Republic of the Philippines

[REGION]
[COURT]
[BRANCH] ______, [CITY] ___________

IN RE: QUIETING OF TITLE OVER THE

PROPERTY COVERED BY TCT NO. ______________
SCA No. ________
[NAME] __________,
Petitioner,

[NAME] ______________,
Respondent.
x ------------------------------------------------ x

PETITION

PETITIONER, by counsel, respectfully states that:

1. He is [STATE IN WHAT CAPACITY PETITIONER IS FILING THE PETITION].

2. [STATE THE DEED, CONTRACT OR OTHER WRITING SOUGHT TO BE REFORMED,

CANCELLED, OR BY WHICH OWNERSHIP IS TO BE CONSOLIDATED]
______________________ and particularly described, as follows:

[INSERT TECHNICAL DESCRIPTION OF PROPERTY AS SEEN IN TCT]

covered by TCT No. ______________ in the Register of Deeds of [CITY WHERE

REGISTERED] __________. The same is annotated on the title as the only encumbrance
thereon.

3. [STATE MATERIAL ALLEGATIONS OF ULTIMATE FACTS, i.e. facts showing interest

under a deed, will, contract or other written instrument and injury arising from operation of
said deed, will, contract or other writing and facts showing that no violation or breach has
occurred; may also show facts showing need to reform instrument, quiet title (arising from
conflicting claims or cloud thereon) or to consolidate ownership (as when property under
pacto de retro not redeemed)] ________________________________________.

4. The existence of the alleged [DEED/WILL/CONTRACT OR OTHER WRITING] is

prejudicial and injurious to the title of the lawful heirs of the deceased upon the said
property. Equity demands that the said [DEED/WILL/CONTRACT OR OTHER WRITING] be
surrendered and cancelled, as it is a cloud upon the title of the [PETITIONER/PETITIONER”S
PRINCIPAL/HEIRS/ETC.].

WHEREFORE, petitioner respectfully prays that this Honorable Court render judgment
[STATE RELIEF PRAYED FOR] _________________________________________.

[CITY] ___________; [DATE] _________________________.

[SIGNATURE]
[NAME OF COUNSEL] ___________
Counsel for Petitioner
[ADDRESS] ______________
 VERIFICATION & CERTIFICATION AGAINST FORUM SHOPPING

I, [NAME] _____________________, of legal age, do hereby state that: I am the

plaintiff in the pleading/document entitled [PLEADING/DOCUMENT BEING VERIFIED]
___________________ and in such capacity, caused this Complaint to be prepared; I have
read its contents and affirm that they are true and correct to the best of my own personal
knowledge; I hereby certify that there is no other case commenced or pending before any
court 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.

IN WITNESS WHEREOF, I have signed this instrument on [DATE]_____________.

[SIGNATURE]
[NAME] _________________

SUBSCRIBED AND SWORN TO before me in the City of _______________ on this day

of [MONTH AND YEAR]_________________, affiant exhibiting before me his Government
Issued ID no. _______________ issued on [DATE}__________________ at [PLACE OF
ISSUANCE]_____________________.

[SIGNATURE]
[NAME]_______
Notary Public

Until [DATE]__________________
PTR No. [NUMBER] ____________
Issued at [PLACE]______________
On [DATE] ___________________

Doc. No.
Page No.
Book No.
Series of [YEAR] ___________.