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FORM NO. 47

REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT
4th Judicial Region
Nasugbu Batangas

People of the Philippines, CRIMINAL CASE NO:123456

Plaintiff,

-versus- For: THEFT

PONCE V. RUIZ.
Accused.

X- - - - - - - - - - - - - - - - - - - - - - - - - - X

JUDICIAL AFFIDAVIT of ROSE ANN R. AGUILAR

I, ROSE ANN R. AGUILAR, of legal age, Filipino, married, a

business owner, and a resident of Barangay Cumba Lian, Batangas,
and after having been duly sworn to in accordance with law, hereby
deposes and states.

PREFATORY STATEMENT

That the taking of my Judicial Affidavit was administered and

supervised by ATTY. ELAINE R. NIOKO and was done at his Law
Office at J.P. Rizal St. Barangay 2, Lian, Batangas and I am fully
aware and cognizant of the questions asked of me by Atty. Elaine R.
Nioko and my answers thereto are under oath being aware that I may
face criminal liability for false testimony or perjury. I likewise
requested that the questions asked of me be in English as well as my
answers thereto also in English which I speak and understand for
clarity and that the other information and/or requirements of Sec. 3,
A.M. 12-8-8- SC as explained to me by the administering lawyer are
contained in my Judicial Affidavit the rest which reads, to wit:

Q1: Please state your name and other personal

circumstances?

A1: I am Rose Ann R. Aguilar, married, owner of R&A Rice

and Feeds store.

Q2: Mrs. Witness, you said that you are an owner of a store,
where is it located?

A2: It is in Barangay Cumba Lian, Batangas, beside my

parents house Maam.
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Q3: What happen at around 3:30 in the afternoon on April 13,

2023?

A3: At around 3:15 o’clock in the afternoon, me and my

cousin Jun Ramos went to the store from our house,
which is about 30 meters away from the store. At that
time, my husband was outside, and I stepped out of the
store for a while to show my cousin the kitchen sink that I
had asked him to fix. Then, after I had shown him the
kitchen sink, we went back to the store. As we were
approaching the store, we saw the accused in the stock
room of our store with my phone in his hand and taking
money from the cash box.

Q4: And did you know the persons who stole your belongings,
Mrs. Witness?

A4: Yes, Maam.

Q5: How did you know him?

A5: Because he is a resident of our barangay, Maam.

Q6: What evidence/s can you present to prove this fact?

A6: I caught him on the act while taking the money and my
phone on his hand and the testimony of my cousin who is
with me at the time we saw the accused doing the crime.

Q7: What did you do after seeing him taking your phone and
money?

A7: My cousin, Jun Ramos, apprehended the accused, and I

called the barangay immediately, who helped us bring the
accused to the police station.

Q8: Is there anything else you may add to your testimony?

A8: That is all for the meantime, Sir.

IN WITNESS WHEREOF, I have hereunto affixed my signature

this 29th day of April, 2024 at Lian, Batangas, Philippines.

ROSE ANN R. AGUILAR

Affiant
TIN NO. 254-77-110

SUBSCRIBED AND SWORN to before me, this 29th day of April

2024 at Lian, Batangas, by above-mentioned affiant, who exhibited her
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valid ID bearing her photo and signature as competent proof of her

identity.

NOTARY PUBLIC/ADMINISTERING OFFICER

Doc. No. _____ ;

Page No. _____;
Book No. _____ ;
Series of 2024.

ATTESTATION

I, ELAINE R. NIOKO with Law Office at J.P. Rizal St. Brgy. 2,

Lian, Batangas, hereby attest that I have conducted and supervised
the examination of the above-named affiant/witness at my office
stated above, and further declared that:

1. I faithfully recorded or caused to be recorded the questions I

asked and the corresponding answers the affiant/witness
gave; and

2. Neither I nor any other person then present or assisting me

coached the affiant/witness regarding the latter’s answers.

IN WITNESS WHEREOF, I have hereunto affixed my signature

this 29th day of April, 2024 at Lian, Batangas, Philippines.

NOTARY PUBLIC

Doc. No. _____ ;

Page No. _____;
Book No. _____ ;
Series of 2024.
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