Escolar Documentos
Profissional Documentos
Cultura Documentos
ACKNOWLEDGEMENT
ACKNOWLEDGEMENT
_______________________________________
_______________________________________
______________________ ______________________
_______________________________________
_______________________________________
______________________ ______________________
known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date and
place above written.
JURAT
SUBSCRIBE and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________ by ___________________________________________ with Passport No.
__________________________________, issued on ____________________________ at
___________________________________________.
2. The facts stated in the above complaint are true and correct to the best of my knowledge and
authentic records;
3. I have not commenced any action or filed any claim involving the same issues in any court,
tribunal or quasi-judicial agency and, to the best of my knowledge, no such other action or
claim is pending in them; and
4. If I should learn that the same or similar action or claim has been filed or is pending after its
filing, I shall report that fact within five (5) days from notice to the court or where the
complaint or initiatory pleading has been filed.
Jurat
SUBSCRIBE and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________ by ___________________________________________ with Passport No.
__________________________________, issued on ____________________________ at
___________________________________________.
IN SPECIAL PROCEEDINGS
(Caption)
In the Matter of
__________________________ Sp. Proc. No.
__________________
__________________________ (Designation of the
Pleading)
x------------------------------x
(Caption)
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
______________________________________________________________________________________________
_______;
2. Petitioner was admitted to the Philippine Bar on ______________________ with Roll of Attorneys
No. __________________. A photocopy of Petitioner’s 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;
7. Petitioner has paid his Professional Tax Receipt for the year ___________ under Official Receipt
No. _________________ dated ___________________ at ______________________. Photocopy of the
receipt is attached as Annex “E” of this petition;
8. Petitioner will submit all her notarial books and acknowledged documents after the expiration
of her notarial commission as provided for by law;
9. Petitioner possesses all the qualifications and none of the disqualifications for the office of
Notary Public and have read, understood and is willing to abide with the 2004 Rules on
Notarial Practice;
10. Petitioner is attaching as Annex “F”, a facsimile of her notarial seal prepared in accordance
with Section 2, Rule VII of the 2004 Rules on Notarial Practice for approval of this Honorable
Court, together with three (3) specimens of her official signature;
11. Also submitted are petitioner’s three (3) passport sized colored photographs with light
background, taken not more than 30 days prior to the filing of this petition;
A certificate of authorization to purchase notarial seal as provided under Section 9, Rule III of the
2004 Rules of 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.
2. The facts stated in the above complaint are true and correct to the best of my knowledge and
authentic records;
3. I have not commenced any action or filed any claim involving the same issues in any court,
tribunal or quasi-judicial agency and, to the best of my knowledge, no such other action or
claim is pending in them; and
4. If I should learn that the same or similar action or claim has been filed or is pending after its
filing, I shall report that fact within five (5) days from notice to the court or where the
complaint or initiatory pleading has been filed.
Jurat
SUBSCRIBE and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________ by ___________________________________________ with Passport No.
__________________________________, issued on ____________________________ at
___________________________________________.
(Date)
It has been 30 days since you received my letter dated ______________________ and still, you have failed to
pay and still refuses to pay your arrears which have now amounted to
_____________________________________ PESOS (₱___________________).
Please be reminded that I have sent you several letters of demand for you to pay your back rentals and
to vacate the premises but the same letters have been left unanswered. Consider this then, as my last
and final demand for you to pay your account within five (5) days from receipt and to VACATE the
premises within ten (10) days from receipt of this notice. Otherwise, I shall be constrained to commence
suit to protect my interests.
AFFIDAVIT OF LOSS
I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
______________________________________________ _________________________________________________, after
having been duly sworn to in accordance with law, depose and state THAT:
1. I am a duly-licensed driver in accordance with pertinent Land Transportation laws, rules and
regulations, and was issued a corresponding Non-Professional Driver's License with number
________________________________ which is valid until __________________________;
3. Efforts were exerted to locate said driver's license, but in spite of diligent search, it could not
be found and the same is now beyond recovery;
4. Said Driver's License has not been confiscated by the LTO, Police or other Traffic Enforcers for
any traffic violation;
5. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to
support my application for the issuance of a new Non-Professional Driver's License, in lieu of
the one that was lost.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of _________________ 20______
in the City of ___________________________, Philippines.
SUBSCRIBE and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________ by ___________________________________________ with Passport No.
__________________________________, issued on ____________________________ at
___________________________________________.
AFFIDAVIT OF LOSS
I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
______________________________________________ _________________________________________________, after
having been duly sworn to in accordance with law, depose and state THAT:
2. I kept the said pawn ticket in my wallet for safekeeping but unfortunately my wallet got lost;
3. Despite diligent search and efforts to locate the said wallet and pawn ticket, I could not find
the same such that I believe that they are now lost beyond recovery;
4. As such, I am executing this affidavit to attest to the foregoing facts and to enable me to
secure a duplicate or substitute copy of the ticket and/or redeem the above-described item
which I pawned.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of _________________ 20______
in the City of ___________________________, Philippines.
SUBSCRIBE and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________ by ___________________________________________ with Passport No.
__________________________________, issued on ____________________________ at
___________________________________________.
AFFIDAVIT OF LOSS
I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
______________________________________________ _________________________________________________, after
having been duly sworn to in accordance with law, depose and state THAT:
2. Recently, I had tried to look for the said passport but the same could not be found;
3. Despite diligent search and efforts to locate the said passport, I could not find the same such
that I believe that it is now lost beyond recovery;
4. As such, I am executing this affidavit to attest to the foregoing facts and to support the
application for the issuance of a new one in lieu of the one which was lost.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of _________________ 20______
in the City of ___________________________, Philippines.
SUBSCRIBE and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________ by ___________________________________________ with Passport No.
__________________________________, issued on ____________________________ at
___________________________________________.
AFFIDAVIT OF SERVICE
AFFIDAVIT OF SERVICE
I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
______________________________________________ _________________________________________________, after
having been duly sworn to in accordance with law, depose and state THAT:
Nature of Pleading/Paper
_____________________________
_____________________________
_____________________________
in Case No. ____________ entitled "_________________ v. _________________" by depositing a copy in the post
office in a sealed envelope, plainly addressed to the defendant's lawyer at his office with postage fully
paid, as evidenced by Registry Receipt No. ________ attached and with instructions to the post master to
return the mail to sender after ten (10) days if undelivered.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of _________________ 20______
in the City of ___________________________, Philippines.
SUBSCRIBE and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________ by ___________________________________________ with Passport No.
__________________________________, issued on ____________________________ at
___________________________________________.
AFFIDAVIT OF DESISTANCE
AFFIDAVIT OF DESISTANCE
I, Anne Lorraine Pongos Co, of legal age, Filipino, single and a resident of
______________________________________________ _________________________________________________, after
having been duly sworn to in accordance with law, depose and state THAT:
1. I am the private complainant in a criminal case for Reckless Imprudence Resulting to Damage
to Property against ______________________________________________________ docketed as IS No.
_________________________________ before the Office of the City Prosecutor, (City/Municipality
and Province);
2. In this regard, the accused has already paid the damage to our vehicle;
3. In view of the payment by the accused and considering that I was not injured, I would like to
manifest that I now completely and absolutely exonerate the accused from any liability in
connection with the above-mentioned criminal case and that I am no longer interested, and I
hereby desist, in prosecuting the said criminal case;
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of _________________ 20______
in the City of ___________________________, Philippines.
SUBSCRIBE and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________ by ___________________________________________ with Passport No.
__________________________________, issued on ____________________________ at
___________________________________________.
PRELIMINARY STATEMENT
The judicial affidavit of petitioner Anne Lorraine Co y Pongos is executed to serve as her direct
testimony in the instant case. This judicial affidavit is offered to prove the following:
(1) Petitioner Anne Lorraine Co y Pongos has all the qualifications and all the requirements to
adopt ___________________________________________, a minor; and
(2) Minor ___________________________________________ may be adopted as provided by law.
It is respectfully prayed that the Honorable Tribunal admit this Judicial Affidavit of Anne Lorraine
Co y Pongos as the Direct Examination of the petitioner in order to expedite the proceedings.
1) Question (Q) Please state your name and other personal circumstances for the record.
Answer (A) I am Anne Lorraine Co y Pongos, __________ years old, a resident of
_____________________________ ___________________________________________,
single and a businesswoman. I am a Filipino citizen.
3) Q Do you have any proof that you really own a factory and a dormitory?
A Yes, ma’am! I have all the pertinent documents (Exhibit “A”).
4) Q Are you the same Anne Lorraine Co y Pongo, the petitioner in this case?
A Yes, ma’am!
8) Q Do you have any proof that you really have undergone pre-adoption services?
A Yes, ma’am (Exhibit “B”).
9) Q Do you think you are in a good position to provide for all the needs of the
child you want to adopt, to support, educate and care for the child to be
adopted?
A Yes, ma’am!
12) Q Who is the child that you want to adopt? State her other personal
circumstances for the record.
A Her name is __________________________________, _________ years old and she is
currently under the care of CHILDREN’S SHELTER OF CEBU. Her biological
parents are both Filipinos and both residents of Cebu.
14) Q Why is she in CHILDREN’S SHELTER OF CEBU? Where are her parents?
A According to one of the staffs of CHILDREN’S SHELTER OF CEBU who
introduced me to __________________________________ whose name I cannot
remember. _________________________________ was brought into CHILDREN’S
SHELTER OF CEBU by her biological parents because her biological parents
could not afford to raise her and give or provide her needs as they only do
laundry for the others for their living and her father could not find a good and
stable job because of his serious illness which I do not know. Thus, they
decided to bring __________________________________________ into CHILDREN’S
SHELTER OF CEBU.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of _________________ 20______
in the City of ___________________________, Philippines.
SUBSCRIBED and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________, Philippines. I hereby certify that I have personally examined the affiant and
that I am convinced that she understood and voluntarily executed the Judicial Affidavit.
Copy furnished:
ATTESTATION
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of _________________ 20______
in the City of ___________________________, Philippines.
ATTY. ______________________________
Affiant
SUBSCRIBE and sworn to before me, this _______ day of _________________ 20______ in the City of
___________________________ by Atty. _____________________________________ with Passport No.
__________________________________, issued on ____________________________ at
___________________________________________.
DEED OF SALE
for and in consideration of the sum of __________________ PESOS (₱________), Philippine currency,
to me in hand paid by
do hereby SELL, TRANSFER, and CONVEY, absolutely and unconditionally, unto the said
______________________________, his/her heirs and assigns, that certain parcel (or parcels) of land, together
with the buildings and improvements thereon, situated in (City and Province), and more particularly
described as follows:
(Description)
of which I am the registered owner in fee simple in accordance with the Land Registration Act, my title
thereto being evidenced by Transfer Certificate of Title No. ____________________________ issued by the
Register of Deeds of (City and Province).
It is hereby mutually agreed that the vendee shall bear all the expenses for the execution and
registration of this deed of sale.
IN WITNESS WHEREOF, I have hereunto signed this deed of sale _______ day of _________________
20______ in the City/Municipality of ___________________________, Philippines.
(Vendor)
____________________________________ ____________________________________
____________________________________
ACKNOWLEDGEMENT
_______________________________________
_______________________________________
______________________ ______________________
_______________________________________
_______________________________________
______________________ ______________________
known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date and
place above written.
DEED OF SALE
(Full name of vendee), Filipino, of legal age, with residence and post-office address at
_________________________________,
do hereby SELL, TRANSFER, and CONVEY, absolutely and unconditionally, unto the said
______________________________, DOES HEREBY SELL, TRANSFER, AND CONVEY unto said
(Full name of vendee), his/her heirs and assigns, that certain parcel (or parcels) of land, together
with all the buildings and improvements thereon belonging to the vendor and in present possession of
_____________________________________, situated in
______________________________________________________________________, and more particularly described
as follows, to wit:
(Description: State nature of each piece of land and its improvements, situation,
boundaries, area in square meters, whether or not the boundaries are visible on the land
by means of monuments or otherwise, and in the affirmative case, in what they consist;
the permanent improvements, if any, existing on the property for current year or years
when registration is made; the assessed value of the property for the year.)
That it is hereby declared that the boundaries of the foregoing land are visible by means of
___________________________; that the permanent improvements existing thereon consist of
_____________________________________________________________ (If none, state so); that the land is assessed
for the current year at ₱_________________________ as per Tax Declaration No. ___________________, and the
buildings and/or improvements, at ₱_________________________ as per Tax Declaration No.
___________________, of the City/Provincial Assessor of _____________________________________________;
The above-described real estate, not having been registered under Act No. 496 nor under the
Spanish Mortgage Law, the parties hereto have agreed to register this instrument under the provisions of
Section 194 of the Revised Administrative Code, as amended by Act No. 3344.
IN WITNESS WHEREOF, the parties hereto have signed this deed of transfer this _______ day of
_________________ 20______ in the City/Municipality of ___________________________, Philippines.
(Vendor) (Vendee)
____________________________________ ____________________________________
____________________________________
ACKNOWLEDGEMENT
_______________________________________
_______________________________________
______________________ ______________________
_______________________________________
_______________________________________
______________________ ______________________
known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date and
place above written.
DEED OF SALE
for and in consideration of the sum of __________________ PESOS (₱________), Philippine currency,
to me in hand paid by
(Full name of vendee), Filipino, of legal age with residence and post-office address at
__________________________________,
do hereby SELL, TRANSFER, and CONVEY unto the said ______________________________, his/her
heirs and assigns, the certain parcel (or parcels) of land, together with the buildings and improvements
thereon, situated in (City and Province), and more particularly described as follows:
(Copy here the description of the portion sold as subdivided as per plan and technical
description of such portion approved and certified by the Bureau of Lands)
which said parcel of land is a portion of Lot No. ___________, Block No. _________ of the Cadastral Survey of
the ____________________, as described in the Transfer Certificate of Title No. ____________________ of the
Registry of Deeds of ________________________________, issued in favor of
____________________________________;
That the remaining portion of parcel of land from which the above-described portion was
segregated, is described as follows:
(Copy here the description of the remaining portion as per plan and technical description
approved and certified by the Bureau of Lands)
IN WITNESS WHEREOF, I have hereunto signed this deed on this _______ day of _________________
20______ in the City/Municipality of ___________________________, Philippines.
(Vendor)
____________________________________ ____________________________________
____________________________________
ACKNOWLEDGEMENT
_______________________________________
_______________________________________
______________________ ______________________
_______________________________________
_______________________________________
______________________ ______________________
known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date and
place above written.
– and –
WITNESSETH
WHEREAS, the vendor/vendors is/are the true and lawful owner/owners of a condominium unit
including any and all improvements existing thereon, situated at
________________________________________, covered by Condominium Transfer Certificate of Title No.
____________________ of the Registry of Deeds of ______________________________________, and which
property is specifically described as follows:
WHEREAS, the Vendee has offered to buy the subject property from the Vendor/Vendors for and in
consideration of the sum of ________________________________________________ PESOS (₱__________________),
Philippine currency, and the Vendor/Vendors has/have accepted the offer;
WHEREAS, the VENDOR/VENDORS agrees/agree to shoulder and pay the corresponding capital
gain tax. Transfer of title to property from the VENDOR/VENDORS to the VENDEE shall be shouldered by
the latter. Notarial fee and costs of preparation of this deed of absolute sale shall be shouldered by the
34 2nd Semester, School Year 2015 – 2016
Co, Anne Lorraine Pongos |高安安
LEGAL FORMS | Atty. Erik C. Lazo Legal Forms Reviewer
VENDOR/VENDORS. The VENDEE, on the other hand, agrees to pay all real estate taxes from the time of
this deed of absolute sale is executed.
IN WITNESS WHEREOF, the parties hereto have signed this deed of transfer this _______ day of
_________________ 20______ in the City/Municipality of ___________________________, Philippines.
(Vendor) (Vendee)
By:
_____________________________
President
(in case of corporation)
____________________________________ ____________________________________
____________________________________
ACKNOWLEDGEMENT
_______________________________________
_______________________________________
______________________ ______________________
_______________________________________
_______________________________________
______________________ ______________________
known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date and
place above written.
This AGREEMENT OF EASEMENT OF RIGHT OF WAY, entered into this _______ day of
_________________ 20______, by and between “A”, owner of the dominant estate, of age, single (or married
to ___________________________________), and resident of __________________________________, and “B”, owner
of the servient estate, of age, single and resident of __________________________________,
WITNESSETH
which property is covered by Transfer Certificate of Title No. ____________________ of the Registry of Deeds
of the province of ______________________________________, which lot is adjacent to “B’s” property, and
more particularly described as follows:
which property is covered by Transfer Certificate of Title No. ____________________ of the Registry of Deeds
of the province of ______________________________________;
That “A”, in order to have access to and from, and to cultivate his/her above-mentioned land, and
so as to have an outlet to __________________________________, which is the nearest public road and least
burdensome to the servient estate and to third persons, it would be necessary for him/her to pass
through “B’s” property, and for this purpose, a path or passageway of not less than two (2) meters wide
through the whole length of the western side of “B’s” property is necessary for the use of “A” and for all
his/her needs in cultivating his/her estate;
That said path or passageway is particularly described in the attached plan, Annex “A”.
It is further agreed that “B” shall deliver unto “A” all the necessary papers, deeds, and titles in
relation to the servient estate in order to facilitate the registration of the above-mentioned right of way,
in accordance with law.
This agreement shall be binding between the parties and upon all their heirs, successors, and
assigns.
IN WITNESS WHEREOF, the parties hereto have signed this agreement the day and year first
above written, in the City/Municipality of ___________________________, Philippines.
____________________________________________
__________________________________________
(Signature of owner of dominant estate) (Signature of owner of
servient estate)
____________________________________ ____________________________________
____________________________________
ACKNOWLEDGEMENT
_______________________________________
_______________________________________
______________________ ______________________
_______________________________________
_______________________________________
______________________ ______________________
known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date and
place above written.