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) OthersPRAYER
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 201REPUBLIC 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