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TRADUCCIÓN PÚBLICA -----------------------------------------------------------------

ACCUSING PARTY INITIATES CRIMINAL PROCEEDINGS IN THE

SUBJECT MATTER OF FRAUD ---------------------------------------------------------

Your Honour,-----------------------------------------------------------------------------------

[blank], establishing domicile by choice at [blank], states the following to Your

Honour:-----------------------------------------------------------------------------------------

That the undersigned appears acting on behalf of [blank], whose domicile of

choice is located at [blank], [blank].--------------------------------------------------------

That the undersigned appears in due time and legal from to initiate criminal

proceedings against [blank], whose domicile is located at [blank], [blank], in the

subject matter of violation of section 173, subsection 2 of the Código Penal

[Criminal Code].-------------------------------------------------------------------------------

3. FACTS --------------------------------------------------------------------------------------

[blank] Facts [blank]--------------------------------------------------------------------------

4. EVIDENCE --------------------------------------------------------------------------------

The undersigned hereby offers the following means of evidence notwithstanding

the undersigned’s right to offer additional means of evidence, as authorized by the

provisions of the aforementioned Code. The undersigned hereby requests that the

disclosure of said evidence and submission of same be ordered in due time.---------

5. DOCUMENTARY EVIDENCE. The undersigned requests that the following

evidence be kept at the office of the Clerk.------------------------------------------------

[blank] Specify documentary evidence [blank].-------------------------------------------

[blank] Specify other means of evidence [blank].-----------------------------------------


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[SECOND PAGE]----------------------------------------------------------------------------

7. JURISDICTION --------------------------------------------------------------------------

The Court has jurisdiction over this case pursuant to [blank], the Court has ---------

jurisdiction over this case pursuant to [blank].--------------------------------------------

May Your Honour grant what is herein requested for, in doing so, --------------------

JUSTICE SHALL BE DONE.---------------------------------------------------------------

---------------------------------------------------------------------------------------------------

[FÓRMULAS DE CIERRE EN INGLÉS Y CASTELLANO] -----------

[FIRMA]

[SELLO]

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