(Caption and Title)

COMPLAINT

PLAINTIFF, thru counsel, respectfully avers that:

1. (State the capacity, civil status, and residence of the

plaintiff and defendant/s, who have or claim any interest which would
be affected by the declaration.)

2. (State the deed, will, contract, or statute or ordinance

undert which a declaratory relief is sought.)

3. (State or quote in full the particular parts of the instrument

or statute or ordinance which affect the rights of the plaintiff, or in which
he is particularly interested.)

4. (If the plaintiff or petitioner attacks the validity of the statute,

state why such law is invalid or unconstitutional.)

5. (State or show why the plaintiff is interested under such

instrument, or how his rights are affected by such statute or ordinance.)

6. (Make an allegation that the declaration by the Court on

this question is necessary and proper at the time all the circumstances,
and that the declaration would terminate the uncertainty or controversy
which gave rise to the action.)

WHEREFORE, it is respectfully prayed of this Honorable Court

to determine the validity of the statue in question (or the construction
of the instrument in question) and to declare plaintiff’s rights and duties
thereunder.

(Venue, date, signature)

(Verification and Certification of Non-forum Shopping)