Republic of the Philippines
CITY OF HIMAMAYLAN
-oOo-
People of the Philippines,
Complainant
For:
“ADULTERY”
Vs.
________________________
________________________
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COMPLAINT
The undersigned, Offended Party, hereby accuses (name of
accused), Filipino, (age) years old, (marital status) and a resident of
(address of accused), Negros Occidental, and (name of accused),
Filipino, (age) years old, (marital status) and a resident of (address of
accused), Negros Occidental, charged for the crime of “ADULTERY” or
any other crimes as maybe suggested by the following evidences:
A. Affidavit of:
1. (name of complainant) ---- - (Address)
B. Exhibits:
1. _________________
2. __________________
3. __________________
CONTRARY TO LAW:
Himamaylan City, Negros Occidental. (date).
(Affiant/Complainant)
1st Endorsement
Respectfully forwarded to the City Prosecutor’s Office, Hall
of Justice, Himamaylan City, Negros Occidental thru
_________________, Himamaaylan City, Negros Occidental,
recommending for prosecution. Please advise this Office of any
action taken on this case for our information.
_______________________