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:

1. That on (date of sending), I FILED by electronic mail (e-mail), copies of the (type of pleading)
in the case of (case title) pending before (court), in accordance with Section 5 and 9, Rule 13 in relation
to Section 12 and 13, of the 2019 amended Rules of Civil Procedure.

2. That I emailed the aforementioned pleading to the following email address/es:

Email Address:

(email address of court)

(court)
Branch ______, _____________ City

3. That the said copies of the (type of pleading) in the case of (case title) pending before (court),
were also FILED via Special Courier (LBC) and SERVED by Special Courier on (date) in accordance
with Section 5 and 7 in relation to Section 12 and 13, of the 2019 amended Rules of Civil Procedure by
____________________________-.

Attached is the copy of his Affidavit of service

4. 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 ____ ,

Philippines, affiant exhibiting me her ID NO. _______________.

Doc. No. _____;

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