Legal Form M4
Legal Form M4
Legal Form M4
MODULE 4
OBJECTIVE
WHAT IS AFFIDAVIT
That we know the fact that __________ (name of the child) was born on _________
at ____________________;
That we know the fact of her birth for it is still a custom in our place to visit a newly
born child as a gesture of love and affection;
That we are executing this Affidavit to attest to the truth of the foregoing statement
further established the parentage and date of birth of ______________ (name of the
child)and for all legal intents it may deem serve.
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_____________________ _______________________
Affiant Affiant
ID. No. ________ ID No. ___________
AFFIDAVIT OF DISCREPANCY BY
TWO (2) DISINTERESTED PERSONS
That we certainly know the fact that she had been known in the community by the said
first name – ________________and duly acknowledged and even recorded in all of her
pertinent documents and legal transactions;
That, however, upon securing and verifying a copy of her _______________ issued
by the Office of the __________________________________________, we found out that
her first name was erroneously entered therein as ___________________instead of
______________, her true and correct first name;
That we are executing this Affidavit to attest to the truth of the foregoing statements
to establish the fact that the names- ___________________ and _________________
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refers to one and the same person and to request the office concern to make the necessary
correction in the aforementioned document and for legal intents it may deem serve.
________________________ ________________________
Affiant Affiant
ID No.___________________ ID No.____________________
Doc. No.______;
Page No.______;
Book No.______;
Series of ______.
x- - - - - - - - - - - - - - - - - - - - - -x
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03. On the complaint dated _______________, (state the act and the
crime committed).
04. Upon receipt of their said complaint, our office planned out an
entrapment operation against the suspect. At about ______________ of
______________, the undersigned together with the complainant proceeded at the
pre-arranged pay off _________________________ located along
____________________________, __________ to give the money being asked by
the respondent;
05. Upon arrival thereat, complainants waited for the suspect to arrive
while we the undersigned seated near the table of the complainants. At about
________, suspect arrived and approached the complainants and after few
conversation, complainants handed over the marked money to the suspect that
minutes of prompted the undersigned to immediately effect arrest;
06. Seized and recovered in the possession and control of the arrested
person were the following, to wit:
07. Suspect together with the seized and recovered evidence was
brought to the ___________________________________, ____________,
___________ for booking and proper disposition. Likewise, the arrested person was
apprised of their rights as provided for under the Constitution of the Philippines.
We executed this joint affidavit to attest the truthfulness of the foregoing facts
and to support the filing of Criminal Cases against
_______________________________ for violations of
________________________.
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_______________________________ ____________________________
Affiant Affiant
_____________________
Administering Officer
SAMPLE:
AFFIDAVIT-COMPLAINT
MAKE…………………………………………..Mitsubishi
SERIES…………………………………………Montero SPT GLS
DENOMINATION…………………………….Sports Utility Vehicle
ENGINE No……………………………………4N15UAY3961
CHASSIS No…………………………………..MMBGUKR10GH032419
PLATE No………………………………………IAA 7372
CR No……………………………………………189050621
OR No…………………………………………….1414086085
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5. In March 2020, I asked my son, _____ that we would use the subject vehicle as our
service vehicle because my son, ___________________had a vacation then and
that time, I and my son, _________ noticed that the running mileage of the subject
vehicle was already more than ten thousand (10,000);
6. While in Canada until I went home in September, 2019 and we even used it in March,
2020, all I thought the subject vehicle was in good hands but I was shocked when I
learned on March 8, 2021 that the said vehicle was already mortgaged or used as a
security for a loan by ______________ WITHOUT my consent and WITHOUT
signing any document in favor of one-__________________, who is currently in
possession of the said vehicle;
7. Since I was alarmed by the information, I immediately reported this matter to the
concern authorities to protect my rights and interest over the vehicle as the registered
owner, copy of the Police Blotter is hereto attached and marked as Annex “B”;
9. The initial demand letter to _____________ returned to me through the law office of
Atty. Mary Luz H. Galleta on March 24, 2021 with a remark…”unknown at given
address”, copy of the envelope and the return card attached to it is hereto
attached and marked as Annex “D and series”;
10. But prior to that, on March 18, 2021, I and Carolina met in the law office of Atty.
Mary Luz H. Galleta for a conference and she admitted there that her address is #68
_____________________, so it was impossible for her in not receiving the initial
demand letter;
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11. On March 16, 2021, I received through Atty. Mary Luz H. Galleta a reply from
_______________________ lawyer through e-mail but on March 19, 2021, I and
one- _____________________. went to the house of ___________________ hoping
to settle this matter amicably, she admitted that she is in possession of the subject
vehicle, that the subject vehicle was given to her by ________________ as a
security of her loan amounting to seven hundred thousand pesos only (P
700,000.00) and she would only return the same if ____________ would pay her the
subject loan;
13. That to support my claim, the Affidavit of my Witness is hereto attached and
marked as Annex “E”;
________________________
Affiant
AFFIDAVIT OF WITNESS
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SAMPLE:
x- - - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF WITNESS
01. I was present and personally saw that accused, __________, committed the
crime of ___________________________ against the victim _______________;
02. (State other circumstances and the relation either to the victim or accused or
both);
03. (State the details of the acts committed by the accused against the victim.
04. (State the acts done by the witness and the reason thereof);
I executed this affidavit to attest the truthfulness of the foregoing facts and to support
the filing of Criminal Cases against _______________________________ for violations of
________________________.
_______________________________
Affiant
Doc. No.____;
Page No.____;
Book No.____;
Series of 2021.
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SEARCH WARRANT - A search warrant is a written order, signed by a judge, directing alaw
enforcement officer to conduct a search of a person or property and seize property specified
in the warrant.
Persons or Property which may be seized with a warrant. A warrant may be issued to search
for and seize any of the following:
1. Any property found in plain view that constitutes evidence of the commission of a criminal
or criminal traffic offense, including any contraband, fruits of a crime or things otherwise
criminally possessed or property designed or intended for use which is or has been used as
the means of committing a criminal or traffic offense;
3. Property designed or intended for use or which is or has been used as the means of
committing a criminal offense;
4. Hair, DNA, fibers, semen, urine, blood, fingerprints or photograph(s) from an individual;
5. A person for whom there is probable cause for their arrest, and/or;
Plaintiff
-versus- FOR:
x------------------------------------------x
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That relative to the said information, at around ________, the informer and
_________ together with the undersigned conducted investigation and surveillance
operation at ___________________, located at _____________________________,
__________. The undersigned together with ____________ and _____________ inquires to
the said office about _______________.
That on the said occasions, SUBJECT OF S.W, disclosed that they are (illegal
activities). (See photos & sketch and See Attached Calling Card, List of Requirements,
Studio Romano Job Order Form & MTC Job Information as Annexes “B” - “C”)
(modus operandi).
That on the said investigation and surveillance operation the undersigned confirmed
and believes that SUBJECT OF SWand/or any of its Officer, Agents, employees of
_____________________________________, __________ is indeed engaged in
________________________despite the fact that the said office is ________________and
is not licensed to __________________.
The properties, articles, objects and items which are used and/or intended to be used
in the commission of the afore-stated offense in the possession of the SUBJECT OF S.W
includes the following:
a. Leads
b. ....
The undersigned has personally verified the report thru surveillance and investigation
activities together with _________________and _______________, to ascertain the veracity
thereof and found the same to be true and correct;
PRAYER
a. that the Honorable Court include in the Search Warrant and express authority to
conduct the raid of the above-mentioned premises at any time of the day or
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night including SATURDAYS and SUNDAYS considering that these are the
days when the customer traffic are at its peak and to break open the premises to
be searched should the owner thereof refuse entry in the premises or is absent
therein.
b. that this Honorable Court cause the immediate issuance of a Search Warrant
commanding any Peace Officer to conduct a search on the above-described
premises and to seize the above-described items to be dealt with as the law
directs;
(Date), (Place).
________________
Applicant
______________________
Presiding Judge
VERIFICATION/CERTIFICATION OF
NON-FORUM SHOPPING
That I caused the preparation of the aforementioned Complaint and the contents are
true and correct to my own personal knowledge and based on authentic records;
That the allegations in the pleading are true and correct based on his or her personal
knowledge, or based on authentic documents;
That the pleading is not filed to harass, cause unnecessary delay, or needlessly
increase the cost of litigation; and
That the factual allegations therein have evidentiary support or, if specifically so
identified, will likewise have evidentiary support after a reasonable opportunity for discovery.
That I have not caused the filing of any similar action in the Court of Appeals,
Regional Trial Court, Supreme Court, or any government instrumentality and there is no
pending case involving the same cause of action in the Supreme Court, Court of Appeals or
any government instrumentality except this present petition and if ever I found out that there
exist any pending case in any court, or government instrumentality, I undertake to report this
to the Honorable Office within five (5) calendar days from knowledge thereof.
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_____________________
Affiant
Doc.No.______;
PageNo.______;
Book No. _____;
Series of _____.
COMPLAINT
A COMPLAINT is any formal legal document that sets out the facts and legal
reasons that the filing party or parties believes are sufficient to support a claim against the
party or parties against whom the claim is brought that entitles the plaintiff to a remedy.
In Civil Law, a “complaint” is the very first formal action taken to officially begin a
lawsuit. This written document contains the allegations against the defense, the specific laws
violated, the facts that led to the dispute, and any demands made by the plaintiff to restore
justice.
Sample of Complaint
vs
Accused
x--------------------------------x
COMPLAINT
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Contrary to law.
____________________________
________________________
JUDGE
DEPOSITION OF WITNESS
The deposition has two purposes: To find out what the witness knows and to
preserve that witness' testimony. The intent is to allow the parties to learn all of the facts
before the trial, so that no one is surprised once that witness is on the stand.
Plaintiff
-versus- For
_________________________ _________________________
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Respondent
x------------------------------------------x
DEPOSITION OF WITNESSES
Q- Do you know who is or who is the person or persons who have or have
control of him above-described properties?
A-
Q. How did you know that the said properties are kept in his/her premises
which are subject of the offense?
A- We conducted discreet surveillance and it was confirmed that
________________ is keeping ___________________ in his/her
premises/ residence.
_________________________ ____________________
Affiant Affiant
________________________
Judge
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A motion for reconsideration shall point out specifically the findings or conclusions
of the judgment or final order which are not supported by the evidence or which are contrary
to law, making express reference to the testimonial or documentary evidence or to
provisions of law alleged to be contrary to such findings or conclusions.
PURPOSE:The purpose of filing a motion for reconsideration within the period to appeal is to
allow an inferior court to correct itself before review by a higher court. However, if the motion
for reconsideration is filed beyond such period, the motion ipso facto forecloses the right to
appeal.
BRANCH ___
Heirs of ______________,
Plaintiffs-Appellees,
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_______________________
Defendants-Appellants.
x------------------------------------------------------------------------------------------x
1.On August 12, 2021, herein Plaintiffs-Appellees received the DECISION of this Honorable
Court dated January 4, 2021, the dispositive portion of which states:
SO ORDERED.
2. Herein plaintiffs-appellees have 15 days from receipt or until August 27, 2021 to file this
Motion for Reconsideration;
3.Herein plaintiffs-appellees plead for the consideration of the assailed Decision based on
the following justified reasons/grounds, to wit;
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on her tax declaration, petitioner was able to prove actual possession of the
subject property coupled with his tax declaration. We have ruled in several
cases that possession, when coupled with a tax declaration, is a weighty
evidence of ownership.[39] It certainly is more weighty and preponderant than a
tax declaration alone.
b. The area in dispute was clearly owned by herein plaintiffs-appellees, their ownership
was based on a Title issued in 1974(OCT No. P-9207) while herein defendants-
appellants’ claimed of ownership was based on a 1985 Deed of Absolute Sale, it was
more than ten (10) years in good faith that herein plaintiffs-appellees and their
tenants working, tilling, and cultivating the portion of the land in dispute WITHOUT
any objection/opposition from herein defendants-appellants and their predecessors-
in-interest, thus, they were not aware of the exact metes and bounds of their
property, as compare to herein plaintiffs-appellees that they were aware of the exact
area of Lot No. 1086 following the provisions of Article 434 of the Civil Code;
c. Worthy to note, that when herein defendants-appellants executed in 1985 the subject
Deed of Absolute Sale, they were not even sure that ____________ and sister really
owned the property being surviving heirs of the late _______________ considering
that the latter died as a Bachelor;
f. Based on the foregoing, the area of Lot No. 1086 in the Original Certificate of Title
No. P-9207 is valid in all aspect because it was also based on the Lot Computation
and Cadastral Survey made by the government agencies concern which signed and
issued the same, as held in the case of HEIRS OF MARGARITO PABAUS namely,
FELICIANA O. MASACOTE, MERLINDA P. CAILING, MAGUINDA P. ARCLETA,
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Further, in the case of Reynaldo Baloloyet, et. Al vs Alfred Hular, GR No. 157767,
September 9, 2004, the significance of cadastral survey was discussed…
Furthermore, the Supreme Court discussed the purpose and value of cadastral
survey again in the case of SPOUSES DOLORES MIRANDA PROVOST and JEAN
PROVOST vs COURT OF APPEALSet. al., GR No. 160406, June 26, 2006, it
held…”Considering that there is already an existing and correct Cadastral Survey of
Barangay Tupsan and absent any showing that the same is erroneous that plan should be
the basis to delineate boundaries” and as pointed out correctly by the Lower Court in its
Decision dated August 23, 2018, page 7…”Likewise, the Cadastral Surveys of the two (2)
lots (Lot No. 1086 and Lot No. 1142) have been made in 1971 or more than four (4) decades
has lapsed, however, neither the defendant nor her predecessors-in-interest, who alleged to
have been prejudiced, questioned the area contained in these documents if indeed there
were errors.”
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8.In actions for indemnity under workmen’s compensation and employer’s liability
laws;
9.In a separate civil action to recover civil liability arising from a crime;
10. When at least double judicial costs are awarded;
11.In any other case where the court deems it just and equitable that attorney’s fees
and expenses of litigation should be recovered.
PRAYER
Other reliefs which are just and equitable are likewise prayed for.
Notice of Hearing
Greetings!
Please submit the foregoing Motion for Reconsideration immediately upon receipt
hereof for the information of the Honorable Court and submit the same for resolution or set
the same for hearing as it deemed necessary for resolution as provided under Sec. 6, Rule
15 of the 2019 Amendments to the 1997 Rules of Procedures preferably on September 14,
2021, Tuesday @ 9 o’clock in the morning subject to the availability of the Court calendar.
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Copy furnished:
___________________
EXPLANATION
A copy of this Motion was served through registered mail due to distance and for lack
of personnel to effect personal delivery.
NOTICE OF APPEAL
The form completed by the appellant to start the appeal process. It shall indicate the
parties to the appeal, specify the judgment or final order or part thereof appealed from,
specify the court to which the appeal is being taken, and state the material dates showing
the timeliness of the appeal.
A notice of appeal is the paper you file in the superior court where your case was
decided to let the court and the other side know that you are appealing the court's decision.
Filing a notice of appeal begins the entire appeals process.
The appellate courts do not retry cases or hear new evidence. They do not hear
witnesses testify. There is no jury. Appellate courts review the procedures and the decisions
in the trial court to make sure that the proceedings were fair and that the proper law was
applied correctly.
__________________________,
Plaintiffs-Appellees,
______________________,
Defendant-Appellant.
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X__________________________________________X
NOTICE OF APPEAL
2. Herein Defendant-Appellant has until July 23,2020 within which to file an Appeal;
3. Herein Defendant-Appellant hereby file this Notice of Appeal from the Decision of this
Honorable Court in the above-entitled case and appeals the same to the Regional
Trial Court, Narvacan, Ilocos Sur;
5. Herein undersigned Counsel respectfully request that all notices and orders of the
Honorable Court be furnished to herein undersigned’s mailing address.
Copy furnished:
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COMMITMENT ORDER
A court order that says a person must be kept in custody, usually in a jail or mental
institution.
A written order of the court, or any agency authorized by law to issue, entrusting an
inmate to a jail for the purpose of safekeeping during the pendency of his/her case.
SAMPLE FORM
PETITION
COME NOW the Petitioner, Dangerous Drugs Board (DDB for brevity) and unto this
Honorable Court most respectfully AVER:
1. This Petition for the compulsory confinement of a drug dependent is pursuant to Section
61, Article VIII of RA 9165, otherwise known as the “Comprehensive Dangerous Drugs Act
of 2002, in relation to Board Regulation No. 3, Series of 2003;
PARTIES
2. The Petitioner, Dangerous Drugs Board is a government agency under the Office of the
President is created pursuant to Section 77, Article IX of RA 9165, otherwise known as
“Comprehensive Dangerous Drugs Act of 2002”, with office address located at 3rd Floor,
DDB-PDEA Building, NIA Northsite Road, National Government Center, East Triangle,
Diliman, Quezon City, represented herein by its Executive Director, Undersecretary JOSE
MARLOWE S. PEDREGOSA while the drug dependent subject of this Petition is a Filipino,
of legal age, single with residence and postal address at
___________________________________________;
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3. That under Section 61, Article VIII of the Act, any person determined to be dependent on
dangerous drugs, shall upon Petition by the Board or by any duly authorized representative
be confined for treatment and rehabilitation in a center duly designated or accredited for the
purpose;
4. That based on the report given to the Office by initial investigation was conducted by the
Petitioner and found that there is good reason to believed that is a drug dependent and that
his confinement for treatment and rehabilitation in any government rehabilitation center will
be for the welfare of the drug dependent, his family and the community as a whole;
5. That said drug dependent, despite repeated advice, refuse to submit himself to be
examined by a DOH-accredited physician and likewise refused to submit himself for
voluntary confinement, treatment and rehabilitation, hence, this Petition.
1. Directing the drug dependent, or any person / institution having custody of the said drug
dependent to confine him for not less than six (6) months but not more than one (1) year at
the , and to stay therein until such time as he shall have been rehabilitated as a certified to
by the said Center and return to Court for his discharge there from.
2. Directing the head of the said Center to submit a quarterly report to the Court and the
Board or as often, as required on the progress of the treatment.
Atty. _______________________
OIC, Executive Director
By:
Atty. _________________
Legal Officer, DDB
_____________________
Duly Authorized Representative
With my Conformity:
________________________
VERIFICATION
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That I have caused the preparation and filing of the above-entitled ____________
which I have read and understood the contents thereof which are true and correct to my own
personal knowledge and based on authentic records;
That the allegations in the pleading are true and correct based on his or her personal
knowledge, or based on authentic documents;
That the pleading is not filed to harass, cause unnecessary delay, or needlessly
increase the cost of litigation; and
That the factual allegations therein have evidentiary support or, if specifically so
identified, will likewise have evidentiary support after a reasonable opportunity for discovery.
IN WITNESS WHEREOF, We have hereunto affixed our signatures this _____ day of
____________ _____ at _____________________-, Philippines.
___________________________
Affiant
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b) Upon receipt of the verified application, the Board shall order that the applicant or
the person in whose behalf the application is filed be examined for drug dependency by a
DOH-accredited physician. The certification by the examining physician shall state, among
others, whether the immediate confinement of the drug dependent is recommended, taking
into consideration his/her level of drug dependency and the potential danger he/she may
pose to himself/herself, his/her family and the community.
e) Upon the petition of the Board, the Court shall order that the applicant be
examined for drug dependency or shall take cognizance of the certification of the examining
physician mentioned in paragraphs (b) and (c) hereof. If the examination by a DOH-
accredited physician results in the issuance of a certification that the applicant is a drug
dependent, he/she shall be ordered by the Court to undergo treatment and rehabilitation in a
Center designated by the Board for a period of not less than six (6) months: Provided, That a
drug dependent may be placed under the care of a DOH-accredited physician where there is
no Center near or accessible to the residence of the drug dependent or where said drug
dependent is below eighteen (18) years of age and is a first-time offender and non-
confinement in a Center will not pose a serious danger to himself/herself, his/her family or
the community.
f) Confinement in a Center for treatment and rehabilitation shall not exceed one (1)
year, after which time the Court, as well as the Board, shall be apprised by the head of the
Center of the status of said drug dependent and determine whether further confinement will
be for the welfare of the drug dependent and his/her family or the community.
Atrocities
Bombing Incidents
Grenade Explosion
Use of Firearms
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REPLY AFFIDAVIT
PURPOSE: The purpose of an affidavit in reply is simply to rebut or answer matters raised
for the first time in the affidavits to which the replies are made.
NOTE:
There is no compulsion to serve affidavits in reply, and they should only be prepared
if they are necessary to rebut a proposition. Sometimes there will be no entitlement to serve
affidavits in reply if there is no rule, procedure, order or convention entitling a party to do.
________________________,
Complainant,
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_______________________
Respondents.
x--------------------------------------------------------------------x
REPLY-AFFIDAVIT
(to the Counter-Affidavit of __________________)
2. As provided by the Anti-Carnapping Act, “Carnapping” is the taking, with intent to gain, of
a motor vehicle belonging to another WITHOUT the latter’s consent, or by means of violence
against or intimidation of persons, or by using force upon things;
3. By this, I do not have any knowledge nor give my consent to any of the transactions
between herein respondents regarding the loan and the mortgage of the subject vehicle;
6. The fact that herein respondent, ______________ has possession of the subject vehicle,
up to the present and admitted the same, WITHOUT my consent and despite her knoweldge
of the real registered owner but still refuse to return the same is a manifestation of violation
of this Law;
7. I hereby pray to the Honorable Office to impound the subject vehicle to protect my rights
and interest as registered owner;
8. I am executing this REPLY-AFFIDAVIT to attest to the truth of all the foregoing statements
and for all legal intents it may deem serve;
________________________
Affiant
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COUNTER AFFIDAVIT
An affidavit made in opposition to one already made; this is allowed in the preliminary
examination of some cases.
An Affidavit filed by the respondent in reply to a petition. Respondent files reply to the
petition in the form of affidavit. In most of the Writ Petitions, reply is being filed in the form of
counter affidavit.
______________________,
Complainant,
NPS No.__________________
For: Violation of BP 22
-versus-
_______________________,
Respondent.
x------------------------------------------------------------x
COUNTER-AFFIDAVIT
2. I vehemently deny all the allegations in the said Affidavit-Complaint for being
baseless, unjustified, and fabricated for the truth of the matter are as follows;
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b. I issued twelve (12) checks to cover my monetary debt, two (2) of it were cleared
which paid the __________________ pesos (_______________________) as
payment of the interest of the subject amount;
c. Prior to the receipt of the Notice of Dishonor dated ______________, I made several
attempts to make arrangement to herein complainant to settle my monetary debts
because of the current situation of my business (______________________);
d. I plead to her for extension of period to pay the same and she adhered to it;
f. Despite of that and to show my interest to settle the subject monetary debt, I replied
to it through a letter dated _________________ and plead again for new
arrangement of payment by installment because of the situation of my business
which is not stable (_____________);
g. Further, I relied in good faith that herein complainant would be guided by our
arrangement as to the new terms of payment;
h. Furthermore, I did not receive the Final Demand Letter dated __________________
on time, to take a closer look to the Annex ____ of the Affidavit-Complaint showing
my signature, I received it on ____________________;
i. Since I received it after the lapse of the grace period given by herein complainant, I
still relied and expect that herein complainant followed our new arrangement in
paying the subject monetary debt;
j. When I tried to talk to herein complainant about this matter, she just ignored it;
k. I am willing to pay the subject amount in an installment term because of the present
situation of my business and I do not have any intention to turn my back on it;
____________________
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_______________________________
Affiant
Doc. No._____;
Page No._____;
Book No. _____;
Series of ______.
Copy furnished
______________
Affidavit of Denial For the purpose of submitting a written statement confirmed by oath
regarding a pending application, for various reasons, of an NBI Clearance in the Philippines.
SAMPLE FORM
AFFIDAVIT OF DENIAL
3. That I applied for clearance from the National Bureau of Investigation (NBI)
of the Republic of the Philippines and said office informed me that I have a pending criminal
case_____________________________________________________________________
___. The National Bureau of Investigation requested me to affirm or deny my alleged
involvement;
4. That I am not the same person referred to in the aforesaid case as I have
never been involved in nor charged of any crime;
5. That I execute this affidavit to deny any involvement in any crime and to
clear my name of whatever adverse records on file with the National Bureau of Investigation.
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of ________ in
Singapore. _____________________________ Affiant
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Doc. No._____;
Page No._____;
Book No. _____;
Series of ______.
AFFIDAVIT OF LOSS
An affidavit of loss is a document declaring the loss of a security usually through theft
or destruction. The affidavit contains all the details regarding the loss, such as the owner's
name and any information pertaining to the security. That information may include a serial
number or the security's date of issue.
Affidavit loss is a sworn document attesting the details of the item or security lost,
and the when and how of the how the item or document was lost.
AFFIDAVIT OF LOSS
That I exerted efforts to retrieve the same but it turned futile and vain, thus, this
Affidavit of Loss;
That the said College ID was not surrendered or apprehended in any violation of law
nor submitted in any banking entity to satisfy any amount;
That I am executing this Affidavit to attest to the truth of the foregoing statement and
for all legal intents it may deem served.
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___________________________
Affiant
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NAME: ______________________
INSTRUCTION: Read the questions carefully and answer them briefly. A mere Yes or No
answers will not be given any points. Use the answer sheet for your answer.
Police Officers Lazo and Molina were newly assigned in San Jose station, they were
part of the buy-bust operation team. On September 24, 2021, they went for operation and
apprehended Lucas selling shabu. In the given scenario, what is the appropriate pleading to
be prepare and filed by the Police Officers as part in filing a case against Lucas, why? and
write the said pleading.
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NAME: ______________________
INSTRUCTION: Read the questions carefully and answer them briefly. A mere Yes or No
answers will not be given any points. Use the answer sheet for your answer.
Faith filed a Reckless Imprudence resulting in Homicide against Arthur, her sole
witness, Lalyn went back to Greece for her work and she was scheduled for her testimony
on October 4, 2021. How can Lalyn possibly participate in the trial? Why? Give sample of
the pleading, if any.
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NAME: ______________________
INSTRUCTION: Read the questions carefully and answer them briefly. A mere Yes or No
answers will not be given any points. Use the answer sheet for your answer.
Marlyn went to the Women’s Desk of PNP-San Lorenzo and filed an Acts of
Lasciviousness case against her neighbor, Toto. Police Officer Nympha asked questions to
Marlyn of what happened on that day and Marlyn prepared a document for the interview.
What do you think would be the next step in the scenario and what was the proper pleading
to be used? Why? and give a sample of the pleading.
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Learning Module in Legal Forms
REFERENCES:
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