Legal Forms
Legal Forms
Legal Forms
I, (Insert Name of Affiant) , Filipino citizen, of legal age, single/married to (Insert Name
of Spouse if any), and a resident of (Insert Address of Affiant), after having been duly sworn in
accordance with law, hereby depose and say:
1. That................................................................................................................
...........................................................................................................................
...........................................................................................................................
2. ........................................................................................................................
............................................................................................................................
............................................................................................................................
3. ........................................................................................................................
............................................................................................................................
............................................................................................................................
Further Affiant sayeth none.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ......... day
of ..................... , 20__ in ..................................... Philippines.
........................................................................
(Signature of Affiant over Printed Name)
SUBSCRIBED AND SWORN before me this........ day of ........................... 20__,
by ............................................. who exhibited to me his CTC No. ...................................
issued on ................................. at ...........................................
Notary Public
Doc. No. .........:
Page No. .........;
Book No. .........;
Series of 20__.
AFFIDAVIT OF LOSS
REPUBLIC OF THE PHILIPPINES)
_____________________________ ) S.S.
I, (Name of Affiant)., Filipino, of legal age, residing at (Address of Affiant), after having been
sworn in accordance with law hereby depose and state:
That I am the true and lawful owner of a certain motor vehicle which is
more particularly described as follows:
MAKE : MOTOR NO. :
SERIES : SERIAL/CHASSIS NO. :
TYPE OF BODY : PLATE NO. :
YEAR MODEL : FILE NO. :
(Change the declaration below to the actual circumstances)
That sometime in June of this year, I was looking for the original
Certificate of Registration of my car but to my surprise, said Owner’s original
Copy could not found;
That I took pains to look for said Certificate of Registration, but to no
avail;
That I am executing this affidavit to attest to the truth of the foregoing
and to request from the Land Transportation Office of Angeles City, a copy of
said Certificate of Registration.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______________. 20___
at _________________________.
(Name Over Signature of
Affiant)
SUBSCRIBED AND SWORN to before me, this ____ day of ______________, 20___ in
___________________ City, with affiant exhibiting his CTC No. _______________ ,
Issued on ______________________ at _________________________.
NOTARY PUBLIC
Until December 31, 200___
Doc. No. : ________;
Page No. : ________;
Book No. : ________;
Series of 20_______.
ACKNOWLEDGEMENT RECEIPT
Received from Atty. Juan Santos the amount of One
Hundred Thirty Five Thousand Pesos
(P135,000.00) Philippine Currency representing the
partial payment of:
A parcel of land……
Received by:
Victor Gonzalez
ACKNOWLEDGEMENT OF DEBT
That I am indebted in the sum of________ (amount in words) __________ PESOS (P:
000,000.000), Philippine Currency, to _________________________________________ also a
Filipino, of legal age, single / married to _______________________________________ with postal
address at ______________________________________________________.
That I shall pay the sum of _________________________________ PESOS (P 000,000.00) unto the
said ____________________________ within a period of (state the repayment period -
days/months/years) from the execution hereof, with interest at the rate of (state the interest
rate in words) (0.0 %) percent per year.
IN WITNESS WHEREOF I have affixed my signature hereto this _____ day of ____________, 20__
at ___________________________. at___________________________, Philippines.
_____________________________
(Printed Name Over Signature)
WITNESSES:
________________________ _______________________
ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES)
_____________________________ ) SS.
Notary Public
AFFIDAVIT OF DESISTANCE
REPUBLIC OF THE PHILIPPINES)
CITY OF MANILA ) S.S.
I, Juan del la Cruz, of legal age, single, and a resident of # 123
Main St., Malate, Manila, after having duly sworn to in accordance
with law hereby depose and state:
1. I am the complaining witness for Serious Physical Injuries
against Jesus Santos in the case entitled "People of the Philippines
versus Jesus Santos", Criminal Case No. 12345, Metropolitan Trial
Court, Branch No. 11, City of Manila.
2. After my sober and soul searching assessment and analysis of
the incident, I have realized that because I was not wearing
my eyeglasses and it was dark, I can not point out, without a doubt
the accused or any other person/s who inflicted harm against me.
3. Since I could not state with certainty and without doubt
the liability of Jesus Santos, in fairness to him, I am permanently
withdrawing my complaint against him. I clear him of whatever
responsibility or liability to me.
4. I hereby inform the City Prosecutor of Manila that I am
withdrawing my complaint for Serious Physical Injuries in
Criminal Case No. 12345 entitled "People of the Philippines versus
Jesus Santos", Metropolitan Trial Court, Branch No. 11, City of
Manila.
5. I likewise request the Metropolitan Trial Court, Branch No. 11,
City of Manila to dismiss with prejudice the said criminal case.
IN WITNESS WHEREOF, I hereby set my hand this __ day of
September 20__ at the City of Manila.
Juan de la Cruz
Complaining Witness
SUBSCRIBED AND SWORN to before me this 22nd day of January
20__ at the City of Manila, Philippines.
Romeo Abad
Public Prosecutor
EXCLUSIVE (or NON-EXCLUSIVE) AUTHORITY TO SELL (or LEASE)
THIS IS TO AUTHORIZE (Name), of legal age, a resident of (Address) , to do and perform any
and all of the following acts:
(In case of a corporation, replace above with: THIS IS TO AUTHORIZE [Name of Corporation],
a domestic corporation existing under and by virtue of the laws of the Philippines, with principal
office located at [Address], to do and perform the following acts:)
TO SELL (or TO RENT OUT) my house and lot located at (Address), more particularly described as
follows:
Block No. _________ Lot No. __________ Lot Area: __________ square meters
Transfer Certificate of Title No. __________
That (Name /Corporation) shall receive a commission fee equivalent to FIVE (5%) PERCENT
of the total selling price as stipulated in the Deed of Sale or Contract to Sell, payable upon the
execution of the instrument.
(In case of rent, replace above with: That (Name /Corporation) shall receive a commission fee
equivalent to ONE MONTH RENT as stipulated in the Rental /Lease Contract, payable upon the
execution of the instrument.
In case of renewal of lease, (Name /Corporation) shall receive an equivalent of ONE MONTH
RENT for every year of lease as stipulated in the Rental /Lease Contract, payable upon the
execution of the instrument.)
(Add terms as required)
This exclusive (or Non-Exclusive) authority shall become ineffective only after 30 (60 or 90)
days from receipt of either party of a written notice terminating such authority.
__________________________________
OWNER
Signature Over Printed Name
Name of Owner: _________________________________________
Spouse: _________________________________________________
Home Address: __________________________________________
Telephone Nos. __________________________________________
Office Address: __________________________________________
Telephone Nos. __________________________________________
Date: _______________________
CONTRACT TO SELL
KNOW ALL MEN BY THESE PRESENTS:
This CONTRACT TO SELL, made and executed this ____ day of _________, 20__ by and between:
(NAME OF SELLER /VENDOR), of legal age, single/married to (Name of spouse if
any), Filipino, and with residence and postal address at (Address), hereinafter referred to as
the "SELLER/VENDOR";
-AND-
(NAME OF BUYER/VENDEE), Filipino and with residence and postal address at
(Address), hereinafter referred to as the "BUYER/VENDEE".
WITNESSETH;
WHEREAS, the SELLER/VENDOR is the absolute and registered owner of a parcel of
land consisting of LAND AREA IN WORDS (000) square meters, more or less, located at
(Address of property to be sold) and covered by Transfer Certificate of Title No. (TCT Number)
issued by the Registry of Deeds of (Name of Town or City);
WHEREAS, the BUYER/VENDEE has offered to buy and the SELLER /VENDOR has
agreed to sell the above mentioned property under the terms and conditions herein below set
forth;
NOW THEREFORE, for and in consideration of the total sum of (Amount in words)
(Php: 000,000.00) Philippine Currency, and of the covenants herein after set forth
the SELLER/VENDOR agrees to sell and the BUYER/VENDEE agrees to buy the aforesaid
property subject to the following terms and conditions: (Note: Terms and Conditions below
are sample only, please revise)
1. The total consideration shall be One Million (Php: 1,000,000.00) PESOS, Philippine
Currency, payable as follows:
a) The amount of THREE HUNDRED THOUSAND (Php: 300,000.00) PESOS, representing
earnest money shall be payable by the BUYER/VENDEE to the SELLER/VENDOR upon
signing of this Contract to Sell;
b) The remaining balance in the amount of SEVEN HUNDRED THOUSAND (Php: 700,000.00)
PESOS, shall be paid in Cash on or before ___________, 20__.
c) In case the check representing the payment for the balance provided in paragraph b hereof,
is dishonored by the drawee bank, the earnest money in the amount of THREE HUNDRED
THOUSAND (Php: 300,000.00) PESOS, shall be forfeited in favor of the SELLER/VENDOR.
2. Capital Gains Tax and Real Estate Tax, shall be for the account of
the SELLER/VENDOR;
3. Documentary Stamps Tax, Registration Fee, registration expenses, and all other
miscellaneous fees and expenses shall be to the account of the BUYER/VENDEE;
4. Possession to the subject property shall be delivered by the SELLER/VENDOR to
the BUYER/VENDEE upon full payment of the total consideration;
5. Upon full payment of the total price, the SELLER/VENDOR shall sign and execute
a DEED OF ABSOLUTE SALE in favor of the BUYER/VENDEE. TheSELLER/VENDOR shall
likewise execute and/or deliver any and all documents, including but not limited to the original
copy of Transfer Certificate of Title, Tax Declaration and all other documents necessary for the
transfer of ownership from SELLER/VENDOR to the BUYER/VENDEE.
IN WITNESS WHEREOF, the parties have hereunto affixed their signatures, this ___ day of
____________, 20__ at _________________________, Philippines.
(SELLER/VENDOR) (BUYER/VENDEE)
Name Name
WITH MARITAL CONSENT:
SIGNED IN THE PRESENCE OF:
__________________________ ____________________________
ACKNOWLEDGMENT
That the MORTGAGOR is indebted unto the MORTGAGEE in the sum of (Amount in
Words) (000,000.00), Philippine Currency, receipt of which is acknowledged by the
MORTGAGOR upon the signing of this instrument,payable within a period of _____
years, with interest thereon at the rate of (___) % per annum;
That for, and consideration of , this indebtedness, and to assure the performance of said
obligation to pay, the MORTGAGOR hereby conveys by way of CHATTEL MORTGAGE
unto the MORTGAGEE, his heirs and assigns, the following personality now in the
possession of said MORTGAGOR
MAKE : MOTOR NO. :
SERIES : SERIAL/CHASSIS NO. :
TYPE OF BODY : PLATE NO. :
YEAR MODEL : FILE NO. :
That the condition of this obligation is that should the MORTGAGOR perform the
obligation to pay the hereinabove cited indebtedness of (Amount in Words)
(000,000.00) together with accrued interest thereon, this chattelmortgage shall at once become
null and void and of no effect whatsoever, otherwise, it shall remain in full force and effect.
IN WITNESS WHEREOF, the parties have hereunto set their hands, this ____day of
____________ 20___ at ____ Philippines.
_______________________________ _______________________________
MORTGAGOR MORTGAGEE
_______________________________ _______________________________
ACKNOWLEDGEMENT
Republic of the Philippines)
________________________ ) S.S
Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same is their free and voluntary act and deed.
WITNESS MY HAND AND SEAL, on the date and place first above written.
Notary Public
Doc. No.______;
Page No. _____;
Book No.______;
Series of 20___.
LEASE CONTRACT
KNOW ALL MEN BY THESE PRESENTS:
This CONTRACT OF LEASE is made and executed at the City of _____, this day of
_______________, 20____, by and between:
(NAME OF LESSOR), of legal age, single/married to (Name of spouse if any), Filipino,
and with residence and postal address at (Address), hereinafter referred to as the LESSOR.
-AND-
(NAME OF LESSEE), Filipino and with residence and postal address at (Address),
hereinafter referred to as the LESSEE.
WITNESSETH; That
WHEREAS, the LESSOR is the owner of THE LEASED PREMISES, a residential property
situated at (Address of property to be leased);
WHEREAS, the LESSOR agrees to lease-out the property to the LESSEE and the LESSEE is
willing to lease the same;
NOW THEREFORE, for and in consideration of the foregoing premises, the LESSOR leases
unto the LESSEE and the LESSEE hereby accepts from the LESSOR the LEASED premises,
subject to the following:
TERMS AND CONDITIONS
1. PURPOSES: That premises hereby leased shall be used exclusively by the LESSEE for
residential purposes only and shall not be diverted to other uses. It is hereby expressly agreed
that if at any time the premises are used for other purposes, the LESSOR shall have the right
to rescind this contract without prejudice to its other rights under the law.
2. TERM: This term of lease is for ONE (1) YEAR. from (Date) to (Date) inclusive. Upon its
expiration, this lease may be renewed under such terms and conditions as my be mutually
agreed upon by both parties, written notice of intention to renew the lease shall be served to
the LESSOR not later than seven (7) days prior to the expiry date of the period herein agreed
upon.
3. RENTAL RATE: The monthly rental rate for the leased premises shall be in PESOS:
AMOUNT IN WORDS (P 00,000.00), Philippine Currency. All rental payments shall be payable
to the LESSOR.
4. DEPOSIT: That the LESSEE shall deposit to the LESSOR upon signing of this contract and
prior to move-in an amount equivalent to the rent for THREE (3) MONTHS or the sum of
PESOS: AMOUNT IN WORDS (P 00,000.00), Philippine Currency. wherein the two (2) months
deposit shall be applied as rent for the 11th and 12th months and the remaining one (1) month
deposit shall answer partially for damages and any other obligations, for utilities such as
Water, Electricity, CATV, Telephone, Association Dues or resulting from violation(s) of any of
the provision of this contract.
5. DEFAULT PAYMENT: In case of default by the LESSEE in the payment of the rent, such as
when the checks are dishonored, the LESSOR at its option may terminate this contract and
eject the LESSEE. The LESSOR has the right to padlock the premises when the LESSEE is in
default of payment for One (1) month and may forfeit whatever rental deposit or advances have
been given by the LESSEE.
6. SUB-LEASE: The LESSEE shall not directly or indirectly sublet, allow or permit the leased
premises to be occupied in whole or in part by any person, form or corporation, neither shall
the LESSEE assign its rights hereunder to any other person or entity and no right of interest
thereto or therein shall be conferred on or vested in anyone by the LESSEE without the
LESSOR'S written approval.
7. PUBLIC UTILITIES: The LESSEE shall pay for its telephone, electric, cable TV, water,
Internet, association dues and other public services and utilities during the duration of the
lease.
8. FORCE MAJEURE: If whole or any part of the leased premises shall be destroyed or
damaged by fire, flood, lightning, typhoon, earthquake, storm, riot or any other unforeseen
disabling cause of acts of God, as to render the leased premises during the term substantially
unfit for use and occupation of the LESSEE, then this lease contract may be terminated
without compensation by the LESSOR or by the LESSEE by notice in writing to the other.
9. LESSOR'S RIGHT OF ENTRY: The LESSOR or its authorized agent shall after giving due
notice to the LESSEE shall have the right to enter the premises in the presence of the LESSEE
or its representative at any reasonable hour to examine the same or make repairs therein or for
the operation and maintenance of the building or to exhibit the leased premises to prospective
LESSEE, or for any other lawful purposes which it may deem necessary.
10. EXPIRATION OF LEASE: At the expiration of the term of this lease or cancellation
thereof, as herein provided, the LESSEE will promptly deliver to the LESSOR the leased
premises with all corresponding keys and in as good and tenable condition as the same is now,
ordinary wear and tear expected devoid of all occupants, movable furniture, articles and effects
of any kind. Non-compliance with the terms of this clause by the LESSEE will give the LESSOR
the right, at the latter's option, to refuse to accept the delivery of the premises and compel the
LESSEE to pay rent therefrom at the same rate plus Twenty Five (25) % thereof as penalty until
the LESSEE shall have complied with the terms hereof. The same penalty shall be imposed in
case the LESSEE fails to leave the premises after the expiration of this Contract of Lease or
termination for any reason whatsoever.
11. JUDICIAL RELIEF: Should any one of the parties herein be compelled to seek judicial
relief against the other, the losing party shall pay an amount of One Hundred (100) % of the
amount clamed in the complaint as attorney's fees which shall in no case be less than
P50,000.00 pesos in addition to other cost and damages which the said party may be entitled
to under the law.
12. This CONTRACT OF LEASE shall be valid and binding between the parties, their
successors-in-interest and assigns.
IN WITNESS WHEREOF, parties herein affixed their signatures on the date and place above
written.
(Name of Lessor) (Name of Lessee)
LESSOR LESSEE
ACKNOWLEDGEMENT
_________________________) S.S
BEFORE ME, personally appeared:
Name CTC Number Date/Place Issued
(Name of Lessor) 10000000 February 24, 20__ / Cavite City
Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same is their free and voluntary act and deed.
This instrument consisting of ____ page/s, including the page on which
this acknowledgement is written, has been signed on each and every page thereof by the
concerned parties and their witnesses, and and sealed with my notarial seal.
WITNESS MY HAND AND SEAL, on the date and place first above written.
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.
DEED OF ASSIGNMENT AND TRANSFER OF RIGHTS
KNOW ALL MEN BY THIS PRESENTS:
This deed, made and entered into this ___ day of __________, 20__
at the City of Manila, by and between:
Juan de la Cruz, Filipino Citizen, of legal age, married to
Juanita de la Cruz with residence and postal address at 1234
Oak Lane, Standard Subdivision, Quezon City, hereinafter
referred to as the "ASSIGNOR"
-and-
Pedro San Juan, Filipino Citizen, of legal age, married to
Patricia San Juan with residence and postal address at 123A
Somerville Plaza Tower, 5678 Mahogany Avenue, Manila,
hereinafter referred to as the "ASSIGNEE".
WITNESSETH that -
WHEREAS the ASSIGNOR is the buyer of a 2-bedroom unit,
located at 18C, Grand Towers Condominium, 234 Taft Avenue,
Manila, with an area of SEVENTY EIGHT (78) SQUARE METERS more
or less, covered by Condominium Certificate Title No. 98765 of
the register of Deeds of Manila, registered in the name of the Bank of
the Philippine Islands.;
WHEREAS, the ASSIGNOR has offered to assign all his rights,
title and interest over the above unit, as referred in said Contract to
Sell and the ASSIGNEE hereby accepts the assignment in accordance
with the terms herein set forth;
NOW, THEREFORE, for and in consideration of the foregoing
premises and the sum of ONE MILLION PESOS (1,000,000.00),
PHILIPPINE CURRENCY, which the ASSIGNOR hereby acknowledged
to have received from the ASSIGNEE, the ASSIGNOR hereby assigns,
transfers and conveys unto the ASSIGNEE, all his rights, title and
interest to the aforementioned property and and appurtenant interest
in the Condominium project pursuant to this Agreementand the
ASSIGNEE by these presents hereby accepts the assignment and
agrees to be bound by the terms and conditions of the Contract to Sell
and the rules and regulations, and restrictions pertaining to the said
unit.
IN WITNESS WHEREOF, the parties have hereunto set their hands on
the date and place first above written.
_____________________________
______________________________
ACKNOWLEDGEMENT
______________________) S.S
WITNESS MY HAND AND SEAL, on the date and place first above
written.
Notary Public
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20____.
DEED OF DONATION
KNOW ALL MEN BY THESE PRESENTS:
______________________) S.S
WITNESS MY HAND AND SEAL, on the date and place first above
written.
Notary Public
Doc. No._____;
Page No. _____;
Book No._____;
Series of 20___.
DEED OF ABSOLUTE SALE
KNOW ALL MEN BY THESE PRESENTS:
This DEED OF ABSOLUTE SALE is made, executed and entered into this _________ day of
______________________ at ________________________, Philippines, by and between:
(NAME OF SELLER), of legal age, single/married to (Name of spouse if any), Filipino, and
with residence and postal address at (Address of Seller), hereinafter referred to as the SELLER
-AND-
(NAME OF BUYER), Filipino and with residence and postal address at (Address of Buyer),
hereinafter referred to as the BUYER.
WITNESSETH;
WHEREAS, the SELLER is the registered owner of a parcel of land with improvements
located at (Address of property to be sold) and covered by Transfer Certificate of Title No.
(TCT Number) containing a total area of (Land Area of Property in Words) (000) SQUARE
METERS, more or less, and more particularly described as follows:
TRANSFER CERTIFICATE OF TITLE NO. 0000
"(Insert the technical description of the property on the title) Example: A PARCEL
OF LAND (Lot 20 Blk 54 of consolidation subdivision plan (LRC) Pcs-13265, being a portion of
the consolidation of Lots 4751-A and 4751-B (LRC) Psd-50533, Lot 3, Psd-100703, Lot 1, Psd-
150980, LRC Rec. Nos. Nos. N-27024, 51768, 89632, N-11782, N-13466, and 21071 situated
in the Bo. of San Donisio, Mun of Paranaque, Prov of Rizal, Is. of Luzon. Bounded on NE.,
point 4 to 1 by Road Lot 22, on...to the point of beginning; containing an area of (280) square
meters more or less..."
WHEREAS, the BUYER has offered to buy and the SELLER has agreed to sell the above
mentioned property for the amount of (Amount in words) (P 000,000.00) Philippine Currency;
NOW THEREFORE, for and in consideration of the sum of (Amount in words) (P
000,000.00) Philippine Currency, hand paid by the vendee to the vendor,
the SELLER DO HEREBY SELL, TRANSFER, and CONVEY by way of Absolute Sale unto the
said BUYER, his heirsand assigns, the certain parcel of land together with all the
improvements found thereon, freefrom all liens and encumbrances of whatever nature
including real estate taxes as of the date of this sale.
(NAME OF SELLER) (NAME OF BUYER)
Seller Buyer
SIGNED IN THE PRESENCE OF:
__________________________ ____________________________
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
_____________________________ ) SS.
BEFORE ME, a Notary Public for and in the City of ___________________, personally appeared:
Name CTC Number Date/Place Issued
(Name of Seller) 10000000 Jan 15, 20__ / Angeles City
(Name of Buyer) 10000000 Jan 9, 20__ / Manila
Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same are their free act and voluntary deed.
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 the concerned parties and their witnesses, and sealed
with my notarial seal.
WITNESS MY HAND AND SEAL on this ___day of __________________20__ at_______________.
Notary Public
Doc. No. ........;
Page No. .......;
Book No. .......;
Series of 20__.
DEED OF SALE OF MOTOR VEHICLE
That I, (Name of Seller), Filipino, of legal age, a resident of (Address of Seller),
is the lawful owner of a certain motor vehicle which is more particularly described as
follows:
MAKE : MOTOR NO. :
C.R. NO. :
IN WITNESS WHEREOF, we have hereunto affixed our hands this____ day of
_______________ at ________________.
_____________________________ ______________________________
ACKNOWLEDGEMENT
BEFORE ME, personally appeared:
Name CTC Number Date/Place Issued
(Name of Seller) 10000000 Jan 01, __ / Angeles City
Known to me and to me known to be the same persons who executed the foregoing
instrument and acknowledged to me that the same is their free and voluntary act and
deed.
WITNESS MY HAND AND SEAL, on the date and place first above written.
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.
EARNEST MONEY RECEIPT AGREEMENT
Received from (Name of Buyer) with postal address at ( Address), the sum of (Amount in
Words) (P 000,000.00) covered by ABC Bank, check # 00000000 dated January 1, 20__
representing EARNEST MONEY for payment of a Two-Story house and lot located at (Address
of Property) covered by T.C.T. No. T-00000.
This EARNEST MONEY forms part of the purchase price of (Amount in words) (P
0,000,000.00). The balance and full payment shall be paid on or before __________________.
The BUYER hereby reserves the exclusive right to purchase the aforementioned property and
the SELLER cannot offer the aforementioned property to any third party until
_____________________.
Upon full payment, the SELLER shall execute a DEED OF ABSOLUTE SALE in favor of the
BUYER, conveying the subject property with full warranty of a legal and valid title as provided
by law, free and clear from any liens and encumbrances.
Upon execution of the DEED OF ABSOLUTE SALE, the SELLER shall undertake the payment
of the Capital Gains Tax. The BUYER shall shoulder the payment of the Documentary Stamps
Tax, Transfer Tax, Registration Fee and all other expenses to transfer the title of the property
under his name.
In case of voluntary cancellation of this agreement by the BUYER without any cause on the
part of the SELLER or if the BUYER fails to comply with his obligations mentioned, then the
SELLER shall have the right to terminate this agreement in which case the EARNEST MONEY
in the amount of (Amount in words) (P 000,000.00) shall be forfeited in favor of the SELLER as
liquidated damages.
January 1, 20_____
(SELLER) (BUYER)
Signature over Printed Name Signature over Printed Name
OFFER TO PURCHASE (Real Estate)
Mr. Jerry Benitez
18 Sunflower St, New Manila,
Quezon City
Re: Blk.___ Lot___, Camilla St., Manila; with
lot area of _____sqm. more or less; covered
by T.C.T. No. ______________
Dear Mr. Benitez,
This is to express our firm offer to buy the above stated property through our
authorized brokers, Alex Ortiz, subject to the following terms and conditions:
Purchase Price PhP: ______________________
Terms and Conditions:
1) Upon acceptance of this offer, earnest money in the amount
of amount in words (Php:________) shall be paid and
shall be credited as part of the purchase price.
2) The balance, in the amount of amount in
words (Php:________) shall be paid in full within 15 working
days.
3) The Capital Gains Tax and Broker's commission shall be for
the account of the SELLER, while the Documentary Stamps,
Transfer Tax and Registration Feesshall be for the account of the
BUYER.
Note: Revise and/or add terms and conditions of your offer. Also,
change the names of the parties as applicable to you.
If the above terms and conditions are acceptable to you, please signify your
conformity by signing on the space provided below.
Truly yours,
--------------------------------
James Santos, Jr.
(Buyer)
Conforme:
--------------------------------
Victor Benitez
(Seller)
RENT TO OWN CONTRACT
This Contract of Lease with Option to Purchase (Rent-to-Own Contract) made and
executed this ____of __________ 20___ Manila, Philippines by and between.
-AND –
WITNESSETH:
THAT, for and in consideration of the payment of rent and the faithful compliance by
the LESSEE/BUYER of all the stipulations and covenants hereinafter contained, the
LESSOR/SELLER has agreed to lease unto the LESSE /BUYER the premises located at
_______________________________, City of Manila under the following terms and conditions.
3. RENTAL RATE: The monthly rate for the leased premises shall be in
PESOS: ______________________ [_______________], Philippine currency. All rental
payments shall be made payable to ______________________.
10. OTHER PUBLIC UTILITIES: The LESSEE/BUYER shall pay for its telephone,
cable and electrical services and other public services and utilities.
11. REPAIR AND MAINTENANCE: The LESSOR/SELLER shall deliver the leased as
is where is. The LESSEE/BUYER hereby expressly acknowledges that the leased as is
where is. The LESSE/BUYER hereby agrees and binds itself to undertake at its
exclusive expense all minor and major repairs as may be required to maintain the
leased premises in good state of repair, any provisions of law, present or future, or any
stipulation in this agreement to the contrary notwithstanding.
20. OPTION TO PURCHASE: For good & valuable consideration, the receipt whereof
is hereby acknowledge from the LESSEE/BUYER. The LESSOR/SELLER hereby
extends an option to the LESSEE/BUYER to purchase for the amount of PESOS:
___________________________________________ [P __________________] of Lease on the
18thmonth or the period from 1st to _____ of __________, _______. The LESSEE/BUYER,
at his/her/its exclusive option, conditioned on faithful compliance with all payments
and undertakings contained herein, may convey his/her/its decision to avail of option
to purchase in writing to the LESSOR/SELLER who thereafter shall credit all rental
payments up to the __________ (___) month and the initial deposit stated above to down
payment.
24. JUDICIAL RELIEF AND PENALTY: Should any one of the parties herein be
compelled to seek judicial relief against the other, the losing parties shall pay an
amount equivalent to One Hundred Percent (100%) of the amount claimed in the
compliant as attorney’s fees which shall in no case be less than P 100,000.00 pesos in
addition to other cost and damages which the said party may be entitled to under the
law, to recover from the other party. Provisions of penal character in this Contract of
Lease shall be considered as cumulative to the relief granted by this section.
25. RIGHTS AND INTERESTS: The rights and interests of the LESSOR/SELLER
subject under this instrument shall be fully assignable by the LESSOR/SELLER subject
only to previous written notice thereof to the LESSEE/BUYER.
a. When the LESSEE/BUYER is in default in payment for three (3) months. In such a
case, the LESSOR/SELLER shall have the right to prohibit entry of the LESSEE/BUYER,
visitors, guests and his employees in the premises and the right to padlock the leased
premises until indebted is satisfied;
c. When LESSEE/BUYER violates any of the provisions of this contract; and
27. PENAL PROVISION: The parties agree that all covenant and agreements herein
contained shall be deemed conditions as well as covenants that if default or breach be
made of any such covenants and conditions, then this lease may be terminated and
cancelled and the party in breach shall be liable for any and all damages, actual and
consequential, resulting from such breach or termination; provided however, that no
default shall be declared under this lease unless the party in default has given written
notice to cure such default within thirty (30) days. In the event of violation of this
contract, other than the non-payment of rentals, the party in breach must immediately
take remedial steps to cure the breach not later than thirty (30) days.
IN WITNESS WHEROF, parties herein have affixed their signatures on the date and
place first above written.
__________________________ _______________________
[Name] [Name]
LESSOR/SELLER LESSEE/BUYER
SIGNED IN THE PRESENCE OF:
__________________________ _______________________
ACKNOWLEDGEMENT
BEFORE ME, a Notary Public, this _____ day of ____________, 20___
personally appeared the following to witness:
NAME CTC No. DATE ISSUED PLACE ISSUED
Known to me to be the same persons who have executed the foregoing, instrument and
acknowledged to me that the same is of their own free will and voluntary act and deed as well
as of the corporation herein represented.
This instrument consisting of ______ (__) pages, including the page on which this
acknowledgement is written, has been signed on the left margin of each page and every page
thereof by the parties and their instrumental witnesses and sealed with my notarial seal.
IN WITNESS WHEREOF, I have hereunto set my hand, the day, year and place above written.
Series No 20___.
AGREEMENT FOR THE RENOVATION OF
ABC COFFEE SHOP
KNOW ALL MEN BY THIS PRESENTS:
THAT WE, (Contractor's Name), of legal age, single/married, a resident of (Address),
hereinafter known as the CONTRACTOR and (Name of Owner), of legal age, single/married, a
resident of (Address) and hereinafter known as the OWNER, do hereby agree and state:
1. That the CONTRACTOR agrees to finish/renovate ABC COFFEE SHOP located at
(Address) at the contract price of Pesos: 000,000.00 (Amount in Words).
2. That the CONTRACTOR shall secure the necessary permits for construction, he shall be
responsible in purchasing materials, recruiting personnel, coordinating with the architect and
owner/s as regards to design details and approval of materials.
3. That the CONTRACTOR shall finish and turn over the said coffee shop at the said
contract price and in accordance with the plans and specifications
4. That the CONTRACTOR shall pay a penalty of 1% of the contract price for every day of
delay of turnover.
5. That the starting date of construction shall be on January 1, 20__.
6. That the turnover date shall be on March 1, 20__.
7. That the OWNER, agrees to pay 30% of the contract price at least 5 working days before
the projected starting date as down payment and the 70% balance to be paid in weekly equal
payments based on the date of the signing until the projected completion of the project.
Additional cost, if any, shall be paid on an “as-required” basis.
8. That 10% of payments to the CONTRACTOR shall be retained by the OWNER as
guarantee of completion of work.
9. That the retention guarantee shall be released no later than two (2) weeks after the
acceptance of the owner of the renovation done.
9. That the SCOPE OF WORK are as follows:
I. ELECTRICAL:
· Install pin lights, special drop lights, recessed lighting, halogen directional lights and
other electrical requirements as specified on the plans.
II. CEILING:
· Use Gypsum board as ceiling, finished with one coat of sealer and followed by two semi-
gloss enamel with stippled finish
III. GLASS:
· Install 12mm thick clear tempered glass panels (exterior walls) with bottom frame in
accordance with the working drawings on the “Signage Plans” Elevation 1, 2, & 3)
IV. PLUMBING:
· Install polyvinyl (PVC) pipe for sewer and waste line with solvent cement joint (ASTM
D2564)
· Water proof all wet areas with Hygard, Thoroseal or approved equivalent
V. COUNTERS
· Shelves, cabinet doors, laminates and other details on finishes: as per specification
VI. FLOORING:
VII. MISCELLANEOUS:
· Paint, tile, and finish interior walls as specified on the “Schedule of Finishes”
IN WITNESS WHEREOF, we have hereunder signed our names, this ___day
of ______________, 20__ at______________________, Philippines.
_____________________________ _______________________________
OWNER CONTRACTOR
SIGNED IN THE PRESENCE OF:
_____________________________ ________________________________
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
) S.S.
BEFORE ME, a notary public for and in the City of ___________________, this ____
day of January, 20__, personally came and appeared:
________________________________ _____________________________
OWNER CONTRACTOR
TIN #___________________________ TIN #___________________________
CTC # __________________________ CTC #__________________________
Issued On_______________________ Issued On_______________________
Issued At________________________ Issued At________________________
known to me and to me known to be the same persons who executed the foregoing instrument
which consist of three pages, including this page, acknowledged before me as their free and
voluntary act and deed.
WITNESS MY HAND AND SEAL this _______ day of January, 20__.
NOTARY PUBLIC
Doc No.______;
Page No.______;
Book No.______;
Series of 20___.
GENERAL POWER OF ATTORNEY
KNOW ALL MEN THESE PRESENTS:
I, (Name of Principal), of legal age, single/married to (Name of spouse if any), Filipino, a
resident of (Address), do hereby name, constitute, and appoint (Name of Agent /Attorney-In-
Fact), to be my true and lawful attorney, for me and in my name, place, and stead, to do and
perform the following acts and things to wit:
To ask, demand, collect any and all sums of money, sue to recover debts, dues, accounts,
dividends, legacies, bequests, interests , and other things of value of whatever nature or kind
as may now be or may hereafter become due owing, payable or belonging to me, and to have,
sue, and to take any all lawful ways and means for the recovery thereof by suit, attachment,
compromise or otherwise;
To make, sign, execute, and deliver contracts, agreements, documents and other writings of
whatever nature or kind, with any and all third persons, entities or concerns, upon terms and
conditions acceptable to my said attorney;
To delegate in whole or in part any all of the powers herein granted or conferred, by means
of an instrument in writing, favor of any third persons whom my said attorney may select;
HEREBY GIVING AND GRANTING unto my said attorney full power
and authority whatsoever requisite or necessary or proper to be done in and about the
premises as fully to all intents and purposes as I might and could lawfully do if personally
present, with power of substitution and revocation, and hereby, ratifying and confirming all
that my said attorney or his substitute shall lawfully do or cause to be done under and by
virtue of these presents.
IN WITNESS WHEREOF, We have hereunto affixed our signatures this ___________ day of
____________________ , 20__ in ______________________, Philippines.
___________________________________ __________________________________
(Principal) (Agent /Attorney-In-Fact)
Signed in the presence of:
_____________________________ ______________________________
ACKNOWLEDGEMENT
BEFORE ME, personally appeared:
Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same is their free and voluntary act and deed.
WITNESS MY HAND AND SEAL, on the date and place first above written.
Notary
Public
Doc. No.______;
Book No.______;
Series of 20___.
SPECIAL POWER OF ATTORNEY
WE, (Insert Name of Principal) single/married (insert name of spouse if married), of legal age, with
residence and postal address at (Address) do hereby APPOINT (Insert name of Agent /Attorney-In-
Fact)) single/married (insert name of spouse if married), likewise of legal age, with postal address
at (Address) as our true and legal representative to act for and in our name and stead and to
perform the following acts:
IN WITNESS WHEREOF , WE HAVE HEREUNTO SET OUR HANDS THIS ____ DAY OF
_______________ 20__, AT (Insert Place of execution of this Instrument).
_______________________________ __________________________________
_____________________________ ___________________________________
Republic of the Philippines )
_________________________) S.S
BEFORE ME, personally appeared:
Name CTC Number Date/Place Issued
Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same is their free and voluntary act and deed.
WITNESS MY HAND AND SEAL, on the date and place first above written.
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.
LAST WILL AND TESTAMENT
KNOW ALL MEN BY THESE PRESENTS:
I, ____name of testator_____ , Filipino citizen, of legal age, single/married to ___insert name of
spouse if any___, born on the ____th of ______________, ____ , a resident of __insert address__ ,
being of sound and disposing mind and memory, and not acting under
undue influence or intimidation from anyone, do hereby declare and proclaim this instrument
to be my Last Will and Testament, in English, the language which I am well conversant. And
I hereby declare that:
I. I desire that should I die, it is my wish to be buried according to the rites of the
Roman Catholic Church and interred at our family mausoleum in Manila;
II. To my beloved wife _____name of wife_____, I give and bequeath the following
property to wit:_________________________ ;
VIII. I hereby revoke, set aside and annul any and all of my other will or
testamentary dispositions that I have made, executed, signed or published preceding
this Last Will and Testament.
_______________________________________
(Signature of Testator over Printed Name)
ATTESTATION CLAUSE
We, the undersigned attesting witnesses, do hereby affirm that the forgoing is the last Will and
Testament of ___name of testator___ and we certify that the testator executed this document
while of sound mind and memory. That the testator signed this document in our presence, at
the bottom of the last page and on the left hand margin of each and every page, and we, in
turn, at the testator's behest have witnessed and signed the same in every page thereof, on the
left margin, in the presence of the testator and of the notary public, this _____ day of
__________, 20__ at____________.
______________________________ ____________________________________________
Signature of Witness Address
______________________________ ____________________________________________
Signature of Witness Address
______________________________ ____________________________________________
Signature of Witness Address
JOINT ACKNOWLEDGMENT
BEFORE ME, Notary Public for and in the city of ________________, personally appeared:
The testator ________________, with CTC No. __________ issued at ___________ on ____________;
all known to me to be the same persons who executed the foregoing Will, the first as testator
and the last three as instrumental witnesses, and they respectively acknowledged to me that
the same as their own free act and deed.
This Last Will and Testament consists of __ page/s, including the page on which this
acknowledgment is written, and has been signed on the left margin of each and every page
thereof by the testator and his witnesses, and sealed with my notarial seal.
IN WITNESS WHEREOF, I have hereunto set my hand the day, year, and place above written.
Notary Public
Doc. No. _____;
Page No._____;
Book No._____;
Series of 20__.
LOAN AGREEMENT
- and -
__________________________________________, of legal age, Filipino, with residence
at ____________________________________________, (hereinafter referred to as the
"SECOND PARTY").
WITNESSETH; That –
THE LOAN
1. At the request of the SECOND PARTY, the FIRST PARTY had extended a loan to the
SECOND PARTY in the
principal sum of PESOS: ___________________________________ (P_______________) (the
"LOAN"), the full amount of which
is acknowledged to have been received by the SECOND PARTY. The SECOND PARTY
promises to repay the LOAN to the
FIRST PARTY within ninety (90) days from date hereof, together with interest at Two
Per Cent (2%) per month on said amount
from date hereof until full payment thereof.
In the event the DEBTOR shall fail to pay the LOAN as it falls due, the unpaid
principal and accrued interest thereon shall,
in addition to the stipulated interest, be subject to penalty interest at the same rate as
the stipulated interest commencing on the
date immediately following the due date of the LOAN until full payment of the entire
outstanding amount of the LOAN.
REAL ESTATE MORTGAGE
2. As security for the repayment of the LOAN and the interest and other charges
thereon, and the due faithful
performance by the SECOND PARTY of his obligations under this Agreement, the
SECOND PARTY hereby transfers and conveys
by way of first real estate mortgage in favor of the FIRST PARTY, the property
described below, with all its increments and
accessories (the "PROPERTY"):
DESCRIPTION OF PROPERTY
3. All documentary stamps due on this Agreement as well as all expenses for the
registration of the Mortgage, and
other government fees and charges imposed on the in connection with this Mortgage
shall be for the account of the SECOND
PARTY.
4. The SECOND PARTY during the life of this mortgage shall not sell, lease, mortgage,
encumber, or otherwise
dispose of the PROPERTY without the consent of the FIRST PARTY being first
obtained.
5. If the SECOND PARTY shall fail to comply with any of the terms and conditions of
this Agreement, the
PROPERTY shall be delivered on demand, to the FIRST PARTY, and the FIRST PARTY
shall have the right to immediately
foreclose this mortgage, judicially or extra-judicially under Act 3135, as amended. In
addition to its remedies herein or elsewhere
under the law, the FIRST PARTY of its lawful representative is hereby appointed as the
Attorney-in-Fact of the SECOND PARTY
with full power and authority to take actual possession of the PROPERTY without the
need of any judicial order, and to remove, sell
or dispose of the same; make any and pay for repairs and perform any other act which
the FIRST PARTY may deem convenient to
maintain and preserve the PROPERTY and all expenses incurred/advanced by the
FIRST PARTY shall be charged against the
SECOND PARTY and likewise secured by this mortgage. The SECOND PARTY waives
all the rights under the provisions of Rule
39, Section 12 of the Rules of Court.
7. The parties agree that all actions under this Agreement shall be brought before the
proper courts of Makati City,
each party hereby waiving any other venue.
8. The condition of this Mortgage is that if the SECOND PARTY, his heirs, executors
or administrators shall well and
truly perform the full obligations herein, then this mortgage shall be null and void,
otherwise it shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed
on the date and at the place first
above set forth.
By:
_________________________ ________________________
(FIRST PARTY) (SECOND PARTY)
IN THE PRESENCE OF
_______________________ _________________________
AFFIDAVIT OF GOOD FAITH
We severally swear that the foregoing Mortgage is made for the purpose of securing
the LOAN specified and defined in
this instrument and for no other purpose; that the LOAN is a just and valid obligation;
and that this Mortgage is not entered into
for the purpose of fraud.
(MORTGAGOR) (MORTGAGEE)
ACKNOWLEDGMENT AND CERTIFICATE OF OATH
REPUBLIC OF THE PHILIPPINES)
Makati, Metro Manila ) S.S.
BEFORE ME this day personally appeared:
Name Com. Tax Cert. No. Date/Place of Issue
to me known and known to me to be the same person/s who signed and executed the
foregoing Agreement and each
acknowledged to me that the same is executed as his free and voluntary act and deed
and that of the entity represented, if any,
for the uses and purposes therein set forth. The aforesaid persons likewise made oath
as to the truth of the Affidavit of Good Faith.
I further certify that said document consists of ____ ( ) pages including this
acknowledgement page, and signed by the
abovenamed parties and the witnesses on page ______ and on the left margin on each
and every other page thereof, and refers
to a mortgage ____________ located at __________.
IN WITNESS WHEREOF, I have hereunto affixed my signature and notarial seal in ,
this
____________________.
NOTARY PUBLIC
Until December 31, 200_
Doc. No. _____
Page No. _____
Book No. _____
Series of 200__.
DEED OF DONATION
That the DONOR is the registered owner of a parcel of land, more particularly
described as follows:
That the DONEE is a cousin of the DONOR, who has lovingly dedicated five (5)
years of his life as the latter's personal caregiver and companion;
That the DONOR affirms that this donation is not made with intent to deceive
his creditors, and that he has reserved for himself sufficient funds and
property;
That the DONEE hereby accepts and receives this donation made in his favor
by the DONOR, and hereby manifests his gratefulness for the latter's
generosity.
_____________________________ ______________________________
DONOR DONEE
WITNESSES:
_____________________________ ______________________________
ACKNOWLEDGEMENT
_________________________) S.S
BEFORE ME, a notary for and in the City of Makati, personally appeared:
WITNESS MY HAND AND SEAL, on the date and place first above written.
Notary Public
Doc. No._____;
Book No._____;
Series of 20__.
DEED OF DONATION
- IN FAVOR OF -
- WITNESSETH -
That the DONOR is the owner of that certain real property with the
buildings and improvements thereon, situated in 555 Santillan Street, Pio del
Pilar, Makati and more particularly described in Transfer Certificate of Title No.
123456 of the land registry of Makati City as follows:
That for and in consideration of the love and affection which the
DONOR has for the DONEE, the said DONOR, by these presents, transfers and
conveys, by way of donation, unto said DONEE, her heirs and assigns, the
above described real property with all the buildings and improvements thereon,
free from all liens and encumbrances;
That the DONOR does hereby state, for the purpose of giving full
effect to this donation, that he has reserved for himself in full ownership
sufficient property to support him in a manner appropriate to his needs;
That the DONEE does hereby accept this donation of the above-
described property, and does hereby express gratitude for the kindness and
liberality of the DONOR.
IN WITNESS WHEREOF, the DONOR and the DONEE have signed
this deed on May 2019 at Siniloan, Laguna, Philippines.
Witness Witness
ACKNOWLEDGMENT
BEFORE ME, a Notary Public, for and in Siniloan, Laguna , this th day
of June 2019 personally appeared:
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 a DEED OF DONATION and has been
signed by the parties and their witnesses and sealed with my notarial seal.
Notary Public
Doc. No._____;
Page No. _____;
Book No._____;
Series of 20__.
NOTICE OF ENTRY OF APPEARANCE
ENTRY OF APPEARANCE
THE BRANCH CLERK OF COURT
Metropolitan Trial Court
City of Manila – Branch 1
Copy furnished:
FRETTI LAUREL
Counsel for the Plaintiff
Unit 1234 Laurel Building
Sampaloc, Manila
AAA
Plaintiff,
Civil Case No. B-9678
-versus-
For: NULLITY OF
MORTGAGE AND
FORECLOSURE
BBB,
Defendant.
x------------------------------x
PRAYER
RESPECTFULLY SUBMITTED.
By:
ATTY. MMM
123 Strawberry St., Caramel Village, Makati City
Contact No. 02-8118990
IBP No. 9111189 / 01-15-2014 / Makati City
PTR No. 8212135 / 01-15-2014/ Makati City
Roll of Attorney’s No. 80527
MCLE Compliance No. V-0054010
Copy Furnished:
PPP, QQQ, & ASSOCIATES
Atty. PPP
Counsel for the Plaintiffs
Suite 109, Butternut Tower
Sansrival Village, Alabang
Muntinlupa City
Affiant Affiant
JURAT
SUBSCRIBED AND SWORN TO before me, in Makati City,
this 26th day of January 2015, affiants: MAGANDA B. KOH and
DIWATA C AKOH, personally appeared and exhibited their LTO
Driving License No. N02-02-123456 (valid until November 2,
2016) and N01-12-345678 (valid until 28 December 28, 2017),
respectively, issued by the Land Transportation Office at Quezon
City, Philippines.
NOTARY PUBLIC
Series of 2015.
AFFIDAVIT OF LOSS
I, JUAN P. DELA CRUZ, Filipino, of legal age, single and with
residence and postal address at Unit 105 Silver Place Townhouse, Mango
Circle, Quezon City, after having been duly sworn to in accordance with law,
hereby depose and state that:
3. Diligent efforts to locate the same was exerted but it proved futile;
Affiant
JURAT
NOTARY PUBLIC
Petitioner,
X- - - - - - - - - - - - - - - - - - - - - - - - - -- - -X
PETITION
5. She/He has passed the _______ Bar Examinations and admitted to practice law in
the Philippines on _________________. Copy of the Certificate of Bar Membership is
herewith attached as Annex “A” and made an integral part of this petition;
6. She/He is a member of the Philippine Bar in good standing with Clearances from
the Office of the Bar Confidant of the Supreme Court and the Integrated Bar of the
Philippines. Copy of said clearances are herewith attached as Annex “B” and Annex
“C”, respectively and made an integral part of this petition;
7. The undersigned has not been charged nor convicted in the first instance of any
crime involving Moral Turpitude;
9. In compliance to the requirements of the Honorable Court for Notarial Commission,
attached hereto are the following annexes and made an integral part of this petition:
PRAYER
1. The Petition for Commission as Notary Public filed by the undersigned be acted
favorably; and
__________________________
Petitioner
Address ______________________
Contact No.___________________
E-Mail Address ________________
Roll No. ______
IBP No. ______ /Date and Place of Issue
PTR No. _____ /Date and Place of Issue
MCLE Certificate of Compliance No. ____
VERIFICATION and CERTIFICATION AGAINST FORUM SHOPPING
3. The allegations therein are true and correct based on my personal knowledge and
authentic records;
4. To the best of my knowledge, there are no other pending petitions of the same nature
before any court, tribunal or quasi-judicial agency; and
5. Should I thereafter learn of any similar case pending before any other court, tribunal or
quasi-judicial agency, I shall promptly notify this court within five (5) days from
discovery.
____________________________
(Name of the Petitioner)
JURAT
NOTARY PUBLIC