Practical Exercises:

Legal Forms
(2017 Bar Examinations)

Atty. Victoria V. Loanzon

LAWYER’S SIGNATURE

Atty. _______________
Counsel for Petitioner/Respondent/
Private Prosecutor/ Counsel for the Accused
[Name of Firm]
[Address]
Roll No.
IBP OR No., date and place of issue
PTR No., date and place of issue
MCLE Certificate of Compliance or Certificate of Exemption No.,
Date of Issue

VERIFICATION AND CERTIFICATION AGAINST

FORUM SHOPPING

I, Juan de la Cruz, of legal age, do hereby depose and state that:

I am the Plaintiff in the above-captioned Complaint;
I have caused the preparation of the above-captioned Complaint;
I have read its contents and affirm that they are true and correct to
the best of my own personal knowledge;

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VERIFICATION AND CERTIFICATION AGAINST
FORUM SHOPPING

I hereby certify that there is no other case commenced or pending

before any court or any other tribunal involving the same parties
and the same issue and that, should I learn of such a case, I shall
notify the court within five (5) days from my notice.

JUAN DE LA CRUZ
Plaintiff

Sample No. 1 of a Jurat

Subscribed and sworn to before me with Affiant exhibiting to

me her/his Non-Professional License No. 545456 issued in LTO-
Jose Abad Santos Office, Manila on June 5, 2016 and valid until
June 4, 2019.

ATTY. JUAN DELA CRUZ

NOTARY PUBLIC for Manila City
1234 Sunflower St., ABC Village, Manila City
Until Dec. 31, 2021
Roll No. 001
P.T.R. No. 002, 12/31/2017, Manila
IBP No. 003, 12/31/2017, Manila
MCLE Compliance No. 1234
Serial No. of Commission: 07-11111
Doc. No. 5;
Page No. 6;
Book No. 7;
Series of 2017

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Sample No. 2 of A Jurat

Subscribed and sworn to before me with Affiant exhibiting to

me her Philippine Passport No. CB 545456 issued at DFA-Satellite
Office in Robinson’s Galleria, Mandaluyong on June 5, 2016 and
valid until June 4, 2021.

ATTY. JUANA DELA CRUZ

NOTARY PUBLIC for Mandaluyong City
1234 Sampaguita St., XYZ Village, Mandaluyong City
Until Dec. 31, 2021
Roll No. 001
P.T.R. No. 002, 12/31/2017, Manila
IBP No. 003, 12/31/2017, Manila
MCLE Compliance No. 1234
Serial No. of Commission: 07-11111
Doc. No. 5;
Page No. 6;
Book No. 7;
Series of 2017

Details of the Signature Space of Lawyer

Signed

Juana de la Cruz
Notary Public
Until December 31, 2017
Roll No.
IBP O.R. No. ___/Date of Issue
PTR No. ______, Date/ Place of Issue
MCLE Compliance No.

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Details for Notarial Register of Lawyer

Doc No.
Page No.
Book No.
Series of 2017

REQUEST FOR & NOTICE OF HEARING

THE BRANCH CLERK OF COURT

Metropolitan Trial Court
Quezon City, Branch 39

Please submit the foregoing Motion to the Court for its

consideration and approval immediately upon receipt hereof and
kindly include the same in the court’s calendar for hearing on
December 18, 2017 at 8:30 in the morning.

Conchita Angeles
Counsel for Defendant
123 West Avenue, Quezon City

Copy Furnished:
Prosecutor Pedro Reyes
Hall of Justice, Quezon City
Atty. Jose San Pedro
Private Prosecutor
456 East Avenue, Quezon City

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Sample No. 1 of Acknowledgment (Individual Affiant)

Sworn to before me with affiant personally exhibiting her SSS

Membership ID No. 12345 issued on July 20, 2015 at East
Avenue, Diliman, Quezon as competent proof of her identity and
acknowledging that the foregoing document is her free and
voluntary act consisting of 3 pages including this signature page.

Notary Public

SAMPLE No. 2 of ACKNOWLEDGMENT

(Affidavit executed on behalf of a Company)

BEFORE ME, a Notary Public for and in the (jurisdiction),

personally appeared the affiant (s) exhibiting to me:

Affiant
Competent Evidence of Identity
Date/Place of Issue

representing to be the (position in the corporation) of (name of

corporation) with Community Certificate No. ___________
issued on __________ at ___________ and Company Tax
Identification No. (T.I.N.) ______________, known to me and to
me known to be the same person who executed the foregoing
instrument which he/she acknowledged to me as his/her free and
voluntary act and deed, consisting of only ______ (____) page/s,
including this page on which this Acknowledgement is written,
duly signed by him/her and the instrumental witnesses on each and
every page hereof.

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Signed

Juana de la Cruz
Notary Public
Until December 31, 2017
Roll No.
IBP O.R. No. ___/Date of Issue
PTR No. ______, Date/ Place of Issue
MCLE Compliance No.

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:
1. I am the true and lawful owner of a certain motor vehicle which
is more particularly described as follows:

MAKE:
MOTOR Engine NO.
SERIES:
SERIAL/CHASSIS NO.
PLATE NO.
YEAR MODEL:

2. Sometime in April 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;

3. All efforts were exerted to locate subject Certificate of

Registration, but all efforts proved to be futile; and

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4. The aforementioned motor vehicle Certificate of Registration is
deemed lost.

I am executing this affidavit to attest to the truth of the foregoing

and to request from the Land Transportation Office in East
Avenue, Quezon City a copy of aforementioned Certificate of
Registration.
IN WITNESS WHEREOF, I have hereunto set my hand this
_____ day of _______________20___ at
_________________________.

Affiant

JURAT

SUBSCRIBED AND SWORN to before me, this ___ day of ___,

2017 in the City of ________, affiant exhibiting before me his
Community Tax Certificate No. 123456, issued at ________ on
_______ 2017.

ATTY. PETMALOU LODI

NOTARY PUBLIC for Quezon City
1234 Sampaguita St., XYZ Village, Novaliches, Q.C.
Until Dec. 31, 2017
Roll No. 001
P.T.R. No. 002, 12/31/2017, Manila
IBP No. 003, 12/31/2017, Manila
MCLE Compliance No. 1234
Serial No. of Commission: 07-11111
Doc. No. 5;
Page No. 6;
Book No. 7;
Series of 2017

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 (NOTE: If the question will require you prepare an Affidavit of
Loss of a passport, please include a statement that the affiant has
reported the loss to the nearest precinct station of his residence.)

CONTRACT OF LEASE

KNOW ALL MEN BY THESE PRESENTS:

This Agreement made and entered into at Pasig City this 25th day
December 2017 of by and between Ding Dong , of legal age,
married to Yan Yan (LESSOR) and both residents of Pasig City,
and Kring Kring, of legal age, single and resident of Quezon City
(LESSEE), WITNESSETH that:

1. In consideration of a monthly rental of TWENTY FIVE

THOUSAND PESOS (P25,000.00) and the covenants made below,
the LESSOR hereby LEASES to the LESSEE Unit 555, Pacific
Place Condominium located at Pearl Drive, Ortigas Commercial
Center Pasig City for a period of TWELVE (12) MONTHS from
signing of this contract.

2. The LESSEE covenants, as follows:

2.1. To pay the rentals on or before the fifth day of each month,
without need of demand at the residence of LESSOR;

2.2. To keep the premises in good and habitable condition; and

2.3. Shall not to make major alterations and improvements without

the written consent of the LESSOR and in the event of such
unauthorized major alterations and improvements, surrendering
ownership over such improvements and alterations to the LESSOR
upon expiration of this lease.

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IN WITNESS WHEREOF, the parties have signed this contract on
the date and the place first mentioned.

Ding Dong Kring Kring

Lessor Lessee

With my marital consent:

Yan Yan

Witnesses:

ACKNOWLEDGEMENT

Republic of the Philippines)

_________________________) S.S

BEFORE ME, personally appeared:

Name CTC Number Date/Place Issued

(Name of Lessor) 10000000 February 24, 20__ /Pasig City

(Name of Lessee) 10000000 January 07, 20__ /Quezon 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.

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WITNESS MY HAND AND SEAL, on the date and place first
above written.

Notary Public

Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.

Unilateral Deed of Absolute Sale

(asked in 1979, 1983, 1984, 1991 and 1997 bar exams)

Republic of the Philippines )

Makati City ) s.s.

DEED OF ABSOLUTE SALE

KNOW ALL MEN BY THESE PRESENTS:

I, Marcial Lo, Filipino, married to Mary Lo, and resident of 123
Kalayaan Avenue, Makati for and in consideration of the amount
of FIFTY MILLION PESOS, receipt of which I fully acknowledge
from Kiko Pimentel, Filipino, single and resident of 20 Jose Abad
Santos St., Manila do hereby SELL, TRANSFER and CONVEY
absolutely and unconditionally unto said Kiko Pimentel that
certain parcel of land, together with the building thereon and all
improvements attached thereto, situated at 456 J. P. Rizal Avenue,
City of Makati, and more particularly described as follows:

(Technical Description of property as indicated on the face of the

TCT covering the property)of which I am the registered owner in
fee simple, my title thereto being evidenced by Transfer (or

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Original) Certificate of Title No. ______, issued by the Register of
Deeds of Makati City.

Except for the capital gains tax due on this transaction, it is hereby
mutually agreed that the vendee shall bear all expenses for the
execution and registration of this Deed of Sale.
25th
IN WITNESS WHEREOF, I have signed this deed this day of
November 2017 at Makati City.

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

_____________________________ ) SS.

BEFORE ME, a Notary Public for and in the City of

___________________, personally appeared:

Name Gov I.D. Number Date/Place Issued

Mary Lo 10000000 Jan 15, 20__ / Makati

Kiko Pimentel 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_______________.

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 Notary Public

Doc. No. ........;

Page No. .......;
Book No. .......;
Series of 20__.

Quitclaim and Waiver of Rights

I, JOSE LABRADOR, presently employed by San Mateo

Appliance Center, Inc. (hereinafter referred to as “S.M.”) hereby
acknowledge receipt of FIVE HUNDRED THOUSAND PESOS
(P500,000.00) from S.M. in full satisfaction of my claim against
S.M. for unpaid salaries, overtime pay, holiday benefits and other
employment benefits incidental to my work with S.M.

I hereby renounce any and all claims I may have against S.M. by
virtue of my employment or arising out of said employment
therein.

I am executing this Quitclaim and Waiver of Rights as my free and

voluntary act without any duress exerted upon me by S.M. or any
person or agent of S.M.

JOSE LABRADOR
Affiant

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES) QUEZON

CITY.............................) S.S.

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BEFORE ME, a Notary Public, on this ___th day of
____________, at ___________, ____________________,
personallycame and appeared _____________________________,
with Community Tax Certificate Number _________________,
issued at ___________________, on _____________, known to
me to be the same person who executed the foregoing Release
Waiver and Quitclaim and acknowledged to me that the same is
his/her voluntary act and deed.

WITNESS MY HAND SEAL, on the date and at the place above

written.

Doc. No. ____;

Page No. ___ _;

Book No. ____;

Series of ____.

PROMISSORY NOTE

For value received, I, WILLIAM REVEAL, promise to pay to the

order to VICTOR SORROW, the amount of P5,000,000.00 on
December 31, 2017.
Angeles City, Pampanga, November 25, 2017.

Signed

WILLIAM REVEAL

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Affidavit of CHANGE OF FIRST NAME

I, Juana de los Santos, Filipino, legal age and a resident of 123

Scout Rallos St., Brgy. Laging Handa, , Quezon City after having
been sworn in accordance with law herby depose and state that:

1. I am the Petitioner seeking the change of my first name in my

Live Certificate of Birth which is attached hereto as Annex “A;”

2. I was born at Capitol Medical Center in Quezon City;

3. Based on my Certificate of Live Birth, I was born on June 12,

1998;

4. My name as reflected in said document is Juana;

4. However, based on my Baptismal Certificate my name is

reflected as JANET DE LA CRUZ;

5. I am executing this affidavit to seek the change my first to

JANET instead of JUANA;

6. I am filing this petition for the following reasons: I have

assumed the name Janet in all my school records; I have habitually
used it as a child; I have been known among family members and
friends as Janet; and my employment records also reflect my first
name as JANET.

7. I am asking that the change be effected to avoid any confusion

as to my academic and employment records which my prejudice
my rights when I would to support any claim based such records;

8. I am submitting the following documents to support this

petition:

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 (1) Affidavit of Two Disinterested Persons (Annexes “B”
and “C”)
(2) School Records (Annexes “D,” “E” and “F”)
(3) Employment Records (Annexes “G” and “H”)
(4) Government Issued Identification Cards (Annexes “I”
and “J”)
(5) (Other relevant documents may be included)

9. I have not filed any similar petition, to my best knowledge, no

other similar petition is pending with any Local Civil Registry
Office, any court in the Philippines or in any Philippine consulate
or embassy;

10. I have no pending criminal, civil or administrative case in any

court or quasi-judicial body; and

11. I am filing this Petition in the Local Civil Registry of Quezon

City in accordance with R.A. No. 9046 and its Implementing Rules
and Regulations.

IN WITNESS HEREOF, I hereunto affix my signature this 22nd

day of March 2017 at Quezon City.

Juana De La Cruz
Affiant

SUBSCRIBED AND SWORN to before this 22nd day of April

2017 at Quezon City, Affiant exhibiting his TIN #123-456-789
issued at Quezon City on January 31, 2017.

Atty. Buhawi Magtanggol

Notary Public until December 2020

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 Roll No. 1234
IBP No. 56789/12.21.13/Quezon City
PTR No. 987654/12.21.13/Quezon
City
TIN-123-456-778-908/Quezon City
MCLE No. II-123

Doc. No. ____;

Page No. ___ _;

Book No. ____;

Series of ____.

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