I

＿ II
PLAINTIFF'S STATEMENT OF CLAIM/S
Hob/a ng Pagsingil
I
FOR OFFICIAL USE ONLY
Para sa Oplsyal na Gamlt Ian
Clerk stamps date and time here when form Is flied.

•
Instructions for the Person Suing ,
YOU ARE THE PLAINTIFF. The person you are suing is the
I
defendant. Before you fill out this form, read Form 1-B-SCC,
Information for the Plaintiff, to know your rights. Get Form 1-B-
sec at the Office of the Clerk of Court of any court nearest you or
go to https://oca.judiciary.Rov.ph/small-claims/

• Fill out pages 1-6 of this form. Then make copies of all pages of this Fill In court name, street address, and ema/1:
form and the attached documents (make one copy for each Republlc of the Phlllpplnes
defendant named in this case and an extra copy for yourself.) Take
Court: MUNICIPAL TRIAL COURT
the original and these copies to the Office of the Clerk of Court and
OF LABO
pay the filing fees. Have the forms and all your supporting Branch:
documents notarized or administered by either a notary public, the
Clerk of Court of the Office of the Clerk of Court (CCC) where the Street address: HILLCREST SUBDIVISION,
case will be flied, a Branch Clerk- of Court, or a Barangay BARANGAY BULHAO,
Chairperson. LABO, CAMARINES NORTE
Hot/lne: 0919-610-3666
• Go to court on your trial date and time Indicated in the Notice of Emal/ address: [email protected] .ph
Hearing.
Court fl/ls In case number when form Is flied.
/KAW ANG NAGHAHABI.A. Ang taong slnampahan mo ng kaso ay Case Number:
ang hlnahabla.

• Sago mo punan/sagutin ang form na ito, basahln ang Form 1-8-SCC

(Kaalaman para sa Naghahab/a丿para malaman ang fyong mga Case Title:
karapatan. Kumuha Jamang ng kopya ng Form 1-8-SCC sa Office of
the Clerk of Court ng hukuman ma/apft sa iyo o bisftahin ang
https://oca.;udiciary. qov.ph/sma/1-c/aims/

• Punan/sagutin ang pahlna 1-6 ng form na Ito. Gowan ng mga Branch Clerk of Court fills out this checklist.
kopya ang /ahat ng pahina ng form na Ito at ng nakalaklp na mga 1. Cause of action
dokumento (Gawan ng kopya ang bawat Hinahab/a at mag-lwan
ng kopya para sa Iyo). lhaln ang orihinal at mga kopya sa hukom at 口Check 口Contract
magbayad ng filing fees. lpasertlplkado lahat ng form at
dokumento a/Inman sa Clerk of Court ng Office of the Clerk of Court
口 Promissory Note () Oral
O Written
(OCC) kung saan isasampa ang kaso o sa Branch Clerk of Court o
notaryo pub/iko o Punong Barangay. 口 Barangay Agreement
口 Others (Pis. specify)
• Dumalo sa pagdinig sa petsa at oras na ipinahiwatig sa Abiso sa
Pagdinig. 2. Barangay conciliation
口Required
O Certificate to File Action attached
,) Compromise Agreement attached
口 Not Required (Pis. state reason):

Check those that apply: Pum/11 so mga sumusunod at /agyan ng tsek:

Type of Plaintiff Uri ng Naghahabla Type of Business Uri no Negosyo
口 Individual 7ao/lndlbldwa/ 口 Banking Bangko
口 Corporation Korporasyon 口 Lending Pagpapautang
口 Partnership Bakasan 口。 thers (pis. indicate): Iba pang url ng negosyo
口 Cooperative l<ooperatlba
口 Sole Proprietorship Solong Pagmamay-arl
Home Address Pahatlrang Su/at sa Bahay ng Naghahabla
Unit/Floor/House/Building No. Palapag Street Kalsada Barangay Zip Code

City Lungsod/Munlclpallty Munls/pal/dod Province La/aw/gan Region R~h/yon

Contact No. Telepono/Selpon Big. Emall Address

Plalnti仔 s Statement of Claim/s Form 1-scc, Page 1 of 10

(Small Claims)
 Plaintiff (list name) /su/ot ong pongalan ng naghohablo Case Number:

Place of Work/Business Lugar ng Plnagtatrabahuhan/Negosyo

Unit/Floor/House/Building No. Palapaa Street Kalsada BaranllaY I ZlpCode

Province Lalawlgan Region Reh/yon

City Lungsod.凡unlclpallty Munis/pal/dad

Contact No. Telepono/Se/pon Big. Email Address

If more than one plaintiff, list next plaintiff here:

Name Pangalan ng Naghahabla

Check those that apply: Pum/11 so mga sumusunod at lagyan ng tsek:

二了三
Type of Plaintiff Uri ng Naghahabla Type of Business Uri ng Negosyo
口 ，
ndividual Tao/lndibldwal 口 Banking Bangko
口 Corporat1on Korporasyon 口 Lending Pagpapautang
口 Partnership Bakasan
口 Others (pis. indicate): Iba pang url ng negosyo

口 Cooperative Kooperatlba
口 Sole Proprietorship Solong Pagmamay-arl ,＇
.＇
1

Home Address Pahatlran11 Su/at sa Bahay ng Naghahabla

Barangay \ ZlpCode
Unit/Floor/House/Building No. Palapag Street Ka/soda
Province La/awlgan Region Rehiyon
City Lungsod/Munlclpallty Munis/pal/dad

Contact No. Tefepono/Sefpon Big. Email Address

Place of Work/Business Lugar ng Plnagtatrabahuhan/Negosyo ng Naghahabla

Barangay Zip Code
Unit/Floor/House/Bulldlng No. Palapag Street Ka/soda

Province Lalawigan Region Rehiyon

City Lungsod/Municipality Munis/pal/dad

Email Address
Contact No. Telepono/Selpon Big.

口 Check here if more than two plaintiffs and attach Form 1-A-SCC (Other Plaintiffs or Defendant斗
1-A-SCC {Iba pang mga Naghahabla o Hfnahabla).
Lagyan ng tsek kung hlgit pa so dafawa ang naghahabla at 1/aklp ang Form

Plaintiff's Representative, if applicable Kinatawan ng Naghahabla, kuno m~ron

尸 Home Address Pahatlrang Sulat sa Bahay ng Kinatawan ng Naghahab/a

面t/Floor/House/Bulldlng No. Pa/apag Street Ka/sada~ 压玉 gay

City Lungsod.凡 unlclpality Munis/pal/dad Province la/awlgan Region Reh/yon

Zip Code

Email Address
Contact No. Telepono/Se/pon Big.
I Place of Work Lugar ng Plnagtatrabahuhan ng Klnatawan ng Naghahabla
Barangay Zip Code
Unit/Floor/House/Building No. Palapag Street Ka/soda
Province Lalawlgan Region Reh/yon
City Lungsod.凡unlcipality Munlsipal/dad
Email Address
Contact No. Telepono/Selpon Big.

Plaintiff as a juridical entity, if applicable Juridical entity ang naghahabla, kung saka/1

's certificate attached to the Statement of Clalm/s authorizing

口 Check here if there is a board resolution or secretary
the person to file the claim for the Juridical entity
Logyan ng tsek kung may board resolution o secretary 's certificate na nakakabit sa Statement of Clalm/s no plnapahlntulutan ang
tao na fhaln ang panfn/ngll para sa Jurfdfcal entity

Form 1-scc, Page 2 of 10

Plaintiff's Statement of Claim/s
(Small Claims)
 Plaintiff (fist name) Jsulat ang pangalan ng naghahabla Case Number:

Check those that apply: Pumill sa mga sumusunod at lagyan ng tsek:

Type of Defendant Uri ng Hlnahabla 口 Cooperative Kooperatlba
口 Individual Tao/lndlbfdwal 口 Sole Proprietorship Solong Pagmamay-arl
口 Corporation Korporasyon
口 Partnership Bakasan
Home Address Pahatlrang Sulat sa Sahay ng Hlnahabla
Barangay Zip Code
Unlt/Floor/House/Bulldlng No. Palapag Street Kalsada

City Lungsod/Munlclpallty Munisipalidad Province Lalaw/gan Region Reh/yon

Contact No. Telepono/Se/pon Big. Email Address

Place of Work/BusinessLugar ng Plnagtatrabahuhan/Negosyo ng Hlnahabla

Unit/Floor/House/Building No. Palapag Street Kalsada Barangay I Zip Code

City lungsod,凡unlclpallty Munlsipa//dad Province Lalawlgan Region Reh/yon

Contact No. Telepono/Selpon Big. Email Address

口 Check here ff there Is more than one defendant and attach Form 1-A-SCC (Other Plaintiffs or Defendants).
Lagyan ng tsek kung hlglt pa sa Isa ang hlnahabla at /laklp ang Form 1-A-SCC (Iba pang mga Naghahabla o Hlnahabla}.

口 Check here If any defendant ls detalned or serving sentence In a prison facility. Write his/her name and the name and
address of the detention or prison facility Lagyan ng tsek kung ang hlnahabla ay nakakulong. lsulat ang pangalan niya pati ang
pangalan at Jugar ng bllangguan:

Defendant's Representative, if applicable Klnatawan ng Hlnahab/a, kung meron

Name Pangalan ng Klnatawan ng Hlnahabla

Home Address Pahatlrang Su/at so Bahay ng Klnatawan ng Hlnahabla

/ Unit/Floor/House/Building No. Palapag Street Ka/soda Barangay Zip Code

Cltylungso 心unldpallty Munlslpalidad Province Lalawlgan Region Rehiyon

Contact No. Telepono/Selpon Big. Email Address

Place of Work Lugar ng Plnagtatrabahuhan ng Klnotawan ng Hlnahabla

Unit/Floor/House/Building No. Palapag Street Ka/soda Barangay l Zip Code

City Lungsod/Munlclpallty Munis/pal/dad Province Lalawlgan Region Rehlyon

Contact No. Telepono/Selpon Big. Email Address

I 3 PLAINTIFF'S CLAIM ..

A. Plaintiff claims that the defendant owes him/her/It money In the amount of:
Ang hlnahabla ay umutang sa naghahabla ng halagang:

Form 1-SCC, Pase 3 of 10

Plalntiff s Statement of Clalm/s
(Small Claims)
 Plaintiff (list name) /sulat ang panga/an ng naghahab/a Case Number:

a
B. Why does the defendant owe the plaintiff money? Baklt nagkautang ng p~ra ang hlnahabla so naghahabla?

C. When did this happen? Kallanltonangyarl? Date Petsa:

If no specific date, give the time period Kung walang tlyak na petsa, lb/gay ang tantiyang panahon:

Date started Petsa nags/mu/a: Through Hanggang:_

O. How did you compute the money owed to you? (Do not Include court costs or fees.) Paano mo klnuwenta ang
perang lnutang sa Iyo? (Hindi kasama ang bayad sa pagpapatala sa hukuman.)

口 Check here if you need more space. You may write at the back of this form or attach additional sheets of paper and write
"Form 1-SCC Item 3N at the top. Kung kal/angan mo ng karagdagang patlang, maarl mong isu/at so flkod ng Form no Ito o maglakip
ng mga karagdagang papel at lsulat ang "Form 1-SCC, Item 3" sa /taos.

A. Did you ask the defendant to pay you before filing this case? Slnlngil mo ba ang hlnahabla bago ka nagsampa ng kasong
ito?
口 Yes oo
口 No Hindi. If no, please explain. Kung hind!, lpaliwanag.
B. How did you ask the defendant? Paano mo siningil ang hinahabla?
口 In person So konya mtsmo 口 By phone Sa tefepono
口 In writing Sasulot 口 Others (pis. specify) Iba pa (pak/su/at kung paano):

C. When did you do this? Kol/on mo glnawo Ito? Date: Petsa:

＂怓趴 如
A. What is your proof
perasa Iyo?
—
h\ that defendant owes you money? Ano ang katlbayan o pruweba na ang hlnahabla ay may utang na
口
口 signed check/s
deed/contract/agreement 口 latest demand letter (with proof of delivery and receipt)
口 promissory note 口 affidavit of witness/es to support the claim
口 bank deposit slip 口 others (pis. specify):
口 recelpt/s
8. Did you attach your proof to this form? Iyo bona lnllaklp ana katlbayan opruwebasaform nalto?
口 Yeso 。 I 口 No Hindi

Form 1-scc, Page 4 of 10

Plalntiff s Statement of Claim/s
(Small Claims)
 Plaintiff (list name.丿/sulat ang pangalan ng naghahabla Case Number:

Was this claim referred to the barangay? Dumaan ba sa barangay ang panlnlngll na Ito?
I
If yes, do you have any of the following from the barangay? Kung oo, meron ka ba
ng mga Ito na isfnagawa sa barangay?

口 Yesoo 口 Certificate to File Action Patunay sa Pagsampa no Kasa

口 Compromise Agreement Kasunduan

If no, state reason. Kung hind/, fsulat ang dahllan.

口 No Hindi 口 Not living In same city or municipality Hindi nakatlra sa I/sang lungsod o
口 Not covered Hindi sakop bayan
口 Others /bang dahl/an

口 I give my consent to be served with official court notices, processes, orders, resolutions and decisions, as well
as filings by the defendant, through: Nagbibigay ako ng pahlntulot na molhatid sa akin ang mga opisyal na paunawa,
proseso, utos, resolusyon, at deslsyon ng hukuman, pot/ ong mgo dokumentong lplnasa ng hlnahabla, sa pamamagltan
ng:

(Check those that apply Puml/l sa mga sumusunod at lagyan ng tsek)

口 email address:
口 cell phone number:
O phone call
O text message {SMS}
0 instant message (ex. Viber, WhatsApp, Facebook Messenger) pis. specify:

WHEREFORE, plaintiff respectfully prays for judgment ordering defendant/s to pay the amount of (In words}

(in figures)~ with Interest at the rate of _% per annum/month, from

until fully paid.

DAHIL DITO, ang naghahab/a ay magalang no sumasamo na igawad ang kapasiyahang utusan ang hinahabla no
magbayad so naghahabla ng halagang (in words) (in figures)
fA , pati ang tubo no — %bawat taon/buwan, simula hanggang ganap
o lubos na mabayaran ito.

City Lungsod: Date Petsa:

Plainti忏s Signature Lagda ng Naghahabla:

form 1-SCC, Page 5 of 10

Plaintiff's Statement of Claim/s
(Small Claims)
， - .

Plaintiff (fist name) /sulot ang pangalon ng naghohablo Case Number:

亡 二 三 三产2二 ：心~p!:~,~.:~~二 严，二 二 :F of legal age nasa hustong gulang,

I
I Ako,
(Name Pangalan) (Citizenship Paokamamamayan)
and a resident of
(Civil Status Katayuang Slbil)

(Residence Tirahan)
under oath, state ay sumusumpa na:

1. I am the plaintiff in the above-entitled case who prepared and filled out the Statement of Claim/s.
I read and understood its contents which are true and correct of my own personal knowledge
and/or based on true records.
Ako ang naghahab/a sa kasong ito, na gumawa at nagpuno ng Hob/a ng Pagsingll. Naiintlndihan ko ang
mga nilalaman nlto at plnatotohanan ko ang mga nakasaad dlto base so aklng personal na pagkakaalam,
tunay no talaan, dokumento, at ebldensya;

2. The Statement of Claim/s is not filed to harass, cause unnecessary delay, or needlessly increase
the cost of litigation.
Ang Hob/a ng Pags/ng/1 ay /s/num/te sa hukuman hind/ upang magdu/ot ng pag-abala, pag-antala, o wa/ang
kabuluhang pagpapahlrap sa proseso ng hukuman;

3. 1 have not commenced any action or proceeding involving the same issue or subject matter in the
Supreme Court, Court of Appeals, or any other tribunal or agency, and that the check/s covered in
this case has/have not been the subject of a criminal charge filed before the Office of the
Provincial/City Prosecutor; that to the best of my knowledge, no such action or proceeding is
pending in the Supreme Court, Court of Appeals, or any other tribunal or agency; and that, if I
should learn thereafter that a similar action or proceeding has been filed or is pending before this
court, tribunal, or agency, I undertake to report that fact to this court within five (5) calendar days
therefrom.
Ako ay walang /bang kasong isinampa o nakablnbln sa /bang hukuman o sa /bang ahensya ng pamaha/aan
potungkol sa transaksyon na Ito, at kung may cheke/mga cheke na nalsama rito, walang hlwalay na kasong
krlmlnal na islnampa rlto. Kung ako man ay may madiskubreng kaso na nakasampa o nakabinbin sa
hukuman O /bang ahensya ng pamahalaan patungko/ sa transaksyong o cheke/mga chekeng Ito,
nangangako akong isiwalat Ito sa hukuman sa Joob ng limang (SJ arow so kalendaryo mu/a so aking
pagdiskubre;

4. The fi\ing of this case is not in violation of the rule against splitting a single cause of action or
mu\tip\icity of suits.
Ang pagsampa ng kasong Ito ay hindi fabag sa patakaran na lplnagbabawal ang pagsampa ng lba't /bang
kaso na nagmumula /among sa isang transaksyon.

IN WITNESS WHEREOF, I have hereunto set my hand this day of 20 ．

Plalnti 仔 s Name and Signature

Pangalan at Lagda ng Naghahabla

SUBSCRIBED AND SWORN to before me this_ day of 20 ．

Notary Public/ Administering Officer

Form 1-scc, Pase 6 of 10

Plaintiffs Statement of Clalm/s
(Small Claims)
. . l

＿ INFORMATION FOR THE SMALL CLAIMS DEFENDANT

Kaalaman para sa Hlnahabla
This Information sheet Is written for the person sued In the small claims court. It explains some of the rules of, and some
general information about, the small claims procedure. It may also be helpful for the person who sued.
Ang dahon ng impormasyon na ito ay /sfnu/at para so taong hlnahab/a uko/ sa Pagslng/1 ng ma/1/t na halaQa. lplnapallwanag
nlto ang i/an sa mga tuntunln/patakaran ng Pagslngll at llang pangkalahatang lmpormasyon tungko/ sa proseso. Maaarl din
itong maglng kapaki-paklnabang para sa taong naghab/a.

"Small Claims Rule" Is a simple and Info 『 mal procedure 叮untunln sa Pagslngll ng Mal/I/It na Halaga" ay /sang
where money claims for~1 Million Pesos or less are heard simple at impormal na pamamaraan sa pagdinig kung
by the Metropolitan Trial Courts (MeTCs), Municipal Trlal saan ang halagang salapl na slnisingll ay 111 Mllyong Piso o
Courts in Cities (MTCCs), Municipal Trial Courts (MTCs) mas mababa. Ang mga Ito ay dlnudu/og sa Metropol/tan
and Municipal Circuit Trial Courts (MCTCs). Trial Courts (MeTCs), Municipal Tr/a/ Courts In Cities
(MTCCs), Municipal Trial Courts (MTCs) at Municipal Circuit
The claim or demand may be for the following: Trial Courts (MCTCs).

a. Money owed under any of the following: Ang habfa ay maaarlng para sa mga sumusunod:
1) Contract of lease
2) Contract of loan and other credit a. Ang sing/I ay pera na lnutang so Ila/Im ng a/Inman so
accommodations mga sumusunod:
3) Contract of service 1) Kontrata ng pag-upa
4) Contract of sale of personal property (this 2} Kontrata ng utang at iba pang credit
excludes the recovery of personal property accommodation
unless it Is the subject of a compromise 3) Kontrata ng serblsyo
agreement). 4} Kontrata ng pagbebenta ng personal no pag-aarl
(hind/ kasama ang pagbawl ng personal na pag-
b. The enforcement of a barangay amicable settlement aari mallban kung napapallalim sa isang
or an arbitration award Involving a money claim, not kasunduan sa kompromlso).
exceeding One Million Pesos (见 ， 000,000.00), if
within six (6) months, from the date of the b. Ang pagpapatupad ng /sang pag-areglo o arbitration
settlement or date of receipt of the award or from award ng barangay no klnasasangkutan ng pagslngil
the date the obligation stlpulated or adjudged In the sa pera, na hind/ hlhlglt so /sang Mllyong Piso
arbitration award becomes due and demandable, no {/Jl,000,000.00}, kung sa /oob ng anlm (6) na buwan
execution has been enforced by the Barangay, mu/a sa petsa ng pag-areglo o sa petso ng
pursuant to Section 417 of Republic Act No. 7160 pagtanggap ng arbitration award o mu/a sa petsa
(The Local Government Code of 1991). kung kallan nag/ging nararapat at hlnlhlngl ang
obligasyon na nakatala o naihatol sa arbitration
award, wala pang lpinapatupad ang Barangay,
allnsunod sa Section 417 ng Republlc Act No. 7160
(The Local Government Code of 1991}.

1. What must I do upon receipt of the Summons and Ano ang dapat kong gawln matapos matanggap ang
Statement of Claim? You must file In court and serve on patawag at ang Habla ng Pagslngll? Kailangan mong
the plaintiff a verified Response, attaching all documents isampa sa hukuman at lhatld sa naghahabla ang iyong
and evidence to support your defense. You must also napatunayang Sagot na nakalaklp lahat ng dokumento at
attend the hearing on the date and time Indicated In the ebidenslyang sumusuporta sa lyong napatunayang Sagot,
Notice of Hearing. at dumalo sa pagdlnlg sa petsa at oras na nakasulat sa
Ablso sa Pagdlnig.

2. How do I flle my verified Response? Paano ko lsasampa ang aklng napatunayang Sagot? Dapat
You must do the ff: mong gawin ang mga sumusunod:
a. Fill out Form 3-SCC (Verified Response) a. Punan/Sagutan ang Form 3-SCC {Sagot)
b. Attach all documents and evidence supporting your b. 1/aklp ang /ahat ng dokumento at ebfdensya na
response, If any. sumusuporta sa lyong napatunayang Sagot, kung
c. Make copies of all pages and your supporting meronman.
documents (file the original in court and make copies c. Gowan ng kopya ang lahat ng pahlna at ng iyong mga
for the plaintiff and yourself). pang-a/alay na dokumento {lhaln ang orihlnal sa
d. If the original documents consist of records that hukuman, gumawa ng kopya para sa naghahabla at
could not be separated, you can photocopy the
para sa Iyo.
pertinent document and have It certified by the Clerk
d. Kung ang orlhlnal na dokumento ay blnubuo ng mga
of Court of the Office of the Clerk of Court (OCC) as a
talaan na hind/ mapaghfwa/ay, maaarl mong /pakopya
faithful reproduction of the original.
ang nauukol na dokumento at lpasertlplkado sa Clerk
e. Have Form 3-SCC and all supporting documents,
especially part 9 on Verification (or part 10 on of Court ng Office of the Clerk of Court {OCC) na Ito ay
Verification Certification Against Forum Shopping, tapat na kopya ng or/hlnal.
Splitting a Cause of Action, and Multlpllclty of Suits, If e. Kallangan na ang Form 3-SCC at lahat ng ka/ak/p na
you have a counterclaim), subscribed and sworn to pang-ala/ay na dokumento, /along hlg/t ang lka-9 na
before either a notary public, the Clerk of Court of bahagl sa Pagpapatotoo (o lka-10 na bahag/ sa

Pla\ntiff s Statement of Claim/s Form 1-SCC, Page 7 of 10

(Small Claims)
，
司
.'

Plaintiff (//st name,丿lsu/at ang pangalan ng naghahabla Case Number:

the Office of the Clerk of Court {OCC) where the case Pagpapatotoo/Pagpapatunay no Walang Jban(J
wlll be flied, a Branch Clerk of Court, or a Barangay Kaso/Nakablnbln sa Jbang Hukuman, kung meron
Chairperson. kang Gantlng Paa-sing/I), ay nllaadaan at slnumpaan
t If you have a counterclaim, pay the filing fee, If any. a/Inman sa harap n(J notaryo publlko o Clerk of Court
g． Within ten (10) calendar days from receipt of the ng occ kung saan lsasampa ana kaso o Branch aerk
Summons, you must serve on the plaintiff a copy of
of Court o Punong Barangay.
your verified Response, together with the supporting
documents, and file the original with the court that· I Magbayad ng bayarln sa pagsampa ng gantlng-
pagslngil, kung meron man.
issued the Summons.
g. Sa loob ng sampung (10) araw ng kalendaryo mu/a
If you have questions regarding Form 3-SCC, you may Inquire pagtanggap ng Patawag, klnakallangan na
with the court that Issued the Summons. You may also contact maghatld/maghaln ng kopya ng /yang berlpikadong
the court at the number or email address written In the Sagot kasama ang mga pang-alalay na dokumento sa
Summons and Statement of Claims. naghabla at lsampa ang orlhlnal n/to so hukuman.

Kung lkaw ay mayroong mga katanungan tungkol sa Form

3-SCC, maaarl kang magtanong sa hukuman na
nagpalabas ng Patawag. Maaarl mo ring kontakln ang
hukuman sa numero o email address na nakasulat sa
Patawag at Hob/a ng Pagslngll.

3. What Is a counterclaim? It Is a claim that you, the Ano ang Gantlng-Pagslngll? Ito ay pagslngll na mayroon
defendant, may have against the plaintiff. ka laban so naghahabla.

You can set up a counterclaim in your Verified Response (Form Ang hinahabla oy mooring magsampa ng gantlng-
3-SCC} If: pagslng/1 sa kanyang berlplkadong Sagot (Form 3-SCC)
kung:
1) It Is not more than~1 Million Pesos, exclusive
of interest and costs. Any amount in excess of 1) Ang gantlng-pagslng/1 ay hind/ lampas ng P1
幻1 MIiiion pesos, excluding Interests and costs, Ml/yang Pisa, no hind/ kasama ang lnteres at
shall be deemed waived; gastos sa pagsampa ng kaso. Ano mang
2) It does not require the joinder of third parties; halaga /obis so P1 Mi/yang Pisa ay ltlnuturing
and na tlnallkdan na ng hlnahabla;
3) It Is not the subject of another pending action. 2) Hindi klnakallangan ang pagsa/1 ng ibang
partida sa lsinasampang kaso; at
3) Wa/ang /bang kasong islnampa at nakab/nbin
sa parehong gantlng-pagslngil.

4. What happens ff I do not file the verified Response and Anong mangyayar/ kung hind/ ako maghaln ng
do not appear at the hearing? The court shall proceed napatunayang Sagot at hind/ dumalo sa pagdlnlg? Ang
with the hearing. If you or your representative did not hukuman ay magpapatu/oy sa pagdinlg. Kung /kaw o ang
attend, the court will render judgment as may be iyong kinatawan ay hindi dumalo sa pagdinlg, magblbigoy
warranted by the facts alleged In the Statement of ng deslsyan ang hukuman ayan sa mga katotohanan na
Clalm/s. slnasaad sa Hob/a ng Pagsing/1.

5. What happens if I do not file a verified Response within Anong mangyayar/ kung hind/ aka maghaln ng
ed period but I appear at the hearing? The napatunayang Sagot ngunlt dumalo ako sa pagd/nlg?
the requl 『
court will consider any defense you offer during the /sasaalang-alang ng hukuman ang anumang pagtatanggol
hearing as your Response. Hearing will proceed on the na laalok mo sa panahon ng pagdlnig bilang Sagot mo.
same day and the court will render Judgment within Magpapatulay ang pagdlnlg sa mlsmong araw na lyan at
twenty-four (24) hours from termination of the hearing. If magbibigay ng desisyan ang hukuman sa loob ng
you rely on documentary evidence to support your dalawampu't apat na oras (24 hours) mu/a sa
defense, the court will order you to submit original copies pagwawakas ng pagdlnlg. Kung lkaw ay umaasa sa mga
of such documents within three (3) calendar days from dokumento na ebldensya para suportahan ang iyong
the termination of the hearing. Upon receipt thereof or depensa, ang hukuman ay mag-uutos sa iyo na /sum/ti ang
expiration of the period to file, the court will render mga orlhlnal no kopya ng mga naturang dokumento sa
Judgment within twenty-four (24) hours. Joob ng tatlang {3) araw so kalendaryo mu/a so
pagwawakas ng pagdinlg. Sa pagtanggap ng hukuman ng
mga naturang dokumento o sa pagkaubos ng panahon no
/sum/ti Ito, ang hukuman ay magbiblgay ng deslsyon so
/oob ng dalawampu't apat na oras (24 hours).

6. Do I need a lawyer? YOU CANNOT HAVE A LAWYER AT Kailangan ko ba ng abogado? HINDI KA MAAARING
THE HEARING. You may consult a lawyer before or after MAGSAMA NG ABOGADO SA PAGDINIG. Maaarl kang
the hearing but the lawyer cannot appear for or with you kumunsu/ta sa abogado bago o pagkatapos ng pagdlnig
at the hearing. pero ang abogado ay hind/ plnahlhlntulutang dumalo para
sa Iyo o sumama sa Iyo sa pagdlnlg.

7. What ff I do not speak En1llsh well? The judge will speak Paano kung hind/ ako makapap 曲血fl mabutl n11
In Allplno or the local dialect. A court Interpreter shall Ingles? Ang hukom ay magsasallta so Fl/Ip/no o sa /aka/ no
also be available on the hearing day. daya/ekto. /sang panghukumang tagasalln ang tlyak na

Plaintiff's Statement of Claim/s Form1 一SCC, Page 8 of 10

(Small Claims)
 ．
冒冒
，＇
哺' .
．

Plaintiff (11st name) lsulat ang pangalan ng naghahabla Case Number:

tutulong din sa araw ng pagd/nlg.

8. What happens at the hearing? Be sure you are on time for Ano ang nangyayar/ sa pagdlnlg? S/guruh/ng nasa
the hearing. You must bring with you the original takdang oras ka para sa pagd/n/g. Dapat mong da/hln ang
affidavits of witnesses, receipts, and any evidence you mga orlhlnal no slnumpaang sa/aysay ng mga sales/ o
need to prove your statements in your verified Response, test/go, mga reslbo, at anumang ebldensya no
If these have not been previously submitted to the court. kakallanganln mo para patunayan ang Jyong mga pahayag
If you are representing a juridical entity, you must bring so lyong napatunayang Sagot, kung ang mga Ito ay hind/
your original written authority to appear at the hearing mo pa naibigay sa hukuman. Kung /kaw ay kumakatawan
and to enter into an amicable settlement, submit to so isang organlsasyon/samahan na kin/kl/ala ng batas
bllang /sang juridical entity, dapat mong dalhin ang
alternative modes of dispute resolution, and enter Into
orihlnal na nakasu/at na kapangyarlhan para lkaw oy
stipulatlons or admissions of facts and of documents.
dumalo so pagd/nlg at pumayag sa mapayapang
pagkakasunduan, sumallallm sa alternatlbong paraan ng
If you or your representative and the plaintiff or his/her/its paglutas ng pagtatalo, at pumayag so kasunduan at
representative appear at the hearing, the judge will listen

，
gumawa ng pag-amln ng pangyayarl at ng mga
to both of you. The Judge will conduct mediation and dokumento.
encourage you and the plaintiff to settle your case. If you
do not settle, the Judge will render Judgment within Kung lkaw o ang /yang klnatawan at ang naghahab/a o
twenty-four (24) hours from termination of the hearing. kanyang k/notawan ay dadalo sa pagdlnlg, ang hukom ay
You cannot appeal the decision. makiklnig sa inyong da/awa. Ang hukom ay mamamagltan
at hlhlkayatln kayo na mag-ayos at /utosln ang fnyong
kaso. Kung hind/ kayo magkakasundo, magblbigay ng
hato/ ang hukuman so /oob ng da/awampu't apat (24) na
oras mu/a so pagwakas ng pagdlnlg. Hindi ka maaarfng
mag-ape/a sa deslsyon ng hukuman.

9. Do I have options? Yes, you can do any of the following: Mayroon ba akong mga pagplp/1/an? Oo, maaar/ mong
• Settle the case before the hearing. If you and the gawln ang alinman so mga sumusunod:
plaintiff agree on how to settle the case, both of you
• Ayus/n na ang usapin bago pa dumatlng ang
must notify the court. You may ask the Office of the pagd/nlg. Kung lkaw at ang naghahabla ay magka/sa
Clerk of Court (OCC) or Branch Clerk of Court for kung paano mapagkasunduan ang kaso, dapat kapwa
help. nlnyo Ito lpaalam sa hukuman. Maaarlng humingl ng
• File your verified Response and/or appear at the tulong so Office of the Clerk of Court (OCC} o so Branch
hearing. Bring the original affidavits of witnesses, Clerk of Court
receipts, and any evidence you need to prove your
• Maghain ng napatunayang Sagot at/o dumalo sa
case, If these have not been previously submitted to
the court. pagd/n/g. Dalhin ang mga orihlnal na slnumpaong
sa/aysay ng mga saksl o test/go, mga resibo at
• Agree with the plaintiff's cfalm and pay the same. If
you cannot pay the amount claimed now, go to the anumang katlbayan no /yang kallangan upang
hearing and manifest before the court that you want mapatunayan ang /yang kaso, kung ang mga Ito ay
to make payments by Installment. hind/ mo pa nalblgay so hukuman.
• let the case proceed without you. If you did not • Sumang-ayon sa halagang sin/sing/I ng naghahabla
settle, did not file a verified response, and did not at bayaran Ito. Kung hind/ mo mabayaran agad ang
attend the hearing, the Judge may give the plaintiff halaga ng sinlslngll, dumalo ka sa pagdinlg at
what he/she/it Is praying for, Including court costs. lpahayag so hukuman no gusto mong magbayad ng
If this happens, the court may order that your money hu/ugan.
or property be taken to pay the monetary award • Hayaang magpatuloy ang kaso ng wala ka. Kung
together with Interests as stated In the Decision. hind/ ka naklpag-ayos, hlndi naghaln ng
napatunayang Sagot, at hlndi dumalo so pagdinlg,
maaarlng ipagka/oob ng hukom ang anumang
hlnlhlngl ng naghahab/a sa Habla ng Pagsingil. Kung
nangyari ito, maaarlng /pag-utos ng hukuman no
kuhaln ang /yang pera o arl-arlan para bayaran ang
ha/ago na /pinagka/oob sa Deslsyon, kasama ang
tubo.
10. What happens If the plaintiff does not appear at the Ano ang mangyayarl kung ang naghahabla ang hind/
hearing? The court will dismiss plaintiff's Statement of dumalo sa pagd/nlg?
Claim without prejudice. This means that the plaintiff is lbabasura ng hukuman ang kanyang Hob/a so Pagslngll ng
allowed to re-file the claim. If you, the defendant, appears wa/ang kaplnsalaan/pagtatanggl. Ang /big sablhin nlto ay
at the hearing, you may be entitled to a judgment on your p/napayagan ang naghahabla no lsampa mull Ito. Kung
counterclalm, If any. lkaw na hlnahabla ay dumalo sa pagdlnlg, lkaw ay may
karapatan na makakuha ng deslsyon sa /yong gantlng-
pagslngll, kung meron man.
11. What happens If both you and the plaintiff fall to appear Ano ang mangyayarl kung kapwa kaml hlndl dumalo ng
at the hearing? If both you and the plaintiff fail to appear naghabla sa pagdlnlg? Kung pareho kayo ng naghabla na
at the hearing, the court shall dismiss with prejudice both hind/ dumalo so pagdlnlg, lbabasura ng hukuman ang
the Statement of Claim and your counterclalm, If any. parehong Hob/a ng Pagslngll at ang /yang gantlng-
pagslng/1, kung meron man.

Plaintl忏 s Statement of Clalm/s Form 1-SCC, Page 9 of 10

(Small Claims)
．．
Plalntlff (list name,丿lsu/at ang pangalan ng naghahabla Case Number:

12. What happens after a decision Is rendered by the Court? Anong mangyayarl pagkatapos ng pa11hatol? Kapag ang
When a decision Is rendered in favor of the plaintiff, and des/syon ay pabor sa naghabla, at may patunay sa
there is proof on record that you received the same, record/ta/aan na natanggap mo Ito, maaar/ng /patupad ng
plaintiff can cause the execution of the decision by fifing naghab/a ang des/syon sa pamamagltan ng pagsampa ng
an ex parte motion (Form 12-SCC). However, If the ex parte mosyon (Form 12-SCC). Gayun pa man, kung ang
decision Is based on a compromise agreement, the proof des/syon ay base sa Napagkasunduan o Kompromlso, ang
that you received the decision is no longer necessary. patunay na natanggap mo Ito ay hind/ na kallangan.

The decision of the court is final, executory and Ang deslsyon ng hukuman ay wakas no, lpatutupad na, at
unappealable. hind/ na maaarlng I-ape/a.

Plaintlff s Statement of Clalm/s Form 1 一SCC, Pase 10 of 10

(Small Claims)