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Affidavit Complaint Version 6

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roberto valenzuela
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19 views2 pages

Affidavit Complaint Version 6

Uploaded by

roberto valenzuela
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
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I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, depose and state the following:

That I am acquainted with __Respondent__, a resident of


_____________, Philippines;

That on __date of issue__, at __place of issue__, Philippines, the said


__Respondent__ issued in my favor a __Name of Bank__ Check No.
____________ in the amount of P_____________ as supposed
payment for the loan accommodation of P_____________, which I have
extended to (him/her);

That the said check is drawn on the said __Respondent's__ account at


__Name of Bank__ with Account No._____________;

That when the said __Respondent__ issued and delivered the said
check to me, (he/she) assured and represented that the said check is a
good check and will be covered by sufficient funds when presented for
payment;

However, when the above-mentioned check was deposited, it was


dishonored and returned by the bank because it was drawn against a
"CLOSED ACCOUNT." A true and faithful machine reproduction of the
said check is hereto attached as Annex " ."

As a result, I immediately notified said __Respondent__ of the check's


dishonor and return and demanded that (he/she) make good the said
check within ____________ (____) days of receipt. Annex "____"
contains a true and faithful machine reproduction of my demand letter to
(him/her).

When said __Respondent__ failed to heed my demands, I endorsed the


said check to my legal counsel, who immediately sent a formal demand
letter through registered mail with return card on _____________, which
was received by the said __Respondent__ on _____________.
However, as of date, __Respondent__ has unjustifiably ignored all of
these demands to pay the said account and/or redeem the said returned
check. Annex ___ is a true and faithful machine reproduction of my
demand letter to (him/her)."
I am therefore executing this Complaint-Affidavit in support of the
charges for Violation of Batas Pambansa Bilang 22 against the said
__Respondent__, who may be served with subpoena and other
processes of this Honorable Office at (his/her) last known address at
_____________, Philippines;
IN WITNESS WHEREOF, I have hereunto set my hand this
_____________ at _____________, Philippines.

COMPLAINANT
SUBSCRIBED AND SWORN to before me this _____________ at
_____________.I hereby certify that I have examined the Affiant and
that I am fully satisfied that (he/she) has voluntarily executed and
understood the contents of (his/her) Complaint-Affidavit.
Administering Officer

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