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REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT


Fourth Judicial Region
Branch 13, Lipa City

IN THE MATTER OF THE APPLICATION FOR


APPOINTMENT AS NOTARY PUBLIC

CASE No#. 14344

ATTY. LILY CRUZ


Petitioner.
X———————————————-X

PETITION

Undersigned Petitioner and unto this Honorable Court most


respectfully states that:

1. Petitioner is a Filipino citizen, over twenty-one years of age, and a


resident in the Philippines since birth and with office address at Pag-
Ibig Building, Ayala Highway, Maraouy, Lipa City.

2. Petitioner was admitted to the Philippine Bar on February 28, 2021


with Roll of Attorney No. 123456. A Photocopy of Petitioner’s
Certificate of Membership in the Philippine Bar issued by the Office of
the Bar Confidant is attached as Annex “A” of this Petition.

3. Petitioner is a Lawyer in good standing with clearance from the


Office of the Bar Confidant of the Supreme Court and the Integrated
Bar of the Philippines, attached as Annexes “B” and “C”;

4. Petitioner has not been convicted in the first instance of any crime
involving moral turpitude, nor charged in any administrative case in
connection with his profession;

5. Petitioner has not yet applied nor been commissioned as Notary


Public in any other jurisdiction;

6. Petitioner is a registered member of the Integrated Bar of the


Philippines as supported by a photocopy of the Official Receipt of
yearly dues as of December 2022, attached as Annex “D”;
7. Petitioner has paid his Professional Tax Receipt for the year 2022
under Official Receipt No. 1800800 dated December 15, 2022 at Lipa
City. Photocopy of the Receipt is attached as Annex “E” of this
Petition;

8. Petitioner will submit all his notarial books and documents and
acknowledged documents after the expiration of his notarial
commission as provided by law;

9. Petitioner possesses all the qualifications and none of the


disqualifications for the office of Notary Public and have read,
understood and is willing to abide with the 2004 Rules on Notarial
Practice;

10. Petitioner is attaching as Annex “F”, a facsimile of his notarial seal


prepared in accordance with Sec 2. Of Rule VII of the 2004 Rules on
Notarial Practice for approval of this Honorable Court, together with
three (3) specimens of his official signature;

11. Also submitted are three (3) passport sized colored photographs
with light background taken not more than 30 days prior to the filing of
this petition;

PRAYER

WHEREFORE, it is most respectfully prayed that;

A certificate of authorization to purchase notarial seal as provided


under Sec. 9 Rule III of the 2004 Rules on Notarial Practice and
certificate of authority for a notarial act as provided under Sec. 1,
Rule IX of the same Rules to be issued in favor of the Petitioner.

Lipa City, February 18, 2023,

Lily Cruz
ATTY. LILY CRUZ
Petitioner
Address __Lipa City, Batangas_____
Contact No.__09985757664_______
E-Mail Address [email protected]
Roll No. _111113_____
IBP No. __888__ /Lifetime Membership, IBP Batangas
PTR No. __777_ /Lipa City
MCLE Certificate of Compliance No. _123___
VERIFICATION AND CERTIFICATION OF NON FORUM
SHOPPING

I, Lily Cruz, Filipino, of legal age, residing at 123 Ilang-Ilang,


Sampaguita, Lipa City, Batangas, after being sworn to in accordance
with law, deposes and says that;

1. I am the Petitioner in the above-entitled case;

2. The facts stated in the above petition are true and correct to the
best of my knowledge and authentic records;

3. I have not commenced 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 action or claim is pending in them; and

4. If I should learn that the same or similar action or claim has been
filed or is pending after its filing, I shall report that fact within five (5)
days from notice to the court or where the complaint or initiatory
pleading has been filed.

February 18, 2023, Lipa City, Batangas

Lily Cruz
ATTY. LILY CRUZ
Petitioner

SUBSCRIBED AND SWORN to before me this February 5, 2023 ,


affiant exhibited to me his/her Competent Evidence of Identity by way
of her Driver’s License bearing No. 143-44 issued at Lipa City,
Batangas on July 25, 2022

Notary Public

Doc. No. __124__;


Page No. __26___;
Book No. ___1___;
Series of __2023_.

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