REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
FIFTH JUDICIAL REGION
Branch __
_____________________
IN THE MATTER OF THE PETITION
FOR COMMISSION AS NOTARY PUBLIC,
ATTY. _________ __________ BARTOLATA,
Petitioner,
X- - - - - - - - - - - - - - - - - - - -X
PETITION
COMES NOW PETITIONER, pro se, respectfully states files for this
Petition for Notarial Commission for and within the jurisdiction of this Honorable
Court, and in amplification thereof, most respectfully aver the following, to wit:
1. That Petitioner is Filipino, born on _______________ and a resident of
______________ maintains a regular place of work in the same address.
She may be reached at her mobile number: ____________. True
photocopy of the COMMUNITY TAX CERTIFICATE issued on May
20, 2022 is herein attached as Annex “A;”
2. That Petitioner has satisfactorily completed the required course for the
Juris Doctor (JD) program (non-thesis) at ________________________.
That, petitioner took and passed the 2020-2021 Philippine Bar Exam and
was admitted into the practice of law on May 17, 2022 under ROLL NO.
79540. True photocopy of the CERTIFICATE OF PHILIPPINE BAR
MEMBERSHIP issued on ____________ is herein attached as Annex
“B;”; True photocopy of the OFFICIAL RECEIPT FOR THE
CERTIFICATE OF PHILIPPINE BAR MEMBERSHIP issued on
May 17, 2022 is herein attached as Annex “B-1;”
3. That Petitioner is a registered member of the Integrated Bar of the
Philippines shown by a true copy of her CERTIFICATE OF GOOD
STANDING and is herein attached as Annex Annex “C;”
4. That Petitioner has no pending administrative case against her as
evidenced by the Certification dated May 20, 2022 issued by the Office
of the Integrated Bar of the Philippines. True photocopy of the
CERTIFICATE OF NO PENDING ADMINISTRATIVE CASE is
herein attached as Annex “D;”
5. That Petitioner has neither been charged nor convicted before any court
or quasi-judicial body of any crime involving moral turpitude. Copy of
the CLEARANCE FROM THE REGIONAL TRIAL COURT,
Branch ___, San Jacinto, Masbate issued on May 23, 2022 is herein
attached as Annex “E;”
6. That Petitioner has not yet applied nor been commissioned as Notary
Public in any other jurisdiction;
7. That Petitioner has paid her Professional Tax Receipt for the year 2022
under Official Receipt No. at Masbate City. True photocopy of the
PROFESSIONAL TAX RECEIPT is herein attached as Annex “F;”
8. That Petitioner prays to be commissioned as Notary Public for and within
the territorial jurisdiction of this Honorable Court, and she possesses all
the qualifications and none of the disqualifications for said office;
9. That in compliance with the requirements of this Honorable Court for
Notarial Commission, attached hereto are the following annexes and
made an integral part of this petition:
a. Three specimen of her official signature, 3 pcs. Passport sized
pictures with name affixed, as Annex “G;”
b. A plain sheet of paper containing three (3) samples of her signature
and formed an integral part hereof as Annex “H.”
PRAYER
WHEREFORE, foregoing premises considered, Petitioner most
respectfully prays of this Honorable Court that after due notice, publication and
hearing, a Commission as Notary Public for and within the jurisdiction of this
Honorable Court be issued in favor of herein Petitioner.
Concomitant thereto, it is likewise prayed that Petitioner be issued a
Certificate of Authorization to Purchase a Notarial Seal.
Other reliefs just and equitable under the circumstances are likewise prayed
for.
Respectfully submitted this on 23rd day of May 2022 in the
ATTY. MARY LIZZA D. BARTOLATA
Roll No.
Email Address:
Republic of the Philippines
Province of Masbate )
Municipality of San Jacinto) ss
VERIFICATION AND CERTIFICATION AGAINST FORUM
SHOPPING
I, ATTY. MARY LIZZA D. BARTOLATA, of legal age, Filipino and a
resident of Poblacion Dictrict II, San Jacinto, Masbate, after having been duly
sworn to an oath in accordance with law, do hereby depose and state that:
1. I am the petitioner in the above-entitled person;
2. I have caused the preparation of the foregoing Petition;
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.
IN WITNESS WHEREOF, I have set my hand this 23 rd day of May 2022
in San Jacinto, Masbate.
ATTY. MARY LIZZA D.
BARTOLATA
Roll No. 79540
SUBSCRIBED AND SWORN TO before me this 24th day of May, affiant
being personally known to me and who likewise presented her Integrated Bar of
the Philippines Identification which bears her picture and signature.
WITNESS MY HAND AND NOTARIAL SEAL.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2022.
