(Complaint for Adultery)

(caption)
COMPLAINT
The undersigned, _____________, accuses _____________ of the
crime of adultery, committed as follows, to wit:
That on or about _____________, at about _________ (a.m./p.m.), in
the City/Municipality of _____________, Province of _____________
and within the jurisdiction of this Honorable Court, the said accused
_____________ did then and there voluntarily, unlawfully, and
feloniously had sexual intercourse with her co-accused
_____________, who is not her husband, and the latter knowing her
to be married to _____________, voluntarily, unlawfully, and
feloniously had carnal knowledge with her.
Contrary to law.

_____________, Philippines, __Date__

COMPLAINANT

(JURAT)

Witnesses:

________________

____________________