Professional Documents
Culture Documents
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 1 st
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.
PAWNSHOP TICKET
have
hereunto
set
my
hand
this ___________________ in
Page 2
____________________
Affiant
GSIS ID No. _____________
DRIVERS 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
Sunday (3-5 pm) Arellano University School of Law
Page 3
____________________
Affiant
SSS ID No. _____________
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. _____________
Page 4
MAGDALENA M. R. LEPITEN
Petitioner.
x----------------------------------------x
PETITION
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
Page 5
personal circumstances:
a.
Nationality : Filipino
b.
c.
d.
e.
f.
g.
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 Confidants 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
Sunday (3-5 pm) Arellano University School of Law
Page 6
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:
Page 7
DEED OF SALE
REGISTERED 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
LEGAL FORMS under ATTY. LAZO
Compiled By: EUNICE R. TABINAS
Sunday (3-5 pm) Arellano University School of Law
Page 8
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
Vendors 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
Sunday (3-5 pm) Arellano University School of Law
Page 9
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
Vendors 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 -
Page 10
MA GU LANG
Vendee
Page 11
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)
REY L. MAPA,
Defendant.
x-------------------------------------------x
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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
affidavit and understood the same.
PUBLIC PROSECUTOR
Page 13
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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 the year
first above written, in the municipality of _______________, province of _______________, Philippines.
__________________________
(Signature of owner of the
dominant estate)
__________________________
(Signature of owner of
servient estate)
___________________________
ACKNOWLEDGMENT
Page 15
THAT said deceased, at the time of his death, left a certain real property, situated in Makati City and
more particularly described as follows, to wit:
(Technical Description of property; specify metes
and bounds of the property with approximate area
thereof, as indicated on the face of the title)
THAT pursuant to Section 1 of Rule 74 of the Revised Rules of Court of the Philippines, and we
being all of age and with full capacity to contract, we do hereby adjudicate unto ourselves the land
described above, in equal shares.
IN WITNESSS WHEREOF, we have hereunto signed this AGREEMENT, this 2nd day of October
2013 in the City of Makati, Philippines.
LEILA M. SANTOS
MILA M. SANTOS-RUBIO
JOSE M. SANTOS
__________________________
Witness
_____________________________
Witness
ACKNOWLEDGMENT
Republic of the Philippines)
City of Makati
) S.S.
BEFORE ME, a Notary Public, for and in the City of Makati, this 2ndday of October 2013
personally
appeared:
Name
____________________
____________________
LEGAL FORMS under ATTY. LAZO
Compiled By: EUNICE R. TABINAS
Sunday (3-5 pm) Arellano University School of Law
Identification Card
________________
________________
Issued On/At
_____________
_____________
Page 16
____________________
____________________
________________
________________
_____________
_____________
all known to me to be the same persons who executed the foregoing instrument and hereby
acknowledged to me that the same is their free and voluntary act and deed.
This instrument consisting of two (2) pages, including this page on which this acknowledgment is
written refers to an EXTRAJUDICIAL SETTLEMENT OF ESTATE and has been signed by the parties and
their witnesses and sealed with my notarial seal.
WITNESS MY HAND AND NOTARIAL SEAL.
Doc. No. ____
Page No. ____
Book No. ____
Series of 2013.
AFFIDAVIT OF SELF-ADJUDICATION
AFFIDAVIT OF SELF-ADJUDICATION
I, MARIA B. DELA CRUZ, of legal age, Filipino, single and a resident of 6789 Washington Street,
Pio del Pilar, Makati City, after having been duly sworn to in accordance with law, depose and state:
1. That I am the only daughter of JUAN B. DELA CRUZ who died without any last will and testament
on July 20, 2013 in Makati City as evidenced by his Death Certificate issued by the City of Makati
hereto attached as Annex A and made an integral part of this Affidavit;
2. That at the time his death, my father had no debts, liabilities or obligations to any persons, agency
or institution;
3. That the only property he left is a parcel of land consisting of 60 square meters located in J.B. Roxas
Street, Makati City more particularly described in TCT No. 112233 hereto attached as Annex
B and made an integral part of this Affidavit;
4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto myself the abovedescribed real estate by means of this Affidavit and hereby files the same with the Register of Deed
of Makati City with the request that the said adjudication be made effective without judicial
proceeding as prescribed by the aforementioned provision of the Rules of Court.
IN WITNESS WHEREOF, I have hereunto set my hand this 26th day of September 2013 in Makati
City, Metro Manila, Philippines.
LEGAL FORMS under ATTY. LAZO
Compiled By: EUNICE R. TABINAS
Sunday (3-5 pm) Arellano University School of Law
Page 17
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