Judicial Affidavit Sample
Judicial Affidavit Sample
ANITA A. ATCHARA,
Plaintiff,
Civil Case No. XX-XXX
- versus-
For: Collection of sum of money
BODO B. BOLINAO,
Defendant.
x--------------------------------------------x
JUDICIAL AFFIDAVIT
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11. Q: On the lower right hand portion, there appears a name and
signature. Can you tell us whose name and signature this
belongs to?
A: This is Mr. Bolinao’s name and signature.
13. Q: Let us proceed to the second transaction. Please tell the court
what happened on April 22, 2016.
A: On that day, Mr. Bolinao went to my office in Sagkahan Fish
Market sometime in the afternoon and asked again if he could
borrow an additional P160,000.00 because he needed more
money for his business expansion. He also promised to pay the
whole amount, including the P90,000.00, after another six
months.
23. Q: So, how did you know that your check you issued was
encashed?
A: It was reflected on the monthly bank statement that ABC Bank
mailed me for the month of April.
24. Q: If I showed you the said bank statement, will you be able to
identify it?
A: Yes, ma’am.
25. Q: I am showing you a bank statement from ABC Bank for the
month of April 2016. How is this document related to the bank
statement you just mentioned?
A: This is the same bank statement.
(The ABC Bank bank statement is marked as Exhibit “C”)
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28. Q: What would he say during the calls?
A: He would sometimes drop the call and when he answered he
would tell me that he is busy and ask me to call some other
time.
33. Q: After your demands were unheeded, what did you do?
A: I went to my lawyer on the 5th of December 2016 and asked
her to draft a final notice of demand.
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36. Q: What else do you wish to state regarding the attached exhibits
in this Judicial Affidavit?
A: I warrant that the copies attached herein are faithful
reproductions of the original documents that are currently in
my possession for safekeeping.
Nothing Follows.
ANITA A. ATCHARA
Affiant
Notary Public
.Doc. No. __
Page No. __
Book No. __
Series of 2017.
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ATTESTATION
4. Neither I nor any other person then present or assisting me, coached
the witness regarding the latter's answers.
Nothing Follows.
Notary Public
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Copy furnished:
ATTY. TEDDY EDMUND T. PAVON
Counsel for Defendant
111 A. Gomez Street,
City of Tacloban
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