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COMPLAINANT
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.
_____________
_____________
_____________
_____________
_____________
_____________
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 20____.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 20____.
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____.
C.T.C. No.
_____________
_____________
_____________
_____________
_____________
_____________
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.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No.______;
Series of 20____.
NOTARY PUBLIC
NOTARY PUBLIC
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 ______;
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;
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
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.
d.
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)
Plaintiff is open and willing to enter into an amicable settlement or compromise under the following
terms:
1. __________________________
2. __________________________
3. __________________________
Plaintiff is willing to submit itself to mediation and other alternative modes of dispute resolution.
Admitted Facts
Plaintiff admits the following facts:
1. __________________________
2. __________________________
3. __________________________
Issues
Witnesses to be presented
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.
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.
(COUNSEL)
COPY FURNISHED:
OPPOSING COUNSEL
(EXPLANATION)
Defendant is open and willing to enter into an amicable settlement or compromise under the following
terms:
1. __________________________
2. __________________________
3. __________________________
Defendant is willing to submit itself to mediation and other alternative modes of dispute resolution.
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. __________________________
Issues
Witnesses to be presented
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.
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.
(COUNSEL)
COPY FURNISHED:
OPPOSING COUNSEL
(EXPLANATION)
(COUNSEL)
(NOTICE OF HEARING)
(EXPLANATION)
COPY FURNISHED:
OPPOSING COUNSEL
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.
AFFIANT
(JURAT)
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)