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JUDICIAL AFFIDAVIT Sample

This document is a judicial affidavit submitted as evidence in a civil case. It contains the testimony of a witness named XXXXX. The witness testifies about facts relevant to proving two points in the case. The witness' testimony is given under oath and in response to questions from lawyer YOUR NAME. At the end, the lawyer certifies that the testimony accurately reflects the uncoached answers provided by the witness.

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Allana Erica Cortes
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146 views

JUDICIAL AFFIDAVIT Sample

This document is a judicial affidavit submitted as evidence in a civil case. It contains the testimony of a witness named XXXXX. The witness testifies about facts relevant to proving two points in the case. The witness' testimony is given under oath and in response to questions from lawyer YOUR NAME. At the end, the lawyer certifies that the testimony accurately reflects the uncoached answers provided by the witness.

Uploaded by

Allana Erica Cortes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Republic of the Philippines

Fifth Judicial Region


MUNICIPAL CIRCUIT TRIAL COURT
Branch ____
Sorsogon City

XXXXX, Civil Case No. __________


Plaintiff,

FOR: _________________
vs.

XXXXX,
Defendant.
x---------------------------------------------------------x

JUDICIAL AFFIDAVIT OF
XXXXX

COUNSEL, respectfully submits the Judicial Affidavit of XXXXX


conducted under the supervision of Atty. Your Name of Bgy. Piot,
Sorsogon City.

Offer of Testimony: The testimony of the witness is respectfully offered


to prove 1.) that xxxx and 2.) by testifying on other material and
relevant matters in connection thereto.

Examination Questions and Answers

I, XXXXX, of legal age, Filipino, and xxxx Sorsogon City, fully


conscious that I am answering the questions asked of me under oath,
and that it was explained to me that I may face criminal liability for
false testimony or perjury should I tell a lie, hereby testify to, as
follows:

Lawyer:

Atty. Your Name

Q1. Why are you here in my office?


A1. xxxx.

Page 1 of 3
Q2. xxxx?
A2. Xxxx.

Q3. Do you attest to the veracity of the foregoing facts and the
authenticity of the documents?
A3. Yes, I do.

Q4. Do you want to sign this judicial affidavit of yours?


A4. Yes sir.

IN WITNESS WHEREOF, I have hereunto set my hand this


______________ at Sorsogon City.

XXXXX
Affiant
ID No. _______
Issued by _____

SUBSCRIBED AND SWORN to before me on the day and place


above written.

ATTY. YOUR NAME


Notarial Commission No. XXXX
Notary Public until Dec. 31, 2022
Roll of Attorneys No. XXXX
Doc. No.:_________; IBP NO.: XXXX – Jan. 22, 2020-Mla
Page No.:_________; PTR NO.: XXXX – Jan. 14, 2020-Sor
Book No.:_________; MCLE Compliance No. VI – 0XXXX
Series of :2021. Piot, Sorsogon City

Republic of the Philippines }


Province of Sorsogon } S.S
City of Sorsogon }

CERTIFICATION

I, Your Name, Filipino, of legal age and a resident of Piot,


Sorsogon City, Philippines, subscribing under oath, hereby depose and
state that:

1. That I am the Lawyer who conducted or supervised the


examination of the witness;

Page 2 of 3
2. That I have faithfully recorded or caused to be recorded the
questions I asked and the corresponding answers that the
witness gave;

3. That neither I nor any other person then present or assisting me


coached the witness regarding the latter’s answers; and I attest to
the authenticity of the annexes thereof.

IN WITNESS WHEREOF, I have hereunto set my hand this


__________________ at Sorsogon City, Province of Sorsogon,
Philippines.

YOUR NAME
Counsel for the Plaintiff
Roll of Attorneys No. XXXX
IBP NO.: XXXXX – Jan. 22, 2020-Mla
PTR NO.: XXXXX – Jan. 14, 2020-Sor
MCLE Compliance No. VI - XXXXX
Piot, Sorsogon City

SUBSCRIBED AND SWORN to before me, on the date and


place first above-written with identification document with numbers
shown below his name.

Doc No._______
Page No.______
Book No.______
Series of 2021.

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