REPUBLIC OF THE PHILIPPINES)

City/Municipality_______________)
Province_____________________) SS.
AFFIDAVIT OF SERVICE
I,______________________________________ as,
____________________________
(relation to party or counsel)
of,
_______________________________________________
____ with office address at
______________________________________________,
after being duly sworn, depose
and say:
That on ______________________________, 198_____ I
served a copy of the following
Date
Pleading/paper by ordinary/registered mail in accordance
with Sections 3 and 5 in relation to Section 10 of Rule 13,
Rules of Court:
Nature of Pleading/Paper
______________________________________
______________________________________
______________________________________
______________________________________
In case No.
_______________________________________________
_______ entitled
Depositing a copy in the post office, in a sealed envelope,
plainly addressed to the party or his attorney at his office/
residence with postage fully prepaid, as evidenced (in case
of registered mail) by Registry Receipt No.
________________ hereto attached, and with instructions
to the postmaster to return the mail to the sender after ten
(10) days, if undelivered.
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That the addressee(s) is/are as follows:

______________________________________
______________________________________
______________________________________
______________________________________
__________________ Manila, Philippines.
SUBSCRIBED AND SWORN to before me this ______ day
of Philippines, affiant exhibiting to me his/her Residence
Certificate No. ______________, issued at__________ on
___________________.
Officer Administering the Oath.
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