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Complaint Affidavit - Sample
Complaint Affidavit - Sample
Manila )s.s.
x -------------------------------x
COMPLAINT AFFIDAVIT
I, Juna Dela Cruz, 43 years old, (DOB: March 14, 1990) female, married,
teacher and residing at No. 1 Bagongbayan, Barangay Sto. Barbara, Quezon City wife
of (V1) after having been duly sworn to in accordance with law, do hereby depose and
states that:
1. I am the husband of MARK Dela Cruz, 45 years old, (DOB: June 13, 1990)
male, married, foreman and residing at No. 1 Bagongbayan, Barangay Sto.
Barbara, Quezon City;
3. Upon receiving the information, I immediately went to the area and saw my
husband was on pavement blooded sustained gunshot wound in the forehead.
5. I am executing this affidavit to charge SAN JOSE y Batang for the crime
under Art. 232 of RPC committed against my husband, MARK Dela Cruz.
Administering Prosecutor