Petition Notary Template
Petition Notary Template
Petition Notary Template
____________
Petitioner
x-----------------------------------------------------------x
PETITION
3. Petitioner has not been accused of any crime involving moral turpitude
before any court or tribunal in the Philippines.
5. Petitioner is not a government employee nor has he applied for the same
commission in any other jurisdiction.
6. Petitioner has paid his membership fee with the Integrated Bar of the
Philippines as per IBP Official Receipt No. ___________ dated ________, 2010, a
photocopy of which is attached hereto as Annex “B”. He has also paid the Professional
Tax Receipt due his as evidenced by PTR No. ___________ dated _________, 2010
a photocopy of which is also attached herewith as Annex “C”.
7. The true impression of Petitioner’s notarial seal is attached to this Petition
together with the three specimens of his signature as Annexes “D” and “E” respectively.
PRAYER
Respectfully submitted.
NAME
PTR No. _______/7-28-10/Makati City
IBP No. _______/4-28-10/Quezon City
VERIFICATION
3. I certify that I have read and understood the contents thereof and verify that
the facts stated therein are true and correct based on my personal knowledge
and authentic records.
SUBSCRIBED AND SWORN to before me this ____ day of August 2010, affiant
exhibiting to me his Driver’s License No. __________ issued by the Land
Transportation Office of Quezon City and which will expire on ______, 2011.
Doc. No.
Page No.
Book No.
Series of 2010.
Annex “E”
_________________________
_________________________
_________________________
[c] His Office Address:
Annex “D”
Annex “C”