 01-10-16; Cebu City
PTR 8142005; 01-10-16; Cebu City
MCLE Compliance No. 12345; 02-13-16; Cebu City
Serial No. of Commission: 07-11111

Doc. No. 1;
Page No. 2 of 2;
Book No. I;
Series of 2016.

AFFIDAVIT

REPUBLIC OF THE PHILIPPINES)

_____________________________)SS

x--------------------------------------------x
 Verona D. Aguilar, Filipino, of legal age, single, and resident of
Punta, San Remigio, province of Cebu, Philippines, after having been duly
sworn in accordance with law hereby depose and state:

1. That I am the registered owner of a parcel of land covered by

Original Certificate of Title No. 14344; of the Registry of Deeds of Cebu
Province;
2. That the original of the aforesaid Original Transfer Certificate of
Title on file with the Registry of Deeds of Cebu Province was lost or
destroyed due to the_____________________;
3. That no deed or other instrument affecting the property had been
presented for registration, or if there is any, the nature hereof the date of its
presentations, as well as the names of the parties, and whether, the
registration of such deed or instrument is still pending accomplishment;
4. That the owner’s duplicate transfer certificate of title is in due form
without any apparent intentional alterations or erasures;
5. That the Certificate of Title is not the subject of litigation or
investigation, administrative or judicial, regarding its genuine or due
execution or issuance;
6. That the Certificate of Title was in full force and effect at the time it
was lost or destroyed;
7. That the Certificate of Title is covered by a tax declaration
regularly issued by the Assessor’s Office; and
8. That the Real Estate Taxes have been fully paid up to at least two
(2) years prior to the filing of the petition for reconstitution.
9. That the corresponding owner’s duplicate of said Transfer
Certificate of Title No. 14344 was lost or destroyed in the possession
______________ under the following circumstances:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
10. That this owner’s duplicate of the title is being submitted as basis
for administrative reconstitution pursuant to Republic Act No. 6732;
11. That I am executing this affidavit in connection with my petition
for administrative reconstitution of the original copy of Transfer Certificate
of Title No. 14344;
Further affiant sayeth not.

_________________
Petitioner’s Signature

SUBSCRIBED AND SWORN to before me, this 19th day of February, 2016
in the Municipality of San Remigio, Cebu, affiant exhibited to me her
Community Tax Certificate No. 54321, issued on January 11, 2016 at
Barangay Punta, San Remigio, Cebu, Philippines.
 ATTY. JUAN DELA CRUZ
NOTARY PUBLIC
Poblacion, San Remigio, Cebu
Until December 31, 2016
Roll of Attorney No. 45678
IBP 5311989; 01-10-16; Cebu City
PTR 8142005; 01-10-16; Cebu City
MCLE Compliance No. 12345; 02-13-16; Cebu City
Serial No. of Commission: 07-11111

Doc. No. 2;
Page No. 2 of 2;
Book No. I;
Series of 2016.