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CAPTION
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
National Capital Judicial Region
Branch 27
Manila

Juan dela Cruz,

Plaintiff

-versus- Civil Case No. 12345

For: Sum of Money
Pedro Santos,
Defendant
x--------------------x

ACKNOWLEDGMENT
Republic of the Philippines )
City of Manila ) S.S.

BEFORE ME, this 27th day of July, 2013 in the City of Manila, personally appeared Juan dela
Cruz, with CTC No. 12345 issued at the City of Manila on January 1, 2013 and Driver’s License No. N25-
012345 issued by the Land Transportation Office on March 1, 2012 known to me to be the same
person who executed the foregoing instrument, and acknowledged that the same is his free and
voluntary act and deed.

WITNESS MY HAND AND SEAL, at the place and on the date first above written.

ATTY. PEDRO SANTOS

Notary Public for Manila
Unit 27, X Building, Padre Faura St. Manila
Appointment No. 123 until December 31, 2013
IBP No. 123456; 01/01/13 – Manila
PTR No. 1234567; 01/01/13 – Manila
Roll No. 12345; 05/01/10

Doc. No. 11;

Page No. 22;
Book No. V;
Series of 2013

That in all things and persons, God may be glorified!

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VERIFICATION & CERTIFICATION OF NON-FORUM SHOPPING

VERIFICATION & CERTIFICATION OF NON-FORUM SHOPPING

I, Juan dela Cruz, of legal age and a resident of 20 San Miguel St. Quiapo Manila under oath declare
that:

1. I am the plaintiff in the above-entitled case;

2. I have caused the preparation of this complaint;
3. I have read it and its contents are true and correct of my personal knowledge and/or based
on authentic records.
4. I have not earlier commenced a similar action against the defendant for the same cause
with any other court, tribunal or quasi-judicial agency and, to the best of my knowledge, no
such action or proceeding is pending with any other court, tribunal or quasi-judicial agency;
and if I should learn that a similar action or proceeding has been filed or is pending before
any other court, tribunal or quasi-judicial agency, I hereby undertake to notify this
Honorable Court within five (5) days from such notice.

(sgd.) Juan dela Cruz

(JURAT)
SUBSCRIBED AND SWORN to before me, in the City of Manila, this 27 th day of June, 2013, the affiant
exhibiting his CTC No. 12345 issued at the City of Manila on January 1, 2013 and Driver’s License No.
N25-012345 issued by the Land Transportation Office on March 1, 2012.

ATTY. PEDRO SANTOS

Notary Public for Manila
Unit 27, X Building, Padre Faura St. Manila
Appointment No. 123 until December 31, 2013
IBP No. 123456; 01/01/13 – Manila
PTR No. 1234567; 01/01/13 – Manila
Roll No. 12345; 05/01/10

Doc. No. 11;

Page No. 22;
Book No. V;
Series of 2013

That in all things and persons, God may be glorified!

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COMPLAINT
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
National Capital Judicial Region
Branch 27
Manila

Juan dela Cruz,

Plaintiff

-versus- Civil Case No. 12345

For: Sum of Money
Maria Makiling,
Defendant
x---------------------------------------x

COMPLAINT

COMES NOW, the plaintiff through the undersigned counsel and to this Honorable Court, respectfully
alleges:

1. That plaintiff, Juan dela Cruz is of legal age, single and a resident of 20 San Miguel St. Quiapo Manila
and defendant, Maria Makiling is of legal age and a resident of 10 Arlegui St. Quiapo Manila;

2. That on March 27, 2013, defendant obtained a loan from the plaintiff in the amount of FIFTY
THOUSAND PESOS (PhP 50,000) for which she executed and delivered to plaintiff a promisorry note, a
copy of which is hereto attached as Annex A, and made part of this complaint;

3. That despite the lapse of the period for payment of the amount stated in said note, defendant has not
paid the same, or any part thereof or interest thereon;

WHEREFORE, it is respectfully prayed that judgement be rendered in favour of plaintiff and against
defendant for the sum of FIFTY THOUSAND PESOS (50,000) with interest of six percentum (6%) per annum on the
said note until paid; interest at the legal rate on the interest due from the time of the filing of the complaint and
attorney’s fees plus costs.

Such other reliefs as may be just and equitable under the premises are likewise prayed for.

City of Manila, Philippines, July 27, 2013

ATTY. PEDRO SANTOS
Counsel for Plaintiff
Unit 27, X Building, Padre Faura St. Manila
Appointment No. 123 until December 31, 2013
IBP No. 123456; 01/01/13 – Manila
PTR No. 1234567; 01/01/13 – Manila
Roll No. 12345; 05/01/10
MCLE No. I 09/27/12

(VERIFICATION & CERTIFICATION OF NON-FORUM SHOPPING)

(JURAT)

That in all things and persons, God may be glorified!

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MOTION FOR POSTPONEMENT

REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
National Capital Judicial Region
Branch 27
Manila

Juan dela Cruz,

Plaintiff

-versus- Civil Case No. 12345

For: Rescission of Contract
Maria Makiling,
Defendant
x---------------------------------------x

MOTION FOR POSTPONEMENT OF HEARING

Defendant, by the undersigned counsel, respectfully states that:

1. The above-entitled case is set for hearing on August 10, 2013;

2. Counsel for defendant is sick and is suffering from high blood pressure, and has been advised by his
physician to rest for at least two (2) weeks, as evidenced by the doctor’s certification, under oath
attached hereto as Annex A
3. The appearance of the defendant’s counsel is indispensable because he will facilitate the cross-
examination of plaintiff’s witness

WHEREFORE, it is prayed that the hearing set on August 1, 2013 be reset to another day preferably on the
fourth week of August 2013 or at the convenience of this Honorable Court.

City of Manila, Philippines, August 5, 2013

ATTY. PEDRO SANTOS
Counsel for Defendant
Unit 27, X Building, Padre Faura St. Manila
Appointment No. 123 until December 31, 2013
IBP No. 123456; 01/01/13 – Manila
PTR No. 1234567; 01/01/13 – Manila
Roll No. 12345; 05/01/10
MCLE No. I 09/27/12

(PROOF OF SERVICE)
(ANNEX A)
(JURAT)

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MOTION FOR DISMISSAL

REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
National Capital Judicial Region
Branch 27
Manila

Juan dela Cruz,

Plaintiff

-versus- Civil Case No. 12345

For: Sum of Money
Maria Makiling,
Defendant
x---------------------------------------x

MOTION TO DISMISS

COMES NOW the defendant, through counsel, to this Honorable Court most respectfully avers:

1. In the Complaint, it was stated that his obligation was due last June 27, 1995;
2. Nothing was mentioned therein that thereafter he acknowledged in writing said obligation or that the
plaintiff made a demand for its payment therefore, that obligation has by now prescribed.
3. This motion is not intended for delay

PRAYER

WHEREFORE, it is prayed that the Complaint be dismissed on the ground of prescription of action.

City of Manila, Philippines, August 5, 2013

ATTY. PEDRO SANTOS
Counsel for Defendant
Unit 27, X Building, Padre Faura St. Manila
Appointment No. 123 until December 31, 2013
IBP No. 123456; 01/01/13 – Manila
PTR No. 1234567; 01/01/13 – Manila
Roll No. 12345; 05/01/10
MCLE No. I 09/27/12

(NOTICE OF HEARING)
Copy Furnished

(PROOF OF SERVICE)

That in all things and persons, God may be glorified!

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CRIMINAL INFORMATION
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
National Capital Judicial Region
Branch 27
Manila

People of the Philippines,

Plaintiff

-versus- Criminal Case No. 12345

MURDER
Juan dela Cruz,
Accused
x---------------------------------------x

INFORMATION

The undersigned Assistant City Prosecutor, upon sworn complaint originally filed by the offended party,
accuses Juan dela Cruz of the crime MURDER, committed as follows:

That on or about October 27, 2012 in the city of Manila, Philippines, within the jurisdiction of this court,
the said accused, did then and there, with malice aforestated and with deliberate intent to take the life of Maria
Makiling, wilfully, unlawfully, feloniously, suddenly, unexpectedly and treacherously, attack the latter with a knife,
first wounding her in the chest and afterwards, again in the stomach; both wounds being necessarily moral, thereby
causing the direct and immediate death of said Maria Makiling.

Contrary to law.

City of Manila, Philippines, August 5, 2013

(CERTIFICATION)

This is to certify that a preliminary investigation has been conducted in the above-entitled case, wherein
the accused was given a chance to appear and that on the basis of the evidence presented, there is
reasonable ground to believe that the offense charged has been committed and the accused is probably
guilty thereof.
(JURAT)

(Sgd.) ATTY. PEDRO SANTOS

Assistant City Prosecutor

WITNESSES:
(Sgd.) Tess Tigo
(Sgd.) Irma Pirma

Bail Recommended: PhP 200,000

That in all things and persons, God may be glorified!

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COMPLAINT - AFFIDAVIT
(Filed by the offended party for the commission of a felony/crime)

REPUBLIC OF THE PHILIPPINES

Office of the City Prosecutor
Manila

Juan dela Cruz,

Complainant

-versus- I.S. No. 12345

For: Violation of B.P. Blg. 22
Maria Santos,
Respondent
x---------------------------------------x

COMPLAINT - AFFIDAVIT

I, Juan dela Cruz, of legal age and a resident of 27 Recto Ave. Manila, under oath declare that:

1. Last January 27, 2013, the respondent borrowed PhP500,000 from me, obliging himself to pay that
loan by March 27, 2013. A copy of the promissory note which he made and issued for that loan is
hereto attached as “Annex A”;

2. Last March 27, 2013, in the City of Manila, the respondent purportedly in payment for that loan, drew
and issued to me X Bank Check No. 001. A copy of that check is hereto attached as “Annex B”;

3. Upon presentment for clearing/collection, that check was dishonoured by the drawee bank for the
reason “drawn against insufficient funds” The bank debit advice to that effect is hereto attached as
“Annex C”;

4. Notice of dishonor and demand for payment were made upon the respondent. However, the latter
simply ignored them. A copy of the said notice is hereto attached as “Annex D”.

5. I am executing this sworn statement for the purpose of charging the respondent with having violated
B.P. Blg. 22

City of Manila, Philippines, August 5, 2013

(Sgd.) JUAN DELA CRUZ
Complainant

(JURAT)

That in all things and persons, God may be glorified!

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