ACTION FOR DECLARATORY RELIEF

(Caption and Title)

COMPLAINT

PLAINTIFF, thru counsel, respectfully avers that:

1. (State the capacity, civil status, and residence of the plaintiff and defendant/s,
who have or claim any interest which would he affected by the declaration.)

2. (State the deed, will, contract, or statute or ordinance under which a declaratory
relief is sought.)

3. (State or quote in full the particular parts of the instrument or statute or

ordinance which affect the rights of the plaintiff, or in which he is particularly interested.)

4. (If the plaintiff or petitioner attacks the validity of the statute, state why such law
is invalid or unconstitutional.)

5. (State or show why the plaintiff is interested under such instrument, or how his
rights are affected by such statute or ordinance.)

6. (Make an allegation that the declaration by the court on this question is

necessary and proper at the time all the circumstances, and that the declaration would terminate
the uncertainty or controversy which gave rise to the action.)

WHEREFORE, it is respectfully prayed of this Honorable Court to determine the validity

of the statue in question (or the construction of the instrument in question) and to declare
plaintiffs rights and duties thereunder.

(Venue, date, signature)

(VERIFICATION/CERTIFICATION OF NON-FORUM SHOPPING)