P-86574 Isabela Julius N. Jayme

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Republic.of the Philippines
LANDREG(STRATION AUTHORITY
Register of Deeds of ISABELA _
I RE: IN THE MATIER OF ADMINISTRATIVE RECONSTITUTION OF

· ··•1· . ..,, · • :· ,, .;f ·
THE ORIGINAL COPY OF, ORIGINAL/ TRANSFER CERTIFICATE OF
TITLE NO/ S · j_• P-.,86574 .
IN THE REGIS;l"RY OF DEEDS OF ISABELA _
JULIUS N. JAYME
Petitidner/s
X - - - - - - - - - - - - - .--------------------------------------X
p: e TIT -I 0 N
CO ES NO'!V t e petitioner and before this Reconstituting Officer thru the Register of Deeds,
respectfully states: ·
. \ .
. 1. That the petit ion_er is of legal age, Filipino D single D!married D widow and a residence of
',
2. That the petitioher is the Oregi tered owner □ \
mortgagee
Downer/ co-
owner
D Others (please specify BUYER(ATTACHED D_EED OF
SALE)
oafparcel of land covered by and described in the Original/Transfer Certificates of Title No/s. P-86574_
of the Registry of Q eds of ISABE,L__A _ _ _ _ _ _
3. That the original of the aforesaid Original/Transfer Certificates of Title on file with the Registry of Deeds of
ISABELA was lost or destroyed due to FIRE _
4.That submit erewi!h arethe following paP. r in.sypport of this petition;
a. Owne r' s.Duplicate Certificate of Title ;;ind Three (3) Xerox copies thereof, (if the owner's duplicate
has be :n losVdestroyed/or is not ailabl;e then the co- wner's duplicate certificate of title and
threeJ3) Xerox copies thereo fs ho,uJd be.submitt ed; .
tax
. • .'--I. ' . •···-,;.................................-,.. , ..
b. Certifie ftrue copy of Real Estate Clearance representing full payment of at least two (2) years
prior to:t he filing of the petition; ·
c-. Th"ree (3)certified true copy/copies of the latest Tax Declaration;
d. Others. .
PRAYER
·WHEREFORE, it is respectfully· prayed thatthe original of Original/Transfer Certificates of Title No/s.
P-8657· 4_ lost or d estr ?yed._in the file_s of lhe sajcj i ij egis i,yJ t Deeds be order,ed reconstituted on the basis of the
0
owner's/co-owner's duplica e certificate of title and injrccordance with Republic Act No. 6732.
date: place: TABUK CITY
VERIFICATION
.;.... _ _ after having been duly sworn to in accordance with law, depose and say that
_ _ _ _,,J
he/she caused the preparation of_the foregoing petitio11; that he/she has read the contents and the facts stated herein
are true and correct to his/her knowledge.
JULIUS N. JAYME
Petitioner
SUBSCRIBED AND SWO N TO before me this day , 20 -- affiant exhibited to me

his/her Community Tax Cert}ficate No. issued on---.---- 20 at _
Philippines. . _
Notary -.Pu blic

Doc No.
Page No. _
Book No.
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Series of
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L-RECD.FRM.2016.001
'
.
_ Revision 1 /06-06-2016
Republic of the Philippines)
CITY OF TABUK
AFFIDAVIT
I, JULIUS N. JAYME ,Filipino of legal age, single/married/widow/other and a resident of

P7- BULANAO, TABUK CITY Province ofKALINGA , Philippines after having been sworn
in accordance with the law depose and state;
1. That I am the
□ Registered owner □ Mortgagee
□ Owner/co-owner □ Others (please specify) BUYER _
of the parcel of land covered by Original/Transfer Certificate of Title No/s.P-86574 of the registry of Deeds of
ISABELA _,(Important: Please check appropriate box above)
2.That the original copy of the aforesaid Original/Transfer Certificate of Title on file with the Registry of Deeds of
ISABELA ,was lost/destroyed due to FIRE _
3. That no deed of 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 registration of such deeds
or instruments is still pending accomplishment;
4. That the owners duplicate certificate or co-owner's duplicate is in due form without any intentional alteration or
erasures ;
5. That the certificate of title is not the subject to litigation or investigation, administrative or judicial regarding its
genuineness or due execution or issuances;
6. That the original certificate of title was in full force and effect at the time it was lost or 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 have been fully paid up to at least two (2) years prior to the filling of the petition for
reconstitution;
9. That the corresponding co-owner's duplicate copy of the said Original/Transfer Certificate of Title No/s.
P-86574 was lost/destroyed in the possession ofREGISTRY OF DE-EDS----
UNDER THE FOLLOWING CIRCUMSTANCE:

(state below the circumstance)
Note:
Par. 9 should be filled up only in case the co-owner's duplicate is to be made for reconstitution.
10. That the owner's duplicate certificate is being submitted as basis for administrative reconstitution pursuant to
Rep. Act No. 6732;
11. That I am executing this affidavit in connection with my petition for administrative reconstitution of the
Original/Transfer Certificate of Title No/s. P-86574
-----
Further affiant sayeth none.
JULIUS N. JAYME
Affiant
SUBSCRIBED AND SWORN TO before me this

day of 20 , affiant exhibited to me his/her
Community Tax Certificate No.036 3868_, issued onJAN. 02,2020 at TABUK CITY Philippines.
Doc. No.
Notary Public
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Page No. _
Book No.
Series of
L-RECD .FRM.2016.002

P-86574 Isabela Julius N. Jayme

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\..

I RE: IN THE MATIER OF ADMINISTRATIVE RECONSTITUTION OF

2. That the petitioher is the Oregi tered owner □ \

date: place: TABUK CITY

SUBSCRIBED AND SWO N TO before me this day , 20 -- affiant exhibited to me

Notary -.Pu blic

I, JULIUS N. JAYME ,Filipino of legal age, single/married/widow/other and a resident of

UNDER THE FOLLOWING CIRCUMSTANCE:

SUBSCRIBED AND SWORN TO before me this

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