FORM NO.
1: COMPLAINT AFFIDAVIT
Republic of the Philippines)
____________, ________ )
s.s. x- - - - - - - - - - - - - - - - - - - - - -x
COMPLAINT AFFIDAVIT
The UNDERSIGNED, __________________________, accuses _________, of
_____________, committed as follows, to wit:
That on or about _________, at about _____________ in the _________________,
______________, Philippines, the said accused did then and there willfully, unlawfully,
feloniously, and by means of _____________, committed _____________, upon the
undersigned directly by overt acts to wit: (state the details how the crime was
committed).
The undersigned executed this affidavit to attest the truthfulness of the foregoing
facts and to support the filing of Criminal Cases against
_______________________________ for violations of ________________________.
___________, this _____ day of __________, ____.
___________________
Offended Party
SUBSCRIBED AND SWORN to before me this ___ day of _______ at
_______________. I HEREBY CERTIFY that I have personally examined the herein
offended party and I am satisfied that they voluntarily executed and understood their
given affidavit.
_______________________
Prosecutor
WITNESSES:
FORM NO.2: COMPLAINT
(Caption and Title)
COMPLAINT
, MOST RESPECTFULLY STATES THAT; COMES NOW, the plaintiff
together with the undersigned counsel to this most honorable court
1. The Plaintiff is of legal age, married and a resident of _______________________.
The Defendant is likewise of legal age, married and temporary residing at
_____________________
2. The Plaintiff is the owner of the two-storey house unit located at the Petersville
Subdivision, Baguio City, and having the residential address of PV 123 as
evidenced by pertinent documents like tax declaration and deed of sale.
(EXHIBIT “A”)
3. The Defendant is the lessee of the house unit that is owned by the Plaintiff as
evidenced by the written contract of lease that both parties signed. (Exhibit “B”)
4. The Plaintiff and the Defendant came up with a written agreement of Lease on
June 26, 2007, which they both agreed upon and was duly signed by the two
parties as shown in their contract of lease. (Exhibit “B”)
5. Item No. 16 of the contract which the defendant signed expressly provides that
he will only be occupying the property for one (1) year, after which, he will
vacate the house when that term expires. (Exhibit “B”)
6. The contract also provides that the defendant should also take care of the
property and its premises” with the utmost diligence”.
7. On June 28, 2008, the plaintiff, after returning from Japan, was surprised to
discover that the defendant did not vacate the property as he expected. Worse,
he installed a “sari-sari store” in the original building structure of the house unit.
8. The plaintiff confronted the defendant about it but the defendant claimed that it
was a “DEED OF SALE” which they signed and not a “CONTRACT OF LEASE”
and therefore, the defendant is the new owner of the house unit.
9. On August 20, 2008, after continuous demands, the defendant constantly refuses
to vacate the house unit and even invited relatives to stay with him. 10. The
defendant willfully and maliciously violated the agreement which they mutually
agreed upon, and which the defendant signed.
PRAYER
WHEREFORE, premises considered, it is most respectfully prayed of this
Honorable Court that judgement be rendered in favor of the plaintiff and that
after judgement;
a. The defendant shall vacate the house unit owned by the plaintiff.
b. The defendant shall be ordered to pay P 120, 000 for the Attorney’s Fees.
Such other reliefs and remedies under the premises are likewise prayed
for.
_________________, Philippines, this ____ day of _________ 20__.
______________________
Counsel for the Plaintiff
PTR No. 18909595:1-04-07:B.C.
IBP No, 693095:1-04-07:B.C.
Roll No. 42481:5-10-97: Manila
Rm. 4 2/F Baguio Boating Center
180 Burnham Lake, Baguio City
FORM NO.3: VERIFICATION AND CERTIFICATION OF NONFORUM SHOPPING
VERIFICATION AND CERTIFICATION OF NON-FORUM
SHOPPING
I, _______________________, of legal age, after having been duly sworn in
accordance with law, depose and state that:
1. I am a plaintiff in the above-stated case;
2. I caused the preparation of the foregoing complaint;
3. I have read the contents thereof and the facts stated therein are true and
correct of my personal knowledge and/or on the basis of copies of documents
and records in my possession;
4. I have not commenced any other action or proceeding involving the same
issues in the Supreme Court, the Court of Appeals, or any other tribunal or
agency;
5. To the best of my knowledge and belief, no such action or proceeding is
pending in the Supreme Court, the Court of Appeals, or any other tribunal or
agency;
6. If I should thereafter learn that a similar action or proceeding has been filed
or is pending before the Supreme Court, the Court of Appeals, or any other
tribunal or agency, I undertake to report that fact within five (5) days
therefrom to this Honorable Court.
___________________________
Affiant
SUBSCRIBED AND SWORN to before me this ___ day of __________ 200_
at _________________ affiant exhibiting to me his Community Tax Certificate
No.____________________ issued on ________________ 200_ at ______________
City.
Doc. No. ;
Page No. ;
Book No. ;
Series of 20__.
FORM NO.4: ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF ______) SS.
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 Tax Identification
No. (T.I.N.) _____________), known to me and to me known to be the same person who
executed the foregoing instrument which (he/she) acknowledged to me as (his/her)
free and voluntary act and deed, consisting of only ______ (____) page/s, including this
page in which this Acknowledgement is written, duly signed by (him/her) 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
______;
