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Page No.

JUDICIAL FORM NO. 144


NOTARIAL REGISTRY OF ATTY. JEREMIAH JEROME R. CRUZ of Baguio City, Philippines for
the year 2016
Under the Appointment made on ________________30 January 2016__________________ and expiring on December 31, 2018
No.

Nature of Instrument

Name
of
Person

(Executing)
(Swearing)
(Acknowledging)

Witnesses
to
Signature

Date

Residence Certificate
Number
Date and Place of
Issue

Affidavit of Loss (ID)

CHRISTINEJOYD.PRESTOZA

01 February 2016

75231240

January 13, 2016


Baguio City

Affidavit of Loss (Passport)

DOMINGOMONDRAGON

03 February 2016

4592934

January 9, 2016
Baguio City

ERICKGANZA

03 February 2016

00321731

January 4, 2016
Baguio City

HARDY PENYOKO

04 February 2016

4582200N

January 29, 2016


Baguio City

RICKYMARTINS

05 February 2016

XX81283

February 14, 2016


Baguio City

2
Affidavit of Loss (ATM)
3

Affidavit of Explanation (Re:


Mutilated Passport)

Drivers Affidavit

I HEREBY CERTIFY THAT DURING (__________________)


THE PAST WEEK
(__________________)
(__________________)

instrument
were

(Executed
Sworn to)
(Acknowledged)

BEFORE ME

ATTY. JEREMIAH JEROME CRUZ


Notary Public

Page No. 2

JUDICIAL FORM NO. 144


NOTARIAL REGISTRY OF ATTY. JEREMIAH JEROME CRUZ of Baguio City, Philippines for the
year 2016
Under the Appointment made on ________________30 January 2016__________________ and expiring on December 31, 2017
No.

Nature of Instrument

Name
of
Person

(Executing)
(Swearing)
(Acknowledging)

Witnesses
to
Signature

Date

Residence Certificate
Number
Date and Place of
Issue

JOHNMARKBAGANO

05 February 2016

03344562

January 6, 2016
Baguio City

AffidavitofMechanicsLien

AffidavitofChangeofColorof
MotorVehicle

PALMERBUGTONG

06 February 2016

01-1458684-02

January 16, 2016


Baguio City

AffidavitofChangeofEngineof
MotorVehicle

MARIOTAMBLING

06 February 2016

00539652

January 10, 2016


Baguio City

AffidavitofDeclarationof
Ownership

KENNETHESPINOLA

06 February 2016

026533

January 10, 2016


Baguio City

10

AffidavitofService

MELANIOSINGSON

06 February 2016

00258646

January 24, 2016


Baguio City

BIBOYPOGI
SINGSON

I HEREBY CERTIFY THAT DURING (__________________)


THE PAST WEEK
(__________________)
(__________________)

instrument
were

(Executed
Sworn to)
(Acknowledged)

BEFORE ME

ATTY. JEREMIAH JEROME CRUZ


Notary Public
Page No. 3

JUDICIAL FORM NO. 144


NOTARIAL REGISTRY OF ATTY. JEREMIAH JEROME CRUZ of Baguio City, Philippines for the
year 2016
Under the Appointment made on ________________30 January 2016__________________ and expiring on December 31, 2017
No.

Nature of Instrument

11

AffidavitofPublication

12

Name
of
Person

(Executing)
(Swearing)
(Acknowledging)

Witnesses
to
Signature

Date

Residence Certificate
Number
Date and Place of
Issue

MERCYREINALYNHEIDI

06 February 2016

77453219,

January 7, 2016
Baguio City

JointAffidavitofCohabitation

MELANIODEODOROSINGSON
MARIAMERCEDES

06 February 2016

00265482
00265492

January 17, 2016


Baguio City

13

AffidavitofCoownership

ZANDROANDRESDOMLING

06 February 2016

00552521

January 15, 2016


Baguio City

14

AffidavitofConsentforTraveland
SupportofaMinor

KARLOGOSINGSON
MERCEDESMARIESINGSON

06 February 2016

00265522
00265532

January 7, 2016
Baguio City

15

AffidavitofDesistance

MONROETABINGAN

06 February 2016

EB8788426

January 8, 2016
Baguio City

I HEREBY CERTIFY THAT DURING (__________________)


THE PAST WEEK
(__________________)
(__________________)

instrument
were

(Executed
Sworn to)
(Acknowledged)

BEFORE ME

ATTY. JEREMIAH JEROME CRUZ


Notary Public

Page No. 4

JUDICIAL FORM NO. 144


NOTARIAL REGISTRY OF ATTY. JEREMIAH JEROME CRUZ on Baguio City, Philippines for the
year 2016
Under the Appointment made on ________________30 January 2016__________________ and expiring on December 31, 2017
No.

Nature of Instrument

Name
of
Person

(Executing)
(Swearing)
(Acknowledging)

Witnesses
to
Signature

Date

Residence Certificate
Number
Date and Place of
Issue

AffidavitofDiscrepancy

KEVINGUMPAD

06 February 2016

00248456

January 18, 2016


Baguio City

AffidavitofTwoDisinterested
Persons

CHICKENJOYRUIZ
JOLLIBEERUIZ

06 February 2016

00265252
00265262

January 13, 2016


Baguio City

SupplementalAffidavit

KENNETHRAMSEY

06 February 2016

00552416

January 27, 2016


Baguio City

06 February 2016

AffidavitofPaternity

BRANDOROMERO
LINDAROMERO

04322256
04333566

January 22, 2016


Baguio City

16

17

18

19
AffidavitofLegitimation
20

DANA PERIZZA
HAROLD QUERUBIN

I HEREBY CERTIFY THAT DURING (__________________)


THE PAST WEEK
(__________________)
(__________________)

instrument
were

07 February 2016

(Executed
Sworn to)
(Acknowledged)

BEFORE ME

JJ8822089
QQ7644120

January 23, 2016


Baguio City

ATTY. JEREMIAH JEROME CRUZ


Notary Public

Page No. 5

JUDICIAL FORM NO. 144


NOTARIAL REGISTRY OF ATTY. JEREMIAH JEROME CRUZ of Baguio City, Philippines for the
year 2016
Under the Appointment made on ________________30 January 2016__________________ and expiring on December 31, 2017

No.

Nature of Instrument

Name
of
Person

(Executing)
(Swearing)
(Acknowledging)

Witnesses
to
Signature

Date

Residence Certificate
Number
Date and Place of
Issue

AffidavitofIllegitimacy

TENTENAQUINO

07 February 2016

19412195

January 22, 2016


Baguio City

AffidavitofGuardianship

CHRISTINEJOYD.PRESTOZA

07 February 2016

112-333-478

January 28, 2016


Baguio City

MAXABALADO

08 February 2016

DD1478998

21

22
AffidavitofSupport

January 18, 2016


Baguio City

23
AffidavitofSelfadjudication

JEFFERSONU.SIMEON

08 February 2016

00258882

January 7, 2016
Baguio City

MADIK AMO TI NAGAN NA

08 February 2016

08301984

January 30, 2016


Baguio City

24
AffidavitofEmployment
25
I HEREBY CERTIFY THAT DURING (__________________)
THE PAST WEEK
(__________________)
(__________________)

instrument
were

(Executed
Sworn to)
(Acknowledged)

BEFORE ME

ATTY. JEREMIAH JEROME CRUZ


Notary Public

Page No. 6

JUDICIAL FORM NO. 144


NOTARIAL REGISTRY OF ATTY. JEREMIAH JEROME CRUZ of Baguio City, Philippines for the
year 2016
Under the Appointment made on ________________30 January 2016__________________ and expiring on December 31, 2017
No.

Nature of Instrument

Name
of
Person

(Executing)
(Swearing)
(Acknowledging)

Witnesses
to
Signature

Date

Residence Certificate
Number
Date and Place of
Issue

AffidavitofNoPendingCase

ANTONIOMALER

08 February 2016

00242822

January 31, 2016


Baguio City

AffidavitofNonOperationof
Business

REBECABENINSIG

08 February 2016

A01-2819318

January 14, 2016


Baguio City

26

27

AffidavitofTransferor

CYBILMORALES

08 February 2016

NN42552

January 24, 2016


Baguio City

AffidavitofTransferee

NATASHAPAGULAYAN

08 February 2016

NNT25332

January 16, 2016


Baguio City

AffidavitofUndertaking

ERIKAPAYOYO

08 February 2016

2EESGHH

January 4, 2016
Baguio City

28

29

30
I HEREBY CERTIFY THAT DURING (__________________)
THE PAST WEEK
(__________________)
(__________________)

instrument
were

(Executed
Sworn to)
(Acknowledged)

BEFORE ME

ATTY. JEREMIAH JEROME CRUZ


Notary Public

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