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Republic of the Philippines

MUNICIPAL TRIAL COURT IN CITIES


_________ Judicial Region
Branch _____, __ City __
PEOPLE OF THE PHILIPPINES,
Plaintiff,
Criminal Case No. _____________
- versus (Designation of the Crime Charged)
__________________________,
Accused,
x--------------------x

Republic of the Philippines


MUNICIPAL TRIAL COURT IN CITIES
_________ Judicial Region
Branch _____, __ City __
______________________,
Plaintiff,
Civil Case No. _____________
- versus (Designation of the Pleading)
______________________,
Defendant,
x-----------------x

Republic of the Philippines


IN THE MUNICIPAL TRIAL COURT OF __MUNICIPALITY__
_________ Judicial Region
Branch _____, __ Municipality__
PEOPLE OF THE PHILIPPINES,
Plaintiff,
Criminal Case No. _____________
- versus (Designation of the Crime Charged)
__________________________,
Accused,
x--------------------x

Republic of the Philippines


IN THE MUNICIPAL TRIAL COURT OF __MUNICIPALITY__
_________ Judicial Region
Branch _____, __ Municipality__
______________________,
Plaintiff,
Civil Case No. _____________
- versus (Designation of the Pleading)
______________________,
Defendant,
x-----------------x

Republic of the Philippines


REGIONAL TRIAL COURT
_________ Judicial Region
Branch _____, __Province/City__
PEOPLE OF THE PHILIPPINES,
Plaintiff,
Criminal Case No. _____________
- versus (Designation of the Crime Charged)
__________________________,
Accused,
x--------------------x

Republic of the Philippines


REGIONAL TRIAL COURT
_________ Judicial Region
Branch _____, __Province/City__
______________________,
Plaintiff,
Civil Case No. _____________
- versus (Designation of the Pleading)
______________________,
Defendant,
x-----------------x

Republic of the Philippines


COURT OF APPEALS
Manila
______________________,
Plaintiff-Appellant,
C.A.-G.R. No. _____________
- versus (Designation of the Pleading)
______________________,
Defendant-Appellee,
x-----------------x

Republic of the Philippines


SUPREME COURT
Manila
______________________,
Plaintiff-Appellant,
G.R. No. _____________
- versus (Designation of the Pleading)
______________________,
Defendant-Appellee,
x-----------------x

(Complaint for Adultery)


(CAPTION)
COMPLAINT
The undersigned, _____________, accuses _____________ of the crime of ADULTERY, committed
as follows, to wit:
That on or about _____________, at about _________ (a.m./p.m.), in the City/Municipality of
_____________, Province of _____________ and within the jurisdiction of this Honorable Court, the said
accused _____________ did then and there voluntarily, unlawfully, and feloniously had sexual intercourse
with her co-accused _____________, who is not her husband, and the latter knowing her to be married to
_____________, voluntarily, unlawfully, and feloniously had carnal knowledge with her.
Contrary to law.
_____________, Philippines, __Date__.

COMPLAINANT

(Jurat for an Individual Affiant)


SUBSCRIBED AND SWORN to before me, this _____________, by the Affiant who is personally known
to me (or whom I have identified through competent evidence of identity) and who exhibited his/her Community
Tax Certificate No. _____________ issued at _____________ on _____________.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 20____.

Witnesses:
____________________
____________________

(Joint Affiants)
SUBSCRIBED AND SWORN to before me, this _____________, by _____________ who exhibited
his/her Community Tax Certificate No. _____________ issued at _____________ on _____________ and by
_____________ who exhibited his/her Community Tax Certificate No. _____________ issued at _____________
on _____________, both of whom are personally known to me (or whom I have identified through competent
evidence of identity).

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 20____.

(Multiple Affiants)
SUBSCRIBED AND SWORN to before me, this _____________, by the following who are all personally
known to me (or whom I have identified through competent evidence of identity) and who exhibited to me their
respective Community Tax Certificates as follows:
Name
1. _____________
2. _____________
3. _____________

C.T.C. No.

Date / Place Issued

_____________
_____________
_____________

_____________
_____________
_____________

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment by an Individual - One-Party Instrument)


REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF ______) SS.
x------------------------------------x
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________,
personally appeared _____________ with Community Tax Certificate No. _____________ issued on
_____________ at _____________, personally known to me (or whom I have identified through competent
evidence of identity) and who represented to me that his/her signature on the foregoing instrument was voluntarily
affixed by him/her for the purposes stated in the instrument and who declared that he/she has executed the
foregoing instrument as his/her free and voluntary act and deed.
This Instrument consists of only ______ (____) page/s, including this page in which this
acknowledgment is written, duly signed by _____________ and his/her instrumental witnesses on each and
every page hereof.
WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment by Individuals - Two-Party Instrument)


REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF ______) SS.
x-----------------------------------------x
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________,
personally appeared _____________ with Community Tax Certificate No. _____________ issued on
_____________ at _____________, and _____________ with Community Tax Certificate No. _____________
issued on _____________ at _____________, both personally known to me (or whom I have identified through

competent evidence of identity) and who represented to me that their respective signatures on the foregoing
instrument were voluntarily affixed by them for the purposes stated in the instrument and who declared that they
have executed the foregoing instrument as their free and voluntary act and deed.
This Instrument consists of only ______ (____) page/s, including this page in which this
acknowledgment is written, duly signed by the parties and their instrumental witnesses on each and every page
hereof.
WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment by Individuals - Multi-Party Instrument)


REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF ______) SS.
x-----------------------------------------x
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________,
personally appeared the following persons, with their respective Community Tax Certificates as follows:
Name
1. _____________
2. _____________
3. _____________

C.T.C. No.

Date / Place Issued

_____________
_____________
_____________

_____________
_____________
_____________

all personally known to me (or whom I have identified through competent evidence of identity) and who
represented to me that their respective signatures on the foregoing instrument were voluntarily affixed by them for
the purposes stated in the instrument and who declared that they have executed the foregoing instrument as their
free and voluntary act and deed.
This Instrument consists of only ______ (____) page/s, including this page in which this
acknowledgment is written, duly signed by the parties and his instrumental witnesses on each and every page
hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment for and in behalf of a Corporation)


REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF ______) SS.
x------------------------------------x
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________,
personally appeared _____________ with Community Tax Certificate No. _____________ issued on
_____________ at _____________, personally known to me (or whom I have identified through competent
evidence of identity) and who represented to me that he/she is the __position in the corporation__ of __(name of
corporation)__ and that he/she has the authority to sign for and in behalf of the said corporation in that capacity,
that his/her signature on the foregoing instrument was voluntarily affixed by him/her for the purposes stated in the
instrument and who declared that the foregoing instrument is the free and voluntary act and deed of the said
corporation.
This Instrument consists of only ______ (____) page/s, including this page in which this
acknowledgment is written, duly signed by _____________ and his/her instrumental witnesses on each and
every page hereof.
WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 20____.

(Acknowledgment by an Individual and a Corporation)


REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF ______) SS.
x------------------------------------x
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________,
personally appeared _____________ with Community Tax Certificate No. _____________ issued on
_____________ at _____________, and _____________ with Community Tax Certificate No. _____________
issued on _____________ at _____________ who represented to me that he/she is the __position in the
corporation__ of __(name of corporation)__ and that he/she has the authority to sign for and in behalf of the
said corporation in that capacity, both personally known to me (or whom I have identified through competent
evidence of identity), and who represented that their signatures on the foregoing instrument were voluntarily
affixed by them for the purposes stated in the instrument and who declared that the foregoing instrument is their
free and voluntary act and deed as well as the free act and deed of the corporation herein represented.
This Instrument consists of only ______ (____) page/s, including this page in which this
acknowledgment is written, duly signed by the parties and their instrumental witnesses on each and every page
hereof.
WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 20____.
VERIFICATION
REPUBLIC OF THE PHILIPPINES)
Province of ____________________) S.S.
City/Municipality of _____________)
x-----------------------x
I, _____________, of legal age, Filipino, (single / married / widow), and a resident of _____________,
Philippines, after being sworn in accordance with law, hereby depose and say:

That I am the (Plaintiff / Complainant / Petitioner) in the above-entitled case; That I have caused the
preparation of the above (Complaint / Petition) and I have read the same and knows the contents thereof; That
the allegations contained therein are true and correct of my own personal knowledge.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________,
Philippines.

AFFIANT
SUBSCRIBED AND SWORN to before me, this _____________, by _____________ who exhibited to
me (his/her) Community Tax Certificate No. _____________ issued at _____________, Philippines on
_____________.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;

VERIFICATION
REPUBLIC OF THE PHILIPPINES)
Province of ____________________) S.S.
City/Municipality of _____________)
x-----------------------x
I, _____________, of legal age, Filipino, (single / married / widow), and a resident of _____________,
Philippines, after being sworn in accordance with law, hereby depose and say:
1. That I am the __position__ of __corporation__, the (Plaintiff / Complainant / Petitioner) in the
above-entitled case;
2. That in my capacity as such __position__, I have caused the preparation of the above (Complaint /
Petition) and I have read the same and knows the contents thereof; That the allegations contained
therein are true and correct of my own personal knowledge and the authentic records at hand.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________,
Philippines.

AFFIANT

SUBSCRIBED AND SWORN to before me, this _____________, by _____________ who exhibited to
me (his/her) Community Tax Certificate No. _____________ issued at _____________, Philippines on
_____________.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;

VERIFICATION AND CERTIFICATION


REPUBLIC OF THE PHILIPPINES)
Province of ____________________) S.S.
City/Municipality of _____________)
x-----------------------x
I, _____________, of legal age, Filipino, (single / married / widow), and a resident of _____________,
Philippines, after being sworn in accordance with law, hereby depose and say:
That I am the (Plaintiff / Complainant / Petitioner) in the above-entitled case; That I have caused the
preparation of the above (Complaint / Petition) and I have read the same and knows the contents thereof; That
the allegations contained therein are true and correct of my own personal knowledge.
That I further certify that: (a) I have not theretofore commenced any other action or proceeding or filed any
claim involving the same issues or matter in any court, tribunal, or quasi-judicial agency and, to the best of my
knowledge, no such action or proceeding is pending therein; (c) if I should thereafter learn that the same or similar
action or proceeding has been filed or is pending before the Supreme Court, the Court of Appeals, or any other
tribunal or quasi-judicial agency, I undertake to report such fact within five (5) days therefrom to the court or
agency wherein the original pleading and sworn certification contemplated herein have been filed.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________,
Philippines.
AFFIANT
SUBSCRIBED AND SWORN to before me, this _____________, by _____________ who exhibited to
me (his/her) Community Tax Certificate No. _____________ issued at _____________, Philippines on
_____________.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;

CERTIFICATION OF NON-FORUM SHOPPING


REPUBLIC OF THE PHILIPPINES)
Province of ____________________) S.S.
City/Municipality of _____________)
x-----------------------x
I, _____________, of legal age, Filipino, (single / married / widow), and a resident of _____________,
Philippines, after being sworn in accordance with law, hereby depose and certify that:
(a) I have not theretofore commenced any other action or proceeding or filed any claim involving the same
issues or matter in any court, tribunal, or quasi-judicial agency and, to the best of my knowledge, no such action or
proceeding is pending therein; (c) if I should thereafter learn that the same or similar action or proceeding has been
filed or is pending before the Supreme Court, the Court of Appeals, or any other tribunal or quasi-judicial agency, I
undertake to report such fact within five (5) days therefrom to the court or agency wherein the original pleading and
sworn certification contemplated herein have been filed.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________,
Philippines.
AFFIANT
SUBSCRIBED AND SWORN to before me, this _____________, by _____________ who exhibited to
me (his/her) Community Tax Certificate No. _____________ issued at _____________, Philippines on
_____________.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;

NOTICE OF HEARING
Atty. _______________________
Counsel for the _______________
__Counsel's Address of Record__
Greetings: Please take notice that the foregoing Motion for _____________ shall be submitted for the
consideration and approval of the Honorable Court on Friday, __date__, at ________ (a.m./p.m.) or as soon as
counsel and matter may be heard.
COUNSEL
EXPLANATION
The foregoing (Pleading / Motion) is being filed with this Honorable Court and served on the opposing
counsel by registered mail in view of the impracticability of personal filing and service due to distance
considering that the office of this Honorable Court is at _____________ and that of the opposing counsel is at
_____________, while undersigned counsel holds office in _____________.
COUNSEL

(Complaint for Collection of Sum of Money)


(CAPTION)
COMPLAINT
COMES NOW Plaintiff, by counsel and to this Honorable Court, respectfully states that:
1. Plaintiff _____________ is of legal age, Filipino, (single / married / widow), and a resident of
_____________, Philippines. For purposes of this action, plaintiff may be served with all orders,
notices, and other processes of this Honorable Court through the office address of the undersigned
counsel indicated below;
2. Defendant _____________, of legal age, Filipino, (single / married / widow), and may be served with
summons and other processes of this Honorable Court at his last known address at _____________,
Philippines;
3. Sometime on _____________, Defendant obtained from and was granted a loan accommodation by the
Plaintiff in the principal amount of __________________________ (P_____________), Philippine
Currency;
4. A true and faithful machine reproduction of the Promissory Note made by the Defendant on
_____________ is hereto attached as Annex "A";
5. As of _____________, Defendant still has an Outstanding Balance to Plaintiff amounting to
__________________________ (P_____________), Philippine Currency, and has failed and neglected
to pay, without just and valid grounds, the said Outstanding Balance for the aforementioned loan
accommodation;
6. Despite Plaintiff's repeated demands, both written and verbal, Defendant failed, neglected and refused,
and continues to fail and refuse to pay and to settle the said Outstanding Balance, without just and valid
grounds, to the continued damage and prejudice of Plaintiff;

7. A true and faithful machine reproduction of the Plaintiff's demand letter to Defendant dated
_____________ is hereto attached as Annex "B";
8. Consequently, Plaintiff was constrained to engage the services of counsel to whom it obligated itself to
pay as Attorney's Fees the amount equivalent to _____________ (______%) percent of the total amount
due from Defendant to Plaintiff.
PRAYER
WHEREFORE, after due notice and hearing, Plaintiff respectfully prays that judgment be rendered
against the Defendant as follows:
1. Ordering the Defendant to pay Plaintiff the sums of:
a.

The

amount

of

__________________________

(P_____________),

representing

Defendant's Outstanding Balance plus interest at the rate of _____________ (_____%) per
month as stipulated upon in the Promissory Note;
b.

_____________ (_____%) percent of the total amount due as Attorney's Fees plus
Appearance Fee at the rate of P__________ per court hearing / conference;

c.

_____________ (_____%) percent of the total amount due as Collection Charges /


Liquidated Damages;

d.

The costs of suit.

2. Plaintiff respectfully prays for such other reliefs as may be just and equitable in the premises.
Date _____________, Philippines, __Date__.

(COUNSEL)
(VERIFICATION)
(CERTIFICATION OF NON-FORUM SHOPPING)

(Pre-Trial Brief - for Plaintiff)


(CAPTION)
PRE-TRIAL BRIEF
PLAINTIFF, by counsel and unto the Honorable Court, most respectfully submits this Pre-Trial Brief:

Willingness to Enter into Amicable Settlement

Plaintiff is open and willing to enter into an amicable settlement or compromise under the following
terms:
1. __________________________
2. __________________________
3. __________________________

Alternative Modes of Dispute Resolution

Plaintiff is willing to submit itself to mediation and other alternative modes of dispute resolution.

Brief Statement of Case

This is a case for __________________________.

Admitted Facts
Plaintiff admits the following facts:
1. __________________________
2. __________________________
3. __________________________

Plaintiff is open to stipulations over and above the foregoing admissions.

Proposed Stipulation of Facts

Plaintiff requests Defendant to admit the following facts:


1. __________________________
2. __________________________
3. __________________________

Issues

Plaintiff respectfully submits that the issues in this case are:

1. Whether or not __________________________


2. Whether or not __________________________

3. Whether or not __________________________

List of Exhibits to be presented

Plaintiff will present the following exhibits:

1. ____________________ - to prove that _____State the Purpose_____


2. ____________________ - to prove that _____State the Purpose_____
3. ____________________ - to prove that _____State the Purpose_____

Witnesses to be presented

Plaintiff will present the following witnesses:

1. Plaintiff (himself/herself) - to testify on the materials allegations, causes of action, and claims as set
forth in the Complaint;

2. _____________ - to corroborate the testimony of the Plaintiff on its material points and to testify
that __________________________;

3. _____________ - to corroborate the testimony of the Plaintiff on its material points and to testify
that __________________________;

Plaintiff will need at least ___________ (______) (hour/minutes) per witness, exclusive of crossexamination, rebuttal and sur-rebuttal evidence.

Reservation

Plaintiff expressly reserves the right to present such additional witnesses and other exhibits and evidence
as the exigencies of the trial may require.

Specific Trial Dates

It is respectfully requested that the trial dates be set during the pre-trial conference to dates most
convenient to this Honorable Court and to all the parties.

MOST RESPECTFULLY SUBMITTED.

_____________, Philippines, __Date__.

(COUNSEL)

COPY FURNISHED:

OPPOSING COUNSEL

(EXPLANATION)

(Pre-Trial Brief - for Defendant)


(CAPTION)
PRE-TRIAL BRIEF
DEFENDANT, by counsel and unto the Honorable Court, most respectfully submits this Pre-Trial
Brief:

Willingness to Enter into Amicable Settlement

Defendant is open and willing to enter into an amicable settlement or compromise under the following
terms:
1. __________________________
2. __________________________
3. __________________________

Alternative Modes of Dispute Resolution

Defendant is willing to submit itself to mediation and other alternative modes of dispute resolution.

Brief Statement of Defense

Defendant, in its Answer with Counterclaims, dated _____________, prays for the dismissal of the
complaint on the ground that _____________.

Admitted Facts
Defendant admits the following facts:
1. __________________________
2. __________________________
3. __________________________

Defendant is open to stipulations over and above the foregoing admissions.

Proposed Stipulation of Facts

Defendant requests Plaintiff to admit the following facts:


1. __________________________
2. __________________________
3. __________________________

Issues

Defendant respectfully submits that the issues in this case are:

1. Whether or not __________________________


2. Whether or not __________________________
3. Whether or not __________________________

List of Exhibits to be presented

Defendant will present the following exhibits:

1. ____________________ - to prove that _____State the Purpose_____


2. ____________________ - to prove that _____State the Purpose_____
3. ____________________ - to prove that _____State the Purpose_____

Witnesses to be presented

Defendant will present the following witnesses:

1. Defendant (himself/herself) - to testify on the materials allegations, affirmative allegations, and


special and affirmative defenses and the denials in (his/her) Answer and Counterclaims and to testify
on the damages caused to (him/her) by the filing of this action;

2. _____________ - to corroborate the testimony of the Defendant on its material points and to testify
that __________________________;

3. _____________ - to corroborate the testimony of the Defendant on its material points and to testify
that __________________________;

Defendant will need at least ___________ (______) (hour/minutes) per witness, exclusive of crossexamination, rebuttal and sur-rebuttal evidence.

Reservation

Defendant expressly reserves the right to present such additional witnesses and other exhibits and
evidence as the exigencies of the trial may require.

Specific Trial Dates

It is respectfully requested that the trial dates be set during the pre-trial conference to dates most
convenient to this Honorable Court and to all the parties.

MOST RESPECTFULLY SUBMITTED.

_____________, Philippines, __Date__.

(COUNSEL)

COPY FURNISHED:

OPPOSING COUNSEL

(EXPLANATION)

(Motion to Set Case for Pre-Trial)


(CAPTION)
EX PARTE MOTION TO SET CASE FOR PRE-TRIAL
Plaintiff, by undersigned counsel and unto this Honorable Court, respectfully states:
1. On _____________, undersigned received a copy of defendant's Answer in this case;
2. Considering that a Reply to the said Answer is no longer necessary due to the fact that said Answer does
not raise any new or substantial issue, or raise issues which should more properly be addressed during
the trial proper, the said Answer is therefore the last pleading contemplated by the Rules of Court;
3. As such, undersigned respectfully requests that the instant case be immediately set for pre-trial.
WHEREFORE, it is respectfully prayed that the instant case be immediately set for pre-trial, pursuant
to Rule 18 of the Rules of Court.
Other relief just and equitable are likewise prayed for.
_____________, Philippines, __Date__.

(COUNSEL)

(NOTICE OF HEARING)
(EXPLANATION)
COPY FURNISHED:
OPPOSING COUNSEL

(Affidavit of Loss - Driver's License)

REPUBLIC OF THE PHILIPPINES)


Province of ____________________) S.S.
City/Municipality of _____________)
x-----------------------x

AFFIDAVIT OF LOSS
I, _____________, Filipino, of legal age, (single / married / widow), and with residence at
_____________, Philippines, after being duly sworn to in accordance with law, hereby depose and state:

That I am a duly-licensed driver in accordance with pertinent Land Transportation laws, rules and
regulations, and was issued a corresponding Driver's License with number _____________ which is
valid until _____________;

That sometime last week, said Driver's License was misplaced and got lost;

That despite diligent search and efforts to locate my Driver's License, I could not find the same such
that I now believe that it is now lost beyond recovery;

That said Driver's License has not been confiscated by the LTO, Police or other Traffic Enforcers
for any traffic violation;

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support
my application for the issuance of a new Driver's License, in lieu of the one that was lost.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________,


Philippines.

AFFIANT

(JURAT)

(Authority to Examine Bank Account)


The Honorable Commissioner
Securities and Exchange Commission
SEC Building, EDSA
Greenhills, Mandaluyong
Metro Manila
Sir:
This is to authorize your office to examine and verify the deposit in the __Name of Bank__
(_____________ Branch) in my name as Treasurer-in-Trust for __Name of Corporation__, INC. in the amount
of __________________________ (P_____________) representing the paid-up capital of the said corporation
which is in process of incorporation.
This authority is valid and inspection of said deposit may be made even after the issuance of certificate
of incorporation to the company.
Should the deposit be transferred to another bank prior to or after incorporation, this letter will also serve
as authority to verify and examine the same.
The representative of the Securities and Exchange Commission is also authorized to examine the
pertinent books and records of accounts of the corporation as well as supporting papers to determine the
utilization and disbursement of the said paid-up capital.

__Name of Corporation__, INC.


By:
TREASURER-IN-TRUST

(Real Estate Mortgage Without Separate Promissory Note)

REAL ESTATE MORTGAGE


KNOW ALL MEN BY THESE PRESENTS:
This Real Estate Mortgage, made by and between:
_____________, of legal age, (single / married / widow), and a resident of
_____________, Philippines (hereinafter known as the MORTGAGOR);
- and _____________, of legal age, (single / married / widow), and a resident of
_____________, Philippines (hereinafter known as the MORTGAGEE);
WITNESSETH; That:
The MORTGAGOR is indebted unto the MORTGAGEE in the sum of _____________ (P__________),
Philippine Currency, receipt of which is acknowledged by the MORTGAGOR upon the signing of this
instrument, payable to the order of the MORGAGEE without need of prior demand or notice within a period of
_____________ (years/months/weeks/days), at _____________ (P__________) (monthly/weekly/daily)
starting on _____________ and on every _____________ thereafter until fully paid, with interest thereon at the
rate of _____________ (______%) percent per (month/annum).
NOW, THEREFORE, for and consideration of the afore-mentioned indebtedness, and to assure the
performance of said obligation to pay, the MORTGAGOR does hereby CONVEY and DELIVER by way of
MORTGAGE unto the MORTGAGEE, (his/her) heirs, successors and assigns, the following parcel of land,
together with all the improvements found and standing thereon, more particularly described as follows:
(Technical Description of Property)
That it is the condition of this Mortgage that should the MORTGAGOR perform the obligation to pay
the afore-cited indebtedness of _____________ together with accrued interest thereon, within the agreed term,
this Real Estate Mortgage shall be discharged and shall at once become null and void and of no effect
whatsoever, otherwise, it shall subsist and remain in full force and effect and be subject to foreclosure in the
manner and form prescribed by law.

IN WITNESS WHEREOF, we have hereunto set their hands, this _____________ at _____________,
Philippines.

MORTGAGOR
With my Marital Conformity:

MORTGAGEE

MORTGAGOR'S SPOUSE
SIGNED IN THE PRESENCE OF:
__________________

__________________

(ACKNOWLEDGMENT)

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