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Repulia af the Philp Department of Justice LAND REGISTRATION AUTHORITY Registry of Deeds Batangas City IN RE: IN THE MANNER OF ADMINSITRATIVE RECONSTITUTION OF THE TRANSFER CERTIFICATE OF TITLE NO. IN THE REGISRY OF DEEDS OF BATANGAS CITY LRC Case No. __ Petitioner PETITION COMES NOW, the petitioner and before this Reconstituting Officer thru the Register of Deeds respectfully states: 1. That the petitioner is of legal age, Filipino, single/ married/widow/widower, and a resident of 2. That the petitioner is the registered owner/co-owner/transferee/mortgagee of a parcel of land covered by and described in the OCT/TCT. of the Registry of Deeds of Batangas City 3: That the original of the aforesaid Transfer Certificate of Title on file With the Registry of Deeds of Batangas City was lost or destroyed due to fire on May 23, 1979. 4, That submitted herewith are the following papers in support of this petition. a) Owner’s duplicate certificate of title and three (3) photocopies thereof if the owner’s duplicate has been lost/destroyed/or is not available, then the co-owner’s duplicate certificate of tle and three (3) photocopies thereof should be submitted, b) Real Estate tax receipt representing full payment of at least two (2) years prior to the filing of this petit c) Tax Declaration d) Others PRAYER WHREREFORE, itis respectfully prayed that the original of Transfer Certificate of Title No/S cor destroyed in the file of the said Registry of deeds be ordered reconstituted on the basis of the owner's/co-owner’s duplicate certificate of title and in accordance with Republic Act No. 6732. Batangas City, VERIFICATION 1, after having been duly swom in accordance with laws, depose and say that he/she is the petitioner, that he/she caused the preparation of the foregoing petition that he/she has read the contents thereof and the facts stated therein are true and correct to his/her knowledge. ‘Affiant SUBSCRIBED AND SWORN to before me this day of affiant exhibited to me his/her issued on. issued at Doe. No. Page No. Book No. Series of 201 REPUBLIC OF THE PHILIPPINES BATANGAS CITY AFFIDAVIT oi single) _married/ widow/ > widower, of legal age, Filipino, and a resident of after having been duly sworn in accordance with law hereby depose and state: 1. That I am the registered owner/co-owner/transferee/mortgagee of the parcel of land covered by Transfer Certificate of Title No. of the Registry of Deeds of Batangas City 2. That the original copy of the aforesaid Transfer Certificate of Title on file with the Registry of Deeds of Batangas City was lost/destroyed due to fire on May 23, 1979; 3. That no deed or other instrument affecting the property has been presented for registration, or, if there be any, the nature thereof, the date of its presentation, as well as the names of the parties and whether the registra of such deed or instrument is still pending accomplishments; 4. That the owner's duplicate certificate or co-owner’s duplicate is in due form without apparent intentional alterations or erasures; 5. That the certificate of title is not the subject of litigation or investigation administrative or judicial, regarding its genuineness or due execution or issuance 6. That the certificate of title was in full force and effect at the time it was lost/destroyed. 7. That the certificate of title is covered by Tax Declaration regularly issued by the Assessor’s Office. 8. That the real estate taxes been fully paid up to at least two (2) years prior to the filing of the petition for reconstitution, 9. That the corresponding owner’s duplicate of the said Transfer Certificate of title No. lost/destroyed in the possession of the owner under the following circumstances 10, That the owner's duplicate certificate of title is being submitted as basis for administrative reconstitution pursuant to Republic Act No. 6732. 11. That I am executing this affidavit in connection with my petition for administrative reconstitution of the original copy of the Transfer Certificate of Title Nos. Further affiant sayeth none. ‘Affiant — Petitioner Subscribed and gworn to before|me tt affiant exhibited to me his/her issued on. Issued at Doc. No. _ Page No. Book No. Series of 201

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