Download as pdf or txt
Download as pdf or txt
You are on page 1of 27

JURAT

SUBCRIBED AND SWORN TO before me this in


_________________, Philippines, affiant exhibiting to
me his/her competent evidence of identity by way of
__________________ issued at ______________
on __________________.

Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 20__.
ACKNOWLEDGMENT

Republic of the Philippines)

Makati City) S.c.

BEFORE ME, a Notary Public in and for Makati City, Philippines,


this ______________ personally appeared:

Name ID Date/Place Issued

_______________ ____________ ________________


_______________ ____________ ________________

known to me to be the same persons who executed the


foregoing instrument and they acknowledged to me that the
same is their free and voluntary act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and


affixed my notarial seal on the date and at the place first above
written.

Notary Public

Doc. No._____
Page No. ______
Book No.____
Series of 20__.
DEMAND LETTER
DD MONTH YEAR

Name
Address

Sir/Madam:

We write in behalf of our client, (Name of Client), the


matter of your non-payment of your obligation.

Records disclose that you have an outstanding


obligation with our client in the amount of
PhpXXXXX inclusive of interests and surcharges.
Despite repeated oral and written demands, you
failed and continuously fail to pay the aforesaid
amount.

Accordingly, FINAL DEMAND is hereby made upon


you to settle the amount of PhpXXXXX within
FIFTEEN (15) days from receipt of this letter.
Otherwise, we will be constrained to file the
necessary legal action against you to protect the
interest of our client.

We trust that you will give this matter your prompt


and preferential attention to avoid the expense and
inconvenience of litigation.

Truly yours,

Name of Counsel
REPUBLIC OF THE PHILIPPINES)
CITY OF MAKATI ) S.S.

AFFIDAVIT OF LOSS

I, ___________________, of legal age, Filipino, (single/married/widow)


and a resident of _______________________________, after having
been duly sworn to in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land


Transportation laws, rules and regulations, and was issued a
corresponding (Non) Professional Driver's License with number
_____________ which is valid until _____________;
2. Sometime on ____________, said driver's license was misplaced and
got lost;
3. Efforts were exerted to locate said driver's license, but in spite of
diligent search, it could not be found and the same is now beyond
recovery;
4. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;
5. As such, I am executing this Affidavit of Loss to attest to the truth of
the foregoing and to support my application for the issuance of a new
(Non) Professional Driver's License, in lieu of the one that was lost;
IN WITNESS WHEREOF, I have hereunto set my hand this DD
MM YYYY in Makati City, Metro Manila, Philippines.

____________________
Affiant
SSS ID No. ____________

SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiant exhibiting to me his/her
competent evidence of identity by way of __________________ issued
at ______________ on __________________.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 20__.
AUTHORIZATION LETTER

DD MM YYYY

Name of Addressee
Title/Designation
Company Name
Address

Sir / Madam :
Last DD MM YYYY, I applied for and opened a savings account with
your bank. I was requested to wait for two (2) weeks for my automated
teller machine card to be processed. The other day I was told that my
ATM Card was ready for pick up. However, I will not be able to
personally get the same.
In this regard, I am humbly requesting and will be sending my cousin,
Miss (Name), to secure my said ATM Card.
I’m enclosing a photocopy of my Driver’s License and Miss (Name)’s
ID with signature.
For your kind facilitation please.

Very truly yours,

Name
DEED OF ABSOLUTE SALE OF REAL PROPERTY

KNOW ALL MEN BY THESE PRESENTS:


This DEED OF ABSOLUTE SALE is made, executed and entered into by:
(NAME OF VENDOR), of legal age, single/married to (Name of spouse
if any), Filipino, and with residence and postal address at (Address of
Seller), hereinafter referred to as the VENDOR
-AND-
(NAME OF VENDEE), Filipino and with residence and postal address at
(Address of Buyer), hereinafter referred to as the VENDEE.

WITNESSETH;

WHEREAS, the VENDOR is the registered owner of a parcel of land


with improvements located at (Address of property to be sold) and
covered by Transfer Certificate of Title No. (TCT Number) containing a
total area of (Land Area of Property in Words) (000) SQUARE METERS,
more or less, and more particularly described as follows:

TRANSFER CERTIFICATE OF TITLE NO. XXXX

"(Insert the technical description of the property on the title)


Example: A PARCEL OF LAND (Lot 20 Blk 54 of consolidation subdivision
plan (LRC) Pcs-13265, being a portion of the consolidation of Lots 4751-A
and 4751-B (LRC) Psd-50533, Lot 3, Psd-100703, Lot 1, Psd-150980, LRC
Rec. Nos. Nos. N-27024, 51768, 89632, N-11782, N-13466, and 21071
situated in the Bo. of San Donisio, Mun of Paranaque, Prov of Rizal, Is. of
Luzon. Bounded on NE., point 4 to 1 by Road Lot 22, on...to the point of
beginning; containing an area of (280) square meters more or less,
together with all improvements erected thereon..."

WHEREAS, the VENDEE has offered to buy and the VENDOR has
agreed to sell the above-mentioned property for the amount of (Amount
in words) (P 000,000.00) Philippine Currency;

NOW THEREFORE, for and in consideration of the sum of (Amount in


words) (PXXXXX) Philippine Currency, paid by the VENDEE to the
VENDOR, the VENDOR DO HEREBY SELL, TRANSFER, and CONVEY by way
of Absolute Sale unto the said VENDEE, his heirs and assigns, the above-
mentioned parcel of land together with all the improvements found
thereon, free from all liens and encumbrances of whatever nature
including real estate taxes as of the date of this sale.
_____________________ _______________________
VENDOR VENDEE

WITH MARITAL CONSENT:

________________________ _______________________
VENDOR's Spouse VENDEE's Spouse

SIGNED IN THE PRESENCE OF:

__________________________ __________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


_____________________________ ) Sc.

BEFORE ME, a Notary Public for and in the City of


___________________, personally appeared:

Name ID Date/Place Issued


(VENDOR) XXXXXXXX MMDDYYYY / Manila
(VENDOR's Spouse) XXXXXXXX MMDDYYYY/Manila
(VENDEE) XXXXXXXX MMDDYYYY / Manila
Known to me and to me known to be the same persons who executed
the foregoing instrument and they acknowledged to me that the same
was their free and voluntary act and deed.
This instrument, consisting of (__) pages, including the page on which
this acknowledgment is written, has been signed on the left margin of
each and every page thereof by the concerned parties and their
witnesses, and sealed with my notarial seal.

WITNESS MY HAND AND SEAL on this ___day of


__________________20__ at_______________.

Notary Public
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 20__.
DEED OF ABSOLUTE SALE OF PERSONAL PROPERTY
KNOW ALL MEN BY THESE PRESENTS:

This Deed of Absolute Sale is made and entered into in Quezon City this
_____ day of _________ by and between:

____________________, of legal age, Filipino, with residence address


at ______________________________ hereinafter referred to as SELLER;

- and –

____________________, of legal age, Filipino, with residence address


at ________________________________ hereinafter referred to as BUYER;
WITNESSETH:
WHEREAS, the SELLER is the absolute and registered owner of the
following motor vehicle, more particularly described as follows:

MODEL : ____________________
COLOR : ____________________
BODY : ____________________
MOTOR NO. : ____________________
SERIAL NO. : ____________________
PLATE NO. : ____________________
FILE NO. : ____________________

WHEREAS, the SELLER desires to sell the aforesaid motor vehicle and
the BUYER is able, willing and ready to purchase the same under the terms
and conditions herein below set forth

NOW THEREFORE, for and in consideration of the sum total of Amount


in Words (PHPXXXXX), Philippine currency, VAT Inclusive and
receipt hereof is hereby acknowledged by the said SELLER, the SELLER
hereby SELL,CEDE, TRANSFER and CONVEY unto the BUYER, in a manner
absolute and irrevocable the above-described 1 Unit of 1997 MITSUBISHI L-
300 Motor Vehicle, free from any and all liens and encumbrances
whatsoever and on an “AS IS WHERE IS BASIS”.

The SELLER warrants that the Motor Vehicle is free from any liens and
encumbrances and that said SELLER shall defend the title and rights of the
BUYER from any claims of whatever kind or nature from third persons.
ACKNOWLEDGMENT

Republic of the Philippines)


Quezon City, Metro Manila ) S.c.

BEFORE ME, a Notary Public, for and in Quezon City, this


_______ day of _________________________ personally appeared:

Name Identification Card Issued On/At

____________________ ________________ _____________


____________________ ________________ _____________

all known to me to be the same persons who executed the


foregoing instrument and they hereby acknowledged to me that the
same is their free and voluntary act and deed.
This instrument consisting of two (2) pages, including this page
on which this acknowledgment is written refers to a DEED OF SALE of
1 Unit of 1997 MITSUBISHI L-300 and has been signed by the parties
and their witnesses and sealed with my notarial seal.

Notary Public
Doc. No. ____
Page No. ____
Book No. ____
Series of 20__.
CONTRACT OF LEASE OF MOTOR VEHICLE

KNOW ALL MEN BY THESE PRESENTS:


This Agreement executed this 25th day of June, 2023 at Makati, Metro
Manila, by and between:

JUAN DELA CRUZ, Filipino, of legal age, single and a resident of No. 11
Santillan Street, Makati City, Metro Manila (hereinafter referred to as
“LESSOR”)
-and-

PEDRO DELOS SANTOS, Filipino, of legal age, single with address at No. 11
Gold Loop Street, Ortigas Center, Pasig, Metro Manila (hereinafter referred
to as “LESSEE”).

WITNESSETH: That -
1. That the LESSOR hereby lets and leases unto the LESSEE his motor
vehicle described as follows:

MODEL/MAKE : 2011 Isuzu


COLOR : Black
BODY : Canter
MOTOR NO. : 123456
SERIAL/CHASSIS NO. : 789666
PLATE NO. : XYZ-123
2. That the monthly rental shall be in the amount of P40,000.00 per month,
payable at the end of each and every month;
3. That the term of this contract shall be one (1) year commencing on June
25, 2023 and ending on June 25, 2024 and automatically renewed from year
to year unless sooner terminated by a notice of at least thirty (30) days
before such termination;
4. That all the expenses for the registration, insurance, tire, battery, fuel,
care and maintenance and use of the leased unit, as well as any and all
damages and liabilities caused to third parties or the public by reason of any
accident whatsoever, shall before the sole account of the LESSEE;
5. That the LESSEE may sublease the unit to any other person but the right of
LESSOR as herein stipulated shall not be affected whatsoever.

IN WITNESS WHEREOF, we have hereunto set our hands this 26th day of
June 2023 in Makati City, Metro Manila, Philippines.

JUAN DELA CRUZ PEDRO DELOS SANTOS


Lessor Lessee

SIGNED IN THE PRESENCE OF:

MARIA MAKILING JUAN TAMAD


Witness Witness
ACKNOWLEDGMENT
Republic of the Philippines)
City of Makati ) S.c.
BEFORE ME, a Notary Public, for and in the City of Makati, this
25th day of June 2023 personally appeared:
Name Identification Card Isued On/At
JUAN DELA CRUZ SSS I.D. No. 123 1-1-23/Makati
PEDRO DELOS SANTOS SSS I.D. No. 222 2-1-23/Makati
MARIA DELA CRUZ SSS I.D. No. 333 3-1-23/Makati
MARIA MAKILING SSS I.D. No. 444 4-1-23/Makati
JUAN TAMAD SSS I.D. No. 555 5-1-23/Makati
all known to me to be the same persons who executed the foregoing
instrument and hereby acknowledged to me that the same is their
free and voluntary act and deed.

This instrument consisting of two (2) pages, including this page on


which this acknowledgment is written refers to a CONTRACT OF LEASE
OF MOTOR VEHICLE and has been signed by the parties and their
witnesses and sealed with my notarial seal.

Notary Public
Doc. No._____
Page No. ______
Book No.____
Series of 20__.
SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS :That

I, __________________________, of legal age, single, Filipino citizen


and resident of ____________________________________________,
do hereby name, constitute and appoint
________________________, of legal age and resident also of
_______________________________, to be my true and lawful
attorney-in-fact, for me and in my name, place and stead, to do and
perform the following special powers, to wit:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full


power and authority to do and perform any and every act and thing
whatsoever requisite, necessary or proper to be done in and about
the premises as fully to all intents and purpose as I might or could do
if personally present and acting in person; and

HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-


fact shall lawfully do and cause to be done by virtue of these
presents.

IN WITNESS WHEREOF, I have hereunto set my hand at


____________, Philippines, on this ____________ day of
________________, 20__.

____________________
Principal
Conforme:

______________
Attorney-in-fact

SIGNED IN THE PRESENCE OF:

____________________ ____________________
ACKNOWLEDGMENT

Republic of the Philippines)


Makati City) S.S.

BEFORE ME, a Notary Public in and for Makati City,


Philippines, this ______________ personally appeared:

Name ID Date/Place Issued


_____________ ____________ _________ _______
_____________ ____________ _________ _______

known to me to be the same persons who executed the


foregoing instrument and they acknowledged to me that the
same is their free and voluntary act and deed.

IN TESTIMONY WHEREOF, I have hereunto set my hand


affixed my notarial seal on the date and at the place first above
written.
Notary Public
Doc. No._____
Page No. ______
Book No.____
Series of 20__.
VERIFICATION AND CERTIFICATION OF NON-FORUM
SHOPPING

I, ________________, Filipino, of legal age, married and


a resident of _______________________ after having duly
sworn to in accordance with law, do hereby depose and state:
1. That I am the Petitioner in the above-entitled case;

2. That I have caused the preparation and filing of the foregoing


Petition and I have read all the allegations therein which are
true and correct based on my personal knowledge and authentic
documents;

3. That I further certify that there is no pending action or


proceeding involving the same issues in the Supreme Court,
Court of Appeals, or any other tribunal or agency. If I should
thereafter learn that the same or similar action is pending, I
shall undertake to inform the Honorable Court of this fact within
five (5) days therefrom.

IN WITNESS WHEREOF, I have hereunto affixed my signature


this ____ day of ___________ in __________________.

_________________________
Affiant

SUBSCRIBED AND SWORN TO before me this ___day of


________, 20___ in _________with Driver’s License No.
_________, valid until __________ and I hereby certify that I
personally examined the affiant herein and that I am fully
satisfied that she voluntarily executed the foregoing petition
and she understood all the allegations herein.
Doc. No.____ Notary Public
Page No. ____
Book No.____
Series of 20__.
JUDICIAL AFFIDAVIT
(IN A CRIMINAL CASE)

I, ____________________________, _______ years old, born on


__________, (single/married) employed as _______________ at
_____________________, after having been duly sworn to in
accordance with law, hereby depose and state:

PRELIMINARY STATEMENT
That in accordance with A.M. No. 12-8-8-SC, which prescribes
the use of judicial affidavits to serve as the direct examination
testimony of the witness, on the basis of which the adverse
party may conduct their cross-examination on such a witness, I
hereby execute this judicial affidavit in a question and answer
format;
That conformably with section 3 (b) of the said A.M. No. 12-8-8-
SC, I also state that it was _________________, investigator of
______________________ who conducted the examination of
the undersigned affiant;

That conformably also with section 3 (c) thereof, I hereby state


under the pain of perjury that in answering the questions asked
of me, as appearing herein below, I am fully conscious that I did
so under oath, and that I may face criminal liabilities for false
testimony or perjury;

AND UNDER OATH, AVERS THE FOLLOWING:


[knowledge/information on XXXX – nature of case]

1. Q: What are the reasons why you voluntarily came to this


Office?
A: Because I want to change my life and I want to freely
and voluntarily give information relative to the case in
question

[SUBSEQUENT Qs & As]


IN WITNESS WHEREOF, I hereunto set my hand below this
_______ day of ______, 2023 at ________________________.

_____________________
Affiant
SUBSCRIBED AND SWORN to before me this ____ day of ___________,
2023 at ___________________________. Further, I certify that I
personally examined the herein affiant that he voluntarily executed
and fully understood his statements.

________________________
Administering Officer

ATTESTATION

I, ________________________, investigator of (Police Station),


(Location), on my oath as the Investigator-on-Case (IOC), hereby depose
and states:

That I have personally conducted the foregoing examination to


the witness-affiant ____________________ at (Police Station),
(Location);

That I have faithfully recorded and translated into English


language the questions asked of him/her and the corresponding
answers that he/she gave in response to the questions asked;

Neither I nor any other person/s coached this witness-affiant regarding


the answers given by her.

IN WITNESS WHEREOF, I hereunto set my hand below this _______


day of ______, 2023 at ________________________.

_______________________
Investigator

SUBSCRIBED AND SWORN to before me this ____ day of ___________,


2023 at ___________________________. Further, I certify that I
personally examined the herein affiant that he voluntarily executed
and fully understood his statements.

_______________________
Administering Officer
Republic of the Philippines
National Capital Judicial Region
REGIONAL TRIAL COURT
Branch XXX – Roman Numeral (In Numeral)
Manila

(Name of Plaintiff),
Plaintiff,
- versus - Civil Case No. XXXXX
(For: Sum of Money)
(Name of Defendant),
Defendant.
x-----------------------------------------x

MOTION FOR SUMMARY JUDGMENT


Plaintiff, through undersigned counsel and to this Honorable
Court, respectfully allege:
1. That in Defendant’s answer to the complaint for the collection of
sum of money with damages, she has paid the principal amount
due together with the interest of 6%. However, the Defendant
did not attach any receipt by the Plaintiff to show her payment
thereof
2. That the burden of showing payments rests upon the Defendant,
by showing any valid receipt of payment made to the Plaintiff
because a mere verbal claim is not sufficient;
3. That there is no genuine issue of fact that may require a full-
blown trial.
PRAYER
WHEREFORE, it is respectfully prayed that this Honorable Court
proceed to render judgment as the complaint may warrant
Other reliefs, just and equitable under the given circumstances, are
likewise prayed for.
Manila, Philippines, DD MM YYYY.

Counsel for Plaintiff


Roll No. ____________
IBP No. ___________
PTR No.______________
MCLE Compliance / Exemption No.
____
NOTICE OF HEARING
THE BRANCH CLERK OF COURT
RTC - Branch XXX
Place

Name
Counsel for the Defendant
Address

Greetings!

Please take notice that the undersigned counsel will submit the
foregoing Motion for Summary Judgment to the Honorable Court on
DD MM YYYY at (time) in the morning for its favorable consideration
and approval.

Counsel’s Name

Copy furnished by registered mail:


Name
Counsel for the Defendant
Address
EXPLANATION

Due to lack of messengerial service to effect personal service, a copy of


the foregoing motion was sent to defendant's counsel through
registered mail.

Counsel’s Name

POST OFFICE: Main-Lawton


Date: DD MM YYYY
Registry Receipt No: XXXXXXX
Republic of the Philippines
National Capital Judicial Region
REGIONAL TRIAL COURT
Branch XXX – Roman Numeral (In Numeral)
Manila

(Name of Plaintiff),
Plaintiff,
- versus - Civil Case No. XXXXX
(For: Sum of Money)
(Name of Defendant),
Defendant.
x-----------------------------------------x

MOTION TO DISMISS
Plaintiff, through undersigned counsel and to this Honorable
Court respectfully allege:

1. That on DD MM YYYY, after the filing of the Complaint and


payment of the required docket fee with the Office of the Clerk
of Court of this Station, Mr. (name) herein-plaintiff called up
undersigned for the necessary documents if the defendant will
be settling his obligation to him;
2. That on the following day, DD MM YYYY, defendant fully settled
his obligations with my client, hence the need to dismiss the
above-entitled case
PRAYER
WHEREFORE, it is respectfully prayed that this Honorable Court
dismiss the above-entitled action.
Other reliefs, just and equitable under the given circumstances, are
likewise prayed for.
Manila, Philippines, DD MM YYYY.

Counsel for Plaintiff


Roll No. ____________
IBP No. ___________
PTR No.______________
MCLE Compliance / Exemption No. ___
THE BRANCH CLERK OF COURT
RTC - Branch XXX
Place

Name
Counsel for the Defendant
Address

Greetings!

Please take notice that the undersigned counsel will submit the
foregoing Motion To Dismiss to the Honorable Court for its
consideration and approval without the need for appearance of the
counsels.

Counsel’s Name

Copy furnished by registered mail:


Name
Counsel for the Defendant
Address
EXPLANATION

Due to lack of messengerial service to effect personal service, a copy


of the foregoing motion was sent to defendant's counsel through
registered mail.

Counsel’s Name

POST OFFICE: Main-Lawton


Date: DD MM YYYY
Registry Receipt No: XXXXXXX
Republic of the Philippines
National Capital Judicial Region
REGIONAL TRIAL COURT
Branch XXX – Roman Numeral (In Numeral)
Manila

(Name of Plaintiff),
Plaintiff,
- versus - Civil Case No. XXXXX
(For: Sum of Money)
(Name of Defendant),
Defendant.
x-----------------------------------------x
MOTION TO DECLARE DEFENDANT IN DEFAULT
Plaintiff, through undersigned counsel and to this Honorable
Court respectfully alleged: THAT

1. That on DD MM YYYY, after the filing of the Complaint and


payment of the required docket fee with the Office of the Clerk
of Summons was issued;
2. Said Summons, together with the Complaint and Annexes
enclosed therewith, was served on DD MM YYYY personally upon
the defendant, Mr. (insert name), as evidenced by the Sheriff’s
Return attached to the records of the case;
3. Up the present and upon verification of the records of the case
show that after the lapse of twenty-five (25) days from the
service of Summons upon the defendant, neither a Motion for
Extension to File Answer or an Answer was ever filed by the
defendant;
PRAYER
WHEREFORE, and in view thereof, it is respectfully prayed of this
Honorable Court to declare Defendant in default and for the Plaintiff to
present its evidence ex-parte.
Other reliefs, just and equitable under the given circumstances,
are likewise prayed for.
Manila, Philippines, DD MM YYYY.
Counsel’s Name
Counsel for Plaintiff
Roll No.______________
IBP No. ___________
PTR No. ____________
MCLE Compliance/Exemption No.
THE BRANCH CLERK OF COURT
RTC - Branch XXX
Place

Name
Counsel for the Defendant
Address

Greetings!

Please take notice that the undersigned counsel will submit the
foregoing Motion to the Honorable Court on DD MM YYYY at (time)
in the morning for its favorable consideration and approval.

Counsel’s Name

Copy furnished by registered mail:


Name
Counsel for the Defendant
Address
EXPLANATION

Due to lack of messengerial service to effect personal service, a copy


of the foregoing motion was sent to defendant's counsel through
registered mail.

Counsel’s Name

POST OFFICE: Main-Lawton


Date: DD MM YYYY
Registry Receipt No: XXXXXXX
WAIVER, RELEASE, AND QUITCLAIM

I, _____________, Filipino, of legal age, (single / married / widow),


and a resident of _____________, Philippines, after being sworn to
in accordance with law, depose and state:

1. That by these presents, I hereby state that I have voluntarily


resigned as ________________Position Held_________ of
Employer___________;

2. That I hereby acknowledge to have received from my employer


the sum of __________________________ (P_____________)
which is in full and final satisfaction of my salary and other
benefits that may be due me for the service which I have rendered
for the latter employer;

3. That I hereby declare that I have no further claims whatsoever


against my employer, its President, members of the Board, officers
or any of its staff and that I hereby release and forever discharge
all of them from any and all claims, demands, cause of action of
whatever nature arising out of my employment with the latter;

4. I further agree that this WAIVER, RELEASE AND QUITCLAIM may


be pleaded in bar to any suit or proceeding (Civil, SSS, PhilHealth,
Medicare, Labor, etc.) to which either I, or my heirs and assigns,
may have against my employer in connection with my
employment with the latter and that the payment which I have
received as provided herein should not in any way be construed as
an admission of liability on the part of my employer and is
voluntarily accepted by me and will, if need be, serve as full and
final settlement of any amount(s) due me or any claims or cause
of action, either past, present, future, which I may have in
connection with my employment with my employer;

5. As such, I finally make manifest that I have no further claim(s)


or cause of action against my employer nor against any person(s)
connected with the administration and operation of the latter and
forever release the latter from any and all liability.
IN WITNESS WHEREOF, I have hereunto set my hand this
_____________ at _____________, Philippines.

JUAN DELA CRUZ

Affiant-Employee

WITNESSES:

_____________________________
_________________________________

Republic of the Philippines)

City of Makati ) S.S.

BEFORE ME, a Notary Public, for and in the City of Makati, this DD
MM YYYY personally appeared:

Name Identification Card Issued On/At

JUAN DELA CRUZ SSS I.D. No. 123 1-1-23/Manila

all known to me to be the same persons who executed the foregoing


instrument and hereby acknowledged to me that the same is their free
and voluntary act and deed.

This instrument consisting of two (2) pages, including this page


on which this acknowledgment is written refers to a waiver, release and
quitclaim and has been signed by the parties and their witnesses and
sealed with my notarial seal.

Notary Public

Doc. No._____
Page No. ______
Book No.____
Series of 20__.
CRIMINAL INFORMATION
Republic of the Philippines
National Capital Judicial Region
REGIONAL TRIAL COURT
Branch XXX
Manila

PEOPLE OF THE PHILIPPINES,


Plaintiff, Crim Case No 123456
- versus - for Qualified Theft
JUAN DELA CRUZ,
Accused.
x - - - - - - - - - - - - - - - - - - - - -x
INFORMATION
The undersigned Assistant City Prosecutor hereby accuses Aku
Sado of the crime of Theft was committed as follows:
That on or about DD MM YYYY, in the City of Manila, Philippines, the
said accused, did then and there wilfully, unlawfully and feloniously,
with intent of gain and without the knowledge and consent of the
owner thereof, take, steal and carry away 15 units of "Walther" Cell
Phones, Model WSR-160 with Ser. No. 165308 and D/R No. 2258, all
valued at P123,000.00, belonging to AAA MERCHANDISING
CORPORATION, to the damage and prejudice of said owner, in the
aforesaid amount of P123,000.00, Philippine currency.
That in the commission of the said offense, the said accused
committed grave abuse of confidence, he being then employed as a
salesman of the said AAA Merchandising Corporation, at the time, and
as such, had free access to the place where the property stolen were
kept.

Contrary to law.
Manila, Philippines, DD MM YYYY.

_____________________
Assistant City Prosecutor
CERTIFICATION AS TO CONDUCT OF INQUEST

I hereby certify that the accused was lawfully arrested without a


warrant and that, upon being informed of his rights, refused to waive
the provisions of Article 125 of the Revised Penal Code and for this
reason, an Inquest was conducted; that based on the complaint and the
evidence presented before me without any countervailing evidence
submitted by the accused, despite opportunity to do so, there is
reasonable ground to believe that the accused has committed the crime
of qualified theft and should, thus, be held for said crime; that this
Information was with the prior authority of the City Prosecutor.

Assistant City Prosecutor

SUBSCRIBED AND SWORN to before me this ____ day of ______


2023 in Manila, Philippines.

_____________________
City Prosecutor
That’s all
Folks!!!

Thank you for listening…

You might also like