Republic of the Philippines)

City of ______________……) S.S

AFFIDAVIT OF SERVICE and FILING

I, (name of sender), Filipino, of legal age and an employee of ___________________ with

office address at ______________________________________, after being duly sworn in accordance
with law, hereby depose and state that:

1. On (date of sending), I FILED by Registered Mail and SERVED by Registered Mail, copies of
the (type of pleading) in the case of (case title) with (case number) pending before
_________________ in accordance 2019 Revised rules of Civil Procedure.

2. I deposited said copies at ______________________, in sealed envelope.

3. The addressee/s:
Receipt No.
Served via Registered Mail:

Filed via Registered Mail:

4. The (type of pleading) was SERVED by Registered Mail to the said addressee/s due to lack of
messengerial service. The Receipt was attached to the original pleading intended to the Court.

5. This Affidavit is executed to attest to the truth of the foregoing.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________ at

_____________________, Philippines.

(Name of Sender)
Affiant

SUBSCRIBED AND SWORN TO before me this _________________ at

___________________, affiant exhibiting me his ____________________________.

Doc. No. _____;

Page No. _____;
Book No. ____;
Series of 2022.