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Republic of the Philippines

[REGION]
[COURT]
[BRANCH] ______, [CITY] ___________

[NAME]__________,
Plaintiff,
Civil Case No. ___________
- versus -

[NAME]__________,
Defendants.
x ----------------------------------- x

COMPLAINT

PLAINTIFF, by counsel, respectfully states that:

1. Plaintiff is a Filipino citizen of legal age and resident of [CCITY OF


RESIDENCE] ____________; defendant is the [OFFICIAL POSITION] ________________
of Quezon City, the duly-constituted legislative body for Quezon City, its members
may be served with notices at Quezon City Hall.

2. [STATE DEED, WILL, CONTRACT, OR OTHER WRITING SUBJECT OF THE


COMPLAINT; WHEN EXECUTED, PASSED, ETC.; BRIEF SUMMARY OF CONTENTS]
__________________________________________. The relevant portions of the [DEED,
WILL, CONTRACT OR OTHER WRITING] ___________ are, as follows:

[QUOTE RELEVANT PORTIONS]

3. The above-quoted portion is ambiguous [STATE FACTS SHOWING


INTEREST UNDER THE DEED, WILL, CONTRACT, OR OTHER WRITTEN INSTRUMENT,
AND INJURY ARISING FROM ITS OPERATION; SHOW ALSO FACTS WHOWING NEED
TO REFORM INSTRUMENT, QUIET TITLE OR TO CONCOLIDATE OWNERSHIP]
___________________________________________________.

4. Unless declaratory relief is granted, plaintiff will suffer grave and


irreparable injury because [STATE REASONS FOR INJURY]
___________________________.

WHEREFORE, plaintiff respectfully prays that this Honorable Court grant


declaratory relief and declare plaintiffs rights and duties under the [DEED, WILL,
CONTRACT, OR OTHER INSTRUMENT].

[CITY] ___________; [DATE] _________________________.

[SIGNATURE]
[NAME OF COUNSEL] ___________
Counsel for Plaintiff
[ADDRESS] ______________

VERIFICATION & CERTIFICATION AGAINST FORUM SHOPPING

I, [NAME] _____________________, of legal age, do hereby state that: I am the


plaintiff in the pleading/document entitled [PLEADING/DOCUMENT BEING
VERIFIED] ___________________ and in such capacity, caused this Complaint to be
prepared; I have read its contents and affirm that they are true and correct to the
best of my own personal knowledge; I hereby certify that there is no other case
commenced or pending before any court involving the same parties and the same
issue and that, should I learn of such a case, I shall notify the court within five (5)
days from my notice.

IN WITNESS WHEREOF, I have signed this instrument on


[DATE]_____________.

[SIGNATURE]
[NAME] _________________

SUBSCRIBED AND SWORN TO before me in the City of _______________ on


this day of [MONTH AND YEAR]_________________, affiant exhibiting before me his
Government Issued ID no. _______________ issued on [DATE}__________________ at
[PLACE OF ISSUANCE]_____________________.

[SIGNATURE]
[NAME]_______
Notary Public

Until [DATE]__________________
PTR No. [NUMBER] ____________
Issued at [PLACE]______________
On [DATE] ___________________

Doc. No.
Page No.
Book No.
Series of [YEAR] ___________.

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