LEGAL FORMS Under ATTY. LAZO Sunday Class (3:00 - 5:00 pm) Compiled by: EUNICE R. TABINAS ARELLANO UNIVERSITY SCHOOL OF LAW JURAT vs. ACKNOWLEDGMENT JURAT SUBSCRIBED AND SWORN TO before me in the City of _______________ on this day of _________________, affiant exhibiting before me his Government Issued ID no. _______________ issued on __________________ at _____________________. (Sgd.) N. O. TARIO Notary Public Until __________________ PTR No. _______________ Issued at ______________ On ___________________ Doc. No. Page No. Book No. Series of 2007. ACKNOWLEDGMENT Republic of the Philippines ) City of Manila ) s.s. BEFORE ME, this 13 th day of April, 2007 in the City of Manila, Philippines, personally appeared ATTICUS FINCH, with [Valid Identification Document] (Driver’s License No. N25-07-007777) issued by the [official agency] (Land Transportation Office) on 10 January 2007, known to me to be the same person who executed the foregoing instrument, and who acknowledged to me that the same is his free act and deed. IN WITNESS WHEREOF, I have set my hand and affixed my Notarial seal on the day, year and place written. (Sgd.) N. O. TARIO Notary Public Until __________________ PTR No. _______________ Issued at ______________ On ___________________ Doc. No. Page No. Book No. Series of 2007
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LEGAL FORMS
Under ATTY. LAZO Sunday Class (3:00 - 5:00 pm) Compiled by: EUNICE R. TABINAS ARELLANO UNIVERSITY SCHOOL OF LAW
JURAT vs. ACKNOWLEDGMENT
JURAT
SUBSCRIBED AND SWORN TO before me in the City of _______________ on this day of _________________, affiant exhibiting before me his Government Issued ID no. _______________ issued on __________________ at _____________________.
(Sgd.) N. O. TARIO Notary Public
Until __________________ PTR No. _______________ Issued at ______________ On ___________________
Doc. No. Page No. Book No. Series of 2007.
ACKNOWLEDGMENT
Republic of the Philippines ) City of Manila ) s.s. BEFORE ME, this 13th day of April, 2007 in the City of Manila, Philippines, personally appeared ATTICUS FINCH, with [Valid Identification Document] (Driver’s License No. N25-07-007777) issued by the [official agency] (Land Transportation Office) on 10 January 2007, known to me to be the same person who executed the foregoing instrument, and who acknowledged to me that the same is his free act and deed. IN WITNESS WHEREOF, I have set my hand and affixed my Notarial seal on the day, year and place written.
(Sgd.) N. O. TARIO Notary Public
Until __________________ PTR No. _______________ Issued at ______________ On ___________________
Doc. No. Page No. Book No. Series of 2007
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 2 Sunday (3-5 pm) Arellano University School of Law
NOTE: If the instrument consists of 2 or more pages, include the following after the 1st paragraph: This instrument, consisting of ___ pages, including the page on which this acknowledgment is written, has been signed on the left margin of each and every page thereof by ___________ and his witnesses (if any), and sealed with my Notarial Seal. NOTE: If the instrument conveys 2 or more parcels of land, include the following after the 1st paragraph: This instrument relates to the sale (or mortgage) of ___ parcels of land, and consists of ___ pages including the page on which this acknowledgment is written, each and every page of which, on the left margin, having been signed by ______________ and his witnesses (if any), and sealed with my Notarial seal.
SAMPLE LEGAL FORMS
AFFIDAVIT OF LOSS
PAWNSHOP TICKET REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF _____ ) S.S.
x-------------------------------------x
AFFIDAVIT OF LOSS
I, ___________________, of legal age, Filipino, single and a resident of _______________________________, after
having been duly sworn to in accordance with law, depose and state THAT:
1. Sometime on ______________, I pawned my _________ with Tambunting Pawnshop located at
_____________________ and for which I was issued Pawn Ticket/Receipt No. _________;
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 ___________________ in
____________, Philippines.
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 3 Sunday (3-5 pm) Arellano University School of Law
____________________
Affiant
GSIS ID No. _____________
SUBCRIBED AND SWORN TO before me this ___________________ in _________________, Philippines, affiant
exhibiting to me his valid proof of identification.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.
DRIVER’S LICENSE
REPUBLIC OF THE PHILIPPINES)
CITY OF MAKATI ) S.S.
x----------------------------x
AFFIDAVIT OF LOSS
I, ___________________, of legal age, Filipino, (single/married/widow) 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 _____________;
2. Sometime on ____________, said driver's license was misplaced and got lost;
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 ___________________ in Makati City,
Metro Manila, Philippines.
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 4 Sunday (3-5 pm) Arellano University School of Law
____________________
Affiant
SSS ID No. _____________
SUBCRIBED AND SWORN TO before me this ___________________ in _________________, Philippines, affiant
exhibiting to me his/her competent evidence of identity by way of __________________ issued at
______________ on __________________.
Doc. No. _____;
Page No. _____;
Book No. _____; Series of 2013.
PASSPORT
REPUBLIC OF THE PHILIPPINES)
CITY OF MAKATI ) S.S.
x----------------------------------x
AFFIDAVIT OF LOSS
I, ___________________, of legal age, Filipino, single and a resident of _______________________________, after
having been duly sworn to in accordance with law, depose and state THAT:
1. On January 12, 2010, I was issued a Philippine Passport by the Department of Affairs in Manila;
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 ___________________ in Makati City,
Metro Manila, Philippines.
____________________
Affiant
GSIS ID No. _____________
SUBCRIBED AND SWORN TO before me this ___________________ in _________________, Philippines, affiant
exhibiting to me his valid proof of identification.
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 5 Sunday (3-5 pm) Arellano University School of Law
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.
PETITION FOR NOTARIAL COMMISSION
Republic of the Philippines
REGIONAL TRIAL COURT OF CEBU 7th Judicial Region
OFFICE OF THE EXECUTIVE JUDGE Cebu City
IN THE MATTER OF THE PETITION FOR RENEWAL OF COMMISSION AS NOTARY PUBLIC FOR THE CITY OF CEBU AND CITIES/MUNICIPALITIES OF THE PROVINCE OF CEBU UNDER THE TERRITORIAL JURISDICTION OF THIS HONORABLE COURT Notarial Commission No. : __________
MAGDALENA M. R. LEPITEN Petitioner. x----------------------------------------x
P E T I T I O N
PETITIONER, MAGDALENA M. R. LEPITEN to this Honorable Court, most respectfully files this
petition/application for renewal of her Commission as a Notary Public for the province and in the City
of Cebu, for a term commencing on Jan. 1, 2012 and ending on Dec. 31, 2013. In support of this petition,
she states, that:
1. 1. She was previously granted a Notarial Commission by Order dated Nov. 25, 2009 signed by
then Executive Judge Meinrado Paredes . Attached is a copy of the Order marked as Annex “A.”
2. 2. She possesses the eligibility for commissioning as Notary Public as shown by her following
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 6 Sunday (3-5 pm) Arellano University School of Law
personal circumstances:
a. Nationality : Filipino
b. Date/ Place of Birth : July 22,1961/ Tacloban City
c. Residence : 33 Dapdap St., Mambaling, Cebu City
d. Telephone No. : 2548005
e. PTR Number : 875649 January 6, 2011, Cebu City
f. Roll of Attorney No. : 36617, April 11, 1990
g. IBP Number : 567022 Lifetime Cebu City
3. She has satisfactorily completed the required course in law at the Manuel L. Quezon
University, Manila on April 10, 1989; passed the Bar Examinations of September, 1989 and
admitted to the practice of law in April 11, 1990;
4. She holds office at the following address:
LEPITEN & BOJOS LAW OFFICE 21-F Don Pedro Rodriguez St., Capitol Site, Cebu City 6000 Philippines
5. That she is a resident of the Philippines since birth;
6. She has not been convicted, much less, charged with any offense involving moral turpitude;
7. She is a member of good standing of the Philippine Bar as shown by the following certification: a. Certification of No Pending Administrative Case issued by the Bar Confidant’s Office of the Supreme Court, Manila (Annex “B”), b. Certification of No Criminal Case filed against her issued by the Office of the Clerk of Court, Regional Trial Court, Cebu City (Annex “C”).
c. Certification as a Member of Good Standing issued by the IBP-Cebu Province Chapter (Annex “D”).
8. Three of her identification pictures with corresponding signatures at the bottom are
attached in this petition;
9. She has not applied for nor was she issued a Commission as a Notary Public in any other
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 7 Sunday (3-5 pm) Arellano University School of Law
jurisdiction for the current year;
10. Attached hereto is a separate sheet of paper and forms part of this petition containing three
(3) specimens of petitioner’s signature.
11. She undertakes to submit or report to the Office of the Clerk of Court copies of all deeds
notarized by her.
12. SUBMITTED. Dec. 2, 2011, Cebu City, Philippines.
ATTY. MAGDALENA R. LEPITEN Petitioner LEPITEN AND BOJOS LAW OFFICE
21-F Don Pedro Rodriguez St., Capitol Site, Cebu City, Philippines Roll No. 36617 MCLE Compliance No.: III-0007418 PTR No 875649 January 6, 2011, Cebu City IBP No. 567022 Lifetime
VERIFICATION
I, MAGDALENA M.R. LEPITEN, Filipino, of legal age, married and a resident of 33 Dapdap St., Mambaling, Cebu City, after being duly sworn to in accordance with law hereby state:
1. That I am the petitioner of the above instant case.
2. That I have caused the preparation of the above-entitled petition.
3. That I have read the same and that it is true and correct based on my personal knowledge or
based on authentic records.
4. That I hereby certify under oath in this petition as follows:
a. I have not theretofore commenced any action or filed any action or claim involving the same issue in any court, tribunal or quasi-judicial agency and, to the best of my knowledge, no such other pending action or claim is pending therein;
b. If there is such other pending action or claim, a complete statement of the present status
thereof; and
c. If I should thereafter learn that the same or similar action or claim has been filed or is pending, I shall report that fact within five (5) days therefrom to the court wherein the aforesaid
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 8 Sunday (3-5 pm) Arellano University School of Law
complaint or initiatory pleading has been filed. IN WITNESS WHEREOF, I have hereunto affixed my signature this , Cebu City, Philippines.
ATTY. MAGDALENA M.R LEPITEN CTC No.:11385970 Issued on Jan. 4, 2010 Issued at Cebu City
SUSBCRIBED AND SWORN TO before me, a notary in the Province and City of Cebu, personally appeared above name with hers Community Tax Certificate Number as shown above, who is personally known to me to be the same and/ or identified through competent evidence of identity as defined by Rules on Notarial Practice, who presented the foregoing instrument and signed the instrument in my presence, and who took an oath before me as to such instrument.
DEED OF ABSOLUTE SALE KNOW ALL MEN BY THESE PRESENTS: I, MA YA MAN, Filipino, single, and resident of _________________________, for and in consideration of the amount of _______________________, paid to me today by MA GU LANG, Filipino, single and resident
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 9 Sunday (3-5 pm) Arellano University School of Law
of ________________ do hereby SELL, TRANSFER and CONVEY absolute and unconditionally unto said MA GU LANG that certain parcel(s) of land, together with the buildings and improvements thereon situated in the City of Makati, and more particularly described as follows:
(Technical Description of property/ies; specify metes and bounds of the property/ies with approximate area thereof, as indicated on the face of the title)
of which I am the registered owner in fee simple, my title thereto being evidenced by Transfer (or Original) Certificate of Title No. ______, issued by the Register of Deeds of Makati City. It is hereby mutually agreed that the vendee shall bear all expenses for the execution and registration of this deed of sale. IN WITNESS WHEREOF, I have signed this deed this 7th day of July, 2007 at Makati City.
MA YA MAN Vendor
[Note: if vendor is married, marital consent must be secured; thus, the Deed must also indicate this. If vendor is married, then add the following:]
With my consent:
ASA WA Vendor’s Wife
SIGNED IN THE PRESENCE OF:
(Sgd.) MIRON 1
(Sgd.) MIRON 2
PLUS: Acknowledgment
UNREGISTERED LAND Republic of the Philippines ) Makati City ) s.s.
DEED OF ABSOLUTE SALE KNOW ALL MEN BY THESE PRESENTS: I, MA YA MAN, Filipino, single, and resident of _________________________, for and in consideration of the amount of __________, paid to me today by MA GU LANG, Filipino, single and resident of _______________________ do hereby SELL, TRANSFER and CONVEY absolutely and unconditionally unto said MA GU LANG that certain parcel(s) of land, together with the buildings and improvements thereon situated in the City of Makati, and more particularly described as follows:
(Description: state the nature of each piece of land and its improvements, situations and boundaries, area in square meters, whether or not the boundaries are visible on the
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 10 Sunday (3-5 pm) Arellano University School of Law
land by means of monuments or otherwise; and if they are, what they consist of, the permanent improvements, if any, the page number of the assessment of each property for current year or years when registration is made, the assessed value of the property for the year)
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 P______________ as per Tax Declaration No. __________, and the buildings and/or improvements , at P____________ as per Tax Declaration No. _________, of the City Assessor of Makati. 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 Sec. 194 of the Revised Administrative Code, as amended. IN WITNESS WHEREOF, I have signed this deed this 7th day of July, 2007 at Makati City.
MA YA MAN Vendor
[Note: if vendor is married, marital consent must be secured; thus, the Deed must also indicate this. If vendor is married, then add the following:]
With my consent:
ASA WA Vendor’s Wife
SIGNED IN THE PRESENCE OF:
(Sgd.) MIRON 1
(Sgd.) MIRON 2
PLUS: Acknowledgment
PARCEL OF LAND Republic of the Philippines ) Makati City ) s.s.
DEED OF SALE WITH PACTO DE RETRO This Deed of Sale with Pacto de Retro made and executed by and between:
MA YA MAN, Filipino, of legal age, married to ASA WA, with residence at ___________________ (VENDOR),
- and -
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 11 Sunday (3-5 pm) Arellano University School of Law
MA GU LANG, Filipino, of legal age, married to BA TAPA, with residence at ____________ (VENDEE);
WITNESSETH: That–
The VENDOR is the absolute owner of a certain parcel of land with all the buildings and improvements thereon, situated in the City of Makati, and more particularly described, as follows:
(Copy technical description in TCT/OCT) his title thereto shown by Transfer (or Original) Certificate of Title No. ______ issued by the Register of Deeds of Makati; The VENDOR, for and in consideration of the amount of _________________ Pesos (P_____), to him paid by VENDEE and receipt of which is acknowledged, does hereby SELL, TRANSFER and CONVEY under pacto de retro unto the said VENDEE, his heirs and assigns, the property with all the buildings and improvements thereon, free from all liens and encumbrances whatsoever; The VENDOR, in executing this conveyance, hereby reserves the right to REPURCHASE, and the VENDEE, in accepting the same, hereby obligates himself to RESELL the property herein conveyed within a period of ____ years from date of this deed for the same price of ______________ (P____); Provided, however, that if the VENDOR shall fail to exercise his right to repurchase as herein granted within the period provided, then this conveyance shall become absolute and irrevocable, without need of a new Deed of Absolute Sale, subject to the requirements of law regarding consolidation of ownership of real property. IN WITNESS WHEREOF, I have signed this deed this 7th day of July, 2007 at Makati City.
MA YA MAN MA GU LANG Vendor Vendee
With my marital consent: With my marital consent: ASA WA BA TAPA
SIGNED IN THE PRESENCE OF:
(Sgd.) MIRON 1
(Sgd.) MIRON 2
PLUS: Acknowledgment
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 12 Sunday (3-5 pm) Arellano University School of Law
AFFIDAVIT OF SERVICE
Republic of the Philippines)
Province of ____________________)S.S.
City/Municipality of _____________)
x - - - - - - - - - - x
AFFIDAVIT OF SERVICE
I, _____________, of legal age, (single / married / widow), and a resident of _____________, Philippines, after
having been duly sworn in accordance with law, hereby depose and say:
That I am a Secretary / Legal Aide of the law office of Atty. _____________ with office address at
_____________, Philippines;
That in my aforementioned capacity, I had personally served a copy of the _____________ in the case
entitled "_____________," docketed as _____________ Case no. _____________ (by personal service) to the office
of _____________'s Counsel of Record, ATTY. _____________, with address at _____________ (by registered mail
with return card under Registry Receipt No. _________).
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________, Philippines
AFFIANT
(JURAT)
AFFIDAVIT OF DESISTANCE (ESTAFA CASE)
Republic of the Philippines
National Capital Judicial Region
METROPOLITAN TRIAL COURT
Branch LXII (62)
Makati City
PEOPLE OF THE PHILIPPINES,
Plaintiff,
- versus - Crim. Case No. 111222
REY L. MAPA,
Defendant.
x-------------------------------------------x
LEGAL FORMS under ATTY. LAZO Compiled By: EUNICE R. TABINAS Page 13 Sunday (3-5 pm) Arellano University School of Law
AFFIDAVIT OF DESISTANCE
I, FERDINAND M. GERON, Filipino, of legal age, married, and with office address at Pure Finance
Corporation, 1234 Chino Roces Avenue, Makati City, after having been duly sworn to in accordance
with law, depose and state:
1. That I am the authorized representative of PURE FINANCE CORPORATION, the private complainant
in Criminal Case No. 111222 against REY L. MAPA for violation of Batas Pambansa Bilang 22
pending before the Metropolitan Trial Court of Makati City, Branch 62 (copy of the Secretary's
Certificate is hereto attached as Annex "A" and form and integral part hereof;
2. That after a careful evaluation of the facts surrounding the case, I came to realize that the case arose
out of misapprehension of facts and that the account of the accused has already been settled even
prior to the filing of this case;
3. That I have decided not to pursue the case against the accused considering that under the
circumstances, it will be extremely difficult for the prosecution to secure conviction of the accused;
4. That because of the foregoing reasons, I am now desisting in the further prosecution of the case and
will no longer testify against the accused.
IN WITNESS WHEREOF, I have hereunto set my hand this 7th day of August 2013 at Makati
City, Philippines.
FERDINAND M. GERON
Affiant
Philippine Passport No. _____
Issued at: ________________
Issued on: _______________
SUBCRIBED AND SWORN TO before me this 7th day of August 2013 at Makati City, Philippines. I
hereby certify that I have examined the affiant personally and that he voluntarily executed his