Legforms Midterms Pilares
Legforms Midterms Pilares
Q: Define each:
a. Acknowledgement.
b. Jurat.
c. Copy certification.
d. Affirmation or oath.
e. Competent evidence of identity. (2016 F, 2017 MT)
(2017 MT bluebook answer) a. "Acknowledgment" is an act in which an individual on a single occasion:
(1) Appears personally before the notary public and presents an integrally complete instrument or document;
(2) Attests to be personally known by the notary public or identified through competent evidence of identity as defined by these
Rules; and
(3) Represents before the notary public that the signature on the instrument or document was voluntarily affixed by him, and is
for the purposes stated in the instrument or document, and declares that the signature on the instrument or document was
his free and voluntary act and deed, and that if he acts in a particular representative capacity, that he has the authority to
sign in that capacity.
Q: What are the contents of a Judicial Affidavit under A.M. No. 12-8-8-SC? (2015 F)
(1) The name, age, residence or business address, and occupation of the witness;
(2) The name and address of the lawyer who conducts or supervises the examination of the witness and the place where the
examination is being held;
(3) A statement that the witness is answering the questions asked of him, fully conscious that he does so under oath, and that
he may face criminal liability for false testimony or perjury;
(4) Questions asked of the witness and his corresponding answers, consecutively numbered, that:
(a) Show the circumstances under which the witness acquired the facts upon which he testifies;
(b) Elicit from him those facts which are relevant to the issues that the case presents; and
(c) Identify the attached documentary and object evidence and establish their authenticity in accordance with the Rules
of Court;
(5) The signature of the witness over his printed name; and
(6) A jurat with the signature of the notary public who administers the oath or an officer who is authorized by law to administer
the same.
Q: Under the Efficient Paper Rule A.M. 11-9-4-SC, what are the rules on:
a. Format and Style;
b. Number of copies to be filed; and
c. Annexes served on other parties. (2015 F)
(a) Format and Style:
(1) All pleadings, motions, and similar papers intended for the court and quasi-judicial body’s consideration an action
(court-bound papers) shall be written in single spaced with one and a half spaced between paragraphs, using an
easily read font style of the party’s choice, of 14-sized font, and on a 13-inch by 8.5-inch white bond paper.
(2) Margin and Prints left hand margin of 1.5 inches from the edge, upper margin of 1.2 inches from the edge, right hand
margin of 1 inch from the edge, and lower margin of 1 inch from the edge.
(b) Number of copies to be filed:
SUBSCRIBED AND SWORN TO before me, affiant Jon Snow, on the 27th day of March 2017 in Quezon City, exhibiting his
driver’s license no. 4567 issued by the Land Transportation Office on January 10, 2017, which will expire on January 10, 2022.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2017.
Q: Draft an acknowledgement.
ACKNOWLEDGEMENT
BEFORE ME, on this 10th of March, 2014 in the City of Makati, personally appeared:
Adam Levine with his Driver’s License No. 123456 issued by the Land Transportation Office on
December 31, 2017 and will expire on December 31, 2022
-and-
Miranda Kerr, with his Driver’s License No. 8765432 issued by the Land Transportation Office on July
1, 2016 and will expire on July 1, 2021.
Both known to me to have personally executed the foregoing instrument and have acknowledged that the sale is their free
and voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and at the place first above written.
Doc. No. 5;
Page No. 15;
Book No. 8;
Series of 2018.
JUDICIAL AFFIDAVITS
Q: Draft an affidavit of non-identity stating that X, the affiant, is not the accused in a criminal case pending before the RTC of Makati.
(2013 F)
(2013 F bluebook answer)
AFFIDAVIT OF NON-IDENTITY
I, Joey Tribianni, Filipino, of legal age, resident of Quezon City, after having been sworn according to law do hereby state that:
1. A criminal case for the crime of rape has been filed in the RTC of Makati which I was informed of whereby my namesake, Joey
Tribianni, was named as the accused.
2. I am executing this affidavit of non-identity to attest to the foregoing facts and to specifically and categorically deny that I am
the individual in the said criminal case.
3. Therefore, I am requesting the National Bureau of Investigation of Makati to issue the requested NBI clearance to fulfill my
requirements in a job application.
IN WITNESS WHEREOF, I have signed this affidavit on May 18, 2013 in Quezon City.
SUBSCRIBED AND SWORN TO BEFORE ME, on May 18, 2018 in Quezon City, affiant exhibiting his driver’s license no. 12345 to
expire on June 2019.
Doc. No. 5;
Page No. 15;
Book No. 8;
Series of 2018.
AFFIDAVIT OF LOSS
I, Jacob Halt, Filipino, of legal age, resident of 4902 Baler St., Quezon City, after having been sworn according to law do hereby
state that:
4. I am issued by DFA with Passport No. 19358, which would expire on May 21, 2020.
5. While I was walking to my office in Quezon City, my bag was snatched by another person.
6. My passport was contained in the bag as I was preparing my visa application to France that day.
7. I have diligently searched for my passport elsewhere, but to no avail.
8. I am executing this affidavit for the request for re-issuance of another passport that I will file with DFA.
IN WITNESS WHEREOF, I have signed this affidavit on May 18, 2018 in Quezon City.
SUBSCRIBED AND SWORN TO BEFORE ME, on May 18, 2018 in Quezon City, affiant exhibiting his driver’s license no. 12345 to
expire on June 2019.
Doc. No. 5;
Page No. 15;
Book No. 8;
Series of 2018.
I, Jon Snow, of legal age, Filipino, single, with residence at No. 1, Rockwell Drive, Quezon City, having been duly sworn to, in
accordance with the law, declare that:
1. I have caused the preparation of such pleading or instrument;
2. I have read it and the contents are true according to my personal knowledge and based on authentic documents;
3. I have not commenced any action or similar proceeding before any court, tribunal, or quasi-judicial agency;
4. To the best of my knowledge, there’s no pending action or similar proceeding before any court, tribunal or quasi-judicial
agency; and
5. If I should thereafter learn that a similar action or proceeding has been filed or is pending before any court, tribunal, or quasi-
judicial agency, I undertake to report that fact within five (5) days therefrom to this Honorable Court.
In witness whereof, I have hereunto set by hand in Quezon City on March 27, 2017.
Jon Snow
Affiant
SUBSCRIBED AND SWORN TO before me, affiant Jon Snow, on the 27th day of March 2017 in Quezon City, exhibiting his
driver’s license no. 4567 issued by the Land Transportation Office on January 10, 2017, which will expire on January 10, 2022.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2017.
EVA LONGORIA,
Plaintiff
x------------------------x
COMPLAINT
PARTIES
1. Plaintiff is of legal age, Filipino citizen, and resident of No. 1 Rockwell Drive, Quezon City;
2. Defendant spouses are of legal age, Filipino citizens, and residents of No. 4, Pivet Drive, Dinaluphan, Bataan .
CAUSE OF ACTION
1. On May 1, 2018, Plaintiff and Defendants entered into a Deed of Absolute Sale concerning a parcel of land in San Juan covered
by TCT No. 12345.
2. The defendants represented that they had a clean title to the property and that the same was free from any claims, liens, or
encumbrances.
3. On May 10, 2018, upon the attempt of the plaintiff to register the Deed of Sale (Annex A) with the Registry of Deeds of San
Juan, it has been discovered that there was another claimant over the title to the property subject of sale.
4. Had the plaintiff known that there was another claimant, she would not have bought the property from the defendants.
5. The consent of the plaintiff was obtained through fraudulent misrepresentation and that the sale may be annulled under the
Civil Code.
PRAYER
WHEREFORE, it is respectfully prayed that this Honorable Court render a judgment against Defendant’s compelling them to
perform their obligation to deliver the subject property to Plaintiff pursuant to the Deed of Absolute Sale, and likewise to pay for the
costs of this suit.
Plaintiff further prays for other reliefs that are just and equitable under the premises.
I, Eva Longoria, of legal age, Filipino, single, with residence at No. 1, Rockwell Drive, Quezon City, having been duly sworn to,
in accordance with the law, declare that:
1. I have caused the preparation of such pleading or instrument;
2. I have read it and the contents are true according to my personal knowledge and based on authentic documents;
3. I have not commenced any action or similar proceeding before any court, tribunal, or quasi-judicial agency;
4. To the best of my knowledge, there’s no pending action or similar proceeding before any court, tribunal or quasi-judicial
agency; and
5. If I should thereafter learn that a similar action or proceeding has been filed or is pending before any court, tribunal, or
quasi-judicial agency, I undertake to report that fact within five (5) days therefrom to this Honorable Court.
In witness whereof, I have hereunto set by hand in Quezon City on March 27, 2014.
SUBSCRIBED AND SWORN TO before me, affiant Eva Longoria, on the 27th day of March 2014 in Quezon City, exhibiting his
driver’s license no. 4567 issued by the Land Transportation Office on January 10, 2017, which will expire on January 10, 2022.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2017.
Draft a civil action for sum of money. For this purpose, do not identify your name as the counsel of Jon Snow. (2017 MT)
Q: ABC filed a complaint for sum of money against XYZ in the Regional Trial Court of Makati. XYZ is a resident of Pasig City while
ABC is a resident of Taguig City. (2016 F)
(2017 MT bluebook answer)
JON SNOW,
Plaintiff
x------------------------x
COMPLAINT
PARTIES
1. Plaintiff, Jon Snow, of legal age, Filipino, residing at No. 1, Rockwell Drive, Quezon City;
2. Defendant, Tyrion Lannister, of legal age, residing at No. 2, Rockwell Drive, Quezon City.
CAUSE OF ACTION
1. On June 1, 2016, in Rockwell Drive, Quezon City, within the jurisdiction of this court, the parties, plaintiff and defendant,
entered into a contract of loan with interest stipulated in writing for the amount of P400,000, inclusive of interest, which is
evidenced by a promissory note which states that the loan is payable on March 1, 2017.
2. On March 2, 2017, Jon Snow demanded the payment of the loan from Tyrion Lannister, by sending him a demand letter, but
Tyrion Lannister refused to pay.
PRAYER
WHEREFORE, the plaintiff respectfully asks this Honorable Court to render judgment ordering the defendant to pay the
amount due with interest, and to pay for the costs of the suit.
The plaintiff further prays for other just and equitable reliefs in favor of him
ABC Lawfirm
Counsel for the Plaintiff
8 Rockwell Tower, Rockwell Drive,
Quezon City
I, Jon Snow, of legal age, Filipino, single, with residence at No. 1, Rockwell Drive, Quezon City, having been duly sworn to, in
accordance with the law, declare that:
1. I have caused the preparation of such pleading or instrument;
2. I have read it and the contents are true according to my personal knowledge and based on authentic documents;
3. I have not commenced any action or similar proceeding before any court, tribunal, or quasi-judicial agency;
4. To the best of my knowledge, there’s no pending action or similar proceeding before any court, tribunal or quasi-judicial
agency; and
5. If I should thereafter learn that a similar action or proceeding has been filed or is pending before any court, tribunal, or
quasi-judicial agency, I undertake to report that fact within five (5) days therefrom to this Honorable Court.
In witness whereof, I have hereunto set by hand in Quezon City on March 27, 2017.
Jon Snow
Affiant
SUBSCRIBED AND SWORN TO before me, affiant Jon Snow, on the 27th day of March 2017 in Quezon City, exhibiting his
driver’s license no. 4567 issued by the Land Transportation Office on January 10, 2017, which will expire on January 10, 2022.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2017.
BRUNO MARS,
Plaintiff
x------------------------x
COMPLAINT
PARTIES
3. Plaintiff, Bruno Mars, is of legal age, Filipino citizen, and resident of 7829 Makati Ave., Quezon City;
4. Defendant, Romano S. Ang and Analiza D. Ang, are married, Filipino citizens, and residing at No. 4, Pivet Drive, Dinaluphan,
Bataan .
CAUSE OF ACTION
6. On 10 March 2014, Plaintiff entered into a Deed of Absolute Sale (ANNEX A), wherein Defendants agreed to sell and deliver
a 10-hectare parcel of land owned by them in favor of plaintiff.
7. The consideration paid by Plaintiff for the parcel of land is FIVE HUNDRED MILLION PESOS (P 500,000,000.00).
8. After payment of the purchase price, as evidenced by the Acknowledgement Receipt (ANNEX B) signed by Defendant Romano
S. Ang, Defendants refused to deliver ownership over the property to Plaintiff.
9. Despite continuous demands by Plaintiff, defendants insisted on their refusal to deliver, therefore, plaintiff was constraint to
file this action for specific performance.
PRAYER
WHEREFORE, it is respectfully prayed that this Honorable Court render a judgment against Defendant’s compelling them to
perform their obligation to deliver the subject property to Plaintiff pursuant to the Deed of Absolute Sale, and likewise to pay for the
costs of this suit.
Plaintiff further prays for other reliefs that are just and equitable under the premises.
ABC Lawfirm
Counsel for the Plaintiff
8 Rockwell Tower, Rockwell Drive,
Quezon City
I, Bruno Mars, of legal age, Filipino, single, with residence at 7829 Makati Ave., Quezon City, having been duly sworn to, in
accordance with the law, declare that:
6. I have caused the preparation of such pleading or instrument;
7. I have read it and the contents are true according to my personal knowledge and based on authentic documents;
8. I have not commenced any action or similar proceeding before any court, tribunal, or quasi-judicial agency;
9. To the best of my knowledge, there’s no pending action or similar proceeding before any court, tribunal or quasi-judicial
agency; and
10. If I should thereafter learn that a similar action or proceeding has been filed or is pending before any court, tribunal, or
quasi-judicial agency, I undertake to report that fact within five (5) days therefrom to this Honorable Court.
In witness whereof, I have hereunto set by hand in Quezon City on March 27, 2014.
SUBSCRIBED AND SWORN TO before me, affiant Bruno Mars, on the 27th day of March 2014 in Quezon City, exhibiting his
driver’s license no. 4567 issued by the Land Transportation Office on January 10, 2017, which will expire on January 10, 2022.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2017.
ANSWER TO COMPLAINT
YADIER MOLINA,
Plaintiff
x------------------------x
1. The defendant is of legal age, Filipino citizen, and resident of 6375 Ayala Ave., Quezon City.
ADMISSIONS
1. The defendant admits that it entered into a contract of sale with plaintiff, the defendant being the vendee, and the
plaintiff being the vendor, as stated in allegation no. 3 of plaintiff’s complaint.
2. That the seller is to deliver a specific car to defendant as subject matter of the sale, and the defendant is to pay the
price amounting to ONE MILLION PESOS (P 1,000,000.00) as stated in allegation no. 4 of plaintiff’s complaint.
3. That the defendant did not pay the purchase price as stated in allegation no. 5 of the complaint.
AFFIRMATIVE DEFENSES
1. That the defendant did not pay the purchase price because the specific car delivered was defective and not running,
thereby, the plaintiff is not compliant with its obligation to deliver the subject matter.
2. That defendant’s obligation is already extinguished due to the plaintiff’s failure to deliver the specific car.
COMPULSORY COUNTERCLAIM
1. That the defendant prays for the award of damages due to the plaintiff’s failure to deliver the subject matter of the
contract of sale.
PRAYER
WHEREFORE, the defendant, through counsel, hereby prays for the dismissal of the complaint for lack of cause of action of
the plaintiff, and for the award of damages to the defendant.
Defendant further prays for other reliefs that are just and equitable under the premises.
Copy Furnished:
ORIOLES LAW FIRM
Counsel for the Plaintiff
8 Rockwell Tower, Rockwell Drive
Quezon City
For:
(sgd.) Atty. Jonathan Lucroy
IBP No. 5678
PTR No. 5678
Roll No. 5678
MCLE No. 5678
I, Stan Smith, of legal age, Filipino, single, with residence at No. 1, Rockwell Drive, Quezon City, having been duly sworn to, in
accordance with the law, declare that:
1. I have read it and the contents are true according to my personal knowledge and based on authentic documents;
2. I have not commenced any action or similar proceeding before any court, tribunal, or quasi-judicial agency;
3. To the best of my knowledge, there’s no pending action or similar proceeding before any court, tribunal or quasi-judicial
agency; and
4. If I should thereafter learn that a similar action or proceeding has been filed or is pending before any court, tribunal, or
quasi-judicial agency, I undertake to report that fact within five (5) days therefrom to this Honorable Court.
In witness whereof, I affix my signature and the seal of the corporation this 23rd day of May 2017 Quezon City
SUBSCRIBED AND SWORN TO before me, affiant Stan Smith, on the 2erd day of May 2017 in Quezon City, exhibiting his driver’s
license no. 4567 issued by the Land Transportation Office on January 10, 2017, which will expire on January 10, 2022.
PROOF OF SERVICE
I, Ned Stark, of legal age, Filipino, residing at 1 Amorsolo Drive, Rockwell, Quezon City, have been duly sworn to in accordance
with the law, declare that I personally delivered the abovementioned documents to the plaintiff and his counsel at Rockwell Drive,
Quezon City, and that they personally received such documents in the said address.
IN WITNESS WHEREOF, I have hereunto set by hand on May 23, 2017 in Quezon City.
Ned Stark
Affiant
SUBSCRIBED AND SWORN TO before me, affiant Ned Stark, on the 23rd day of May 2017 in Quezon City, exhibiting his driver’s
license no. 1902 issued by the Land Transportation Office on February 5, 2016, which will expire on February 5, 2021.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2017.
MOTION TO DISMISS FOR FAILURE TO STATE A CAUSE OF ACTION
Q: Draft a notice of hearing for motion to dismiss for failure to state a cause of action. (2018 F)
(2018 bluebook answer)
JON SNOW,
Plaintiff
x------------------------x
MOTION TO DISMISS
1. Defendants are of legal age, Filipino citizens, and residents of 4908 Baler St., Quezon City;
2. Plaintiff is of legal age, Filipino citizen, and resident of No. 1, Rockwell Drive, Quezon City;
3. In the complaint filed by the plaintiffs there was a failure to state all the elements of fraudulent representation;
4. There was no specific act of fraud averred;
5. Under the Rules of Court, the failure to state a cause of action is one of the grounds for the dismissal of the same.
WHEREFORE, it is respectfully prayed that this Honorable Court dismiss the complaint for the failure to state a cause of action.
Defendant further prays for such other reliefs as may be just and equitable in the premises.
By:
Atty. Rob Stark
IBP No. 1234
PTR No. 1234
Roll No. 1234
MCLE No. 1234
Please set the foregoing motion for hearing on April 28, 2018 at 2:00 p.m. for the consideration of the Honorable Court or
soon after as counsel may be heard.
PROOF OF SERVICE
I, Ned Stark, of legal age, Filipino, residing at 1 Amorsolo Drive, Rockwell, Quezon City, have been duly sworn to in accordance
with the law, declare that I personally delivered the abovementioned documents to the plaintiff and his counsel at Rockwell Drive,
Quezon City, and that they personally received such documents in the said address.
IN WITNESS WHEREOF, I have hereunto set by hand on March 29, 2017 in Quezon City.
Ned Stark
Affiant
SUBSCRIBED AND SWORN TO before me, affiant Ned Stark, on the 29th day of March 2017 in Quezon City, exhibiting his
driver’s license no. 1902 issued by the Land Transportation Office on February 5, 2016, which will expire on February 5, 2021.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2017.
Q: Using the same facts set out above, as counsel of Tyrion Lannister (XYZ Law Firm), draft a motion to dismiss on the ground that
the debt has already been paid by reason of legal compensation (Jon Snow also owes Tyrion Lannister money from a previous
transaction). (2016 Q, 2018 Q, 2017 MT)
(2017 MT bluebook answer)
JON SNOW,
Plaintiff
x------------------------x
MOTION TO DISMISS
1. Defendant is of legal age, Filipino citizens, and resident of 4908 Baler St., Quezon City;
2. Plaintiff is of legal age, Filipino citizens, and resident of No. 1, Rockwell Drive, Quezon City;
3. Under the Rules of Court, the Court acquires jurisdiction over the person of the defendant by the service of summons or by
his voluntary submission to the authority of the court. These requirements have not been complied. Thus, there has been no
service of summons or assuming it has been served, there is defective service thereof upon the defendant, as the action is in
personam and he is residing outside the country.
4. The trial court did not acquire jurisdiction over the subject matter, which is a parcel of land. Plaintiff paid an inadequate filing
fee of only P1,000.00, when the assessed value of the property is P20,000,000, upon which the computation of the filing fee
should have been based, but which was not, precluding the trial from acquiring jurisdiction over the case.
5. In any event, the venue is improperly laid. The land in question is located in Calamba Laguna, but the action has been filed in
Makati.
6. At any rate, defendant paid plaintiff’s claim. Thus, on November 10, 2017, he delivered to plaintiff his car, with Plate No. FEB-
014 and a deed of sale, valued at P10,000,000, copy of which is attached as Annex “1,” with the understanding that the same
would be in payment of defendant’s indebtedness.
WHEREFORE, it is respectfully prayed that this Honorable Court dismiss the complaint for the failure to state a cause of action.
Defendant further prays for such other reliefs as may be just and equitable in the premises.
By:
Atty. Rob Stark
IBP No. 1234
PTR No. 1234
Roll No. 1234
MCLE No. 1234
Please set the foregoing motion for hearing on April 28, 2017 at 2:00 p.m. for the consideration of the Honorable Court or
soon after as counsel may be heard.
PROOF OF SERVICE
I, Ned Stark, of legal age, Filipino, residing at 1 Amorsolo Drive, Rockwell, Quezon City, have been duly sworn to in accordance
with the law, declare that I personally delivered the abovementioned documents to the plaintiff and his counsel at Rockwell Drive,
Quezon City, and that they personally received such documents in the said address.
IN WITNESS WHEREOF, I have hereunto set by hand on March 29, 2017 in Quezon City.
Ned Stark
Affiant
SUBSCRIBED AND SWORN TO before me, affiant Ned Stark, on the 29th day of March 2017 in Quezon City, exhibiting his
driver’s license no. 1902 issued by the Land Transportation Office on February 5, 2016, which will expire on February 5, 2021.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2017.
Q: Using the same facts set out above, as XYZ’s counsel, please draft a motion to dismiss for improper venue. (2016 F)
(2016 F bluebook answer)
JON SNOW,
Plaintiff
x------------------------x
MOTION TO DISMISS
1. He is the defendant in the complaint for sum of money filed by Tyrion Lannister in the RTC of Makati, Branch 1;
2. That defendant is a resident of Pasig City;
3. That the plaintiff is a resident of Taguig City;
4. That according to the Rules of Court, the plaintiff must institute his civil case either in the RTC where the plaintiff or defendant
resides;
5. That pursuant to such rule on venue, this case is filed in an improper one and may be dismissed on motion by the defendant.
WHEREFORE, it is respectfully prayed that this Honorable Court dismiss the complaint on the ground of improper venue.
Defendant further prays for such other reliefs as may be just and equitable.
By:
Atty. Rob Stark
IBP No. 1234
PTR No. 1234
Roll No. 1234
MCLE No. 1234
Please set the foregoing motion for hearing on April 28, 2017 at 2:00 p.m. for the consideration of the Honorable Court or
soon after as counsel may be heard.
CAPTION OF APPEAL
JON SNOW,
Plaintiff
x------------------------x
NOTICE OF APPEAL
JON SNOW,
Plaintiff
x------------------------x
NOTICE OF APPEAL
PLAINTIFF, through counsel, expresses its intention to appeal, as it hereby appeals, the decision of this Honorable Court dated
June 24, 2018. which was received by the Plaintiff on June 26, 2018. On June 30, 2018, Plaintiff filed a Motion for Reconsideration
questioning the assailed decision. Plaintiff received the Order dated July 15, 2018 denying said Motion on July 17, 2018. Thus, this
Notice of Appeal is timely filed. Plaintiff intends to appeal the assailed decision to the Court of Appeals.
By:
Atty. Rob Stark
IBP No. 1234
PTR No. 1234
Roll No. 1234
MCLE No. 1234
PROOF OF SERVICE
I, Ned Stark, of legal age, Filipino, residing at 1 Amorsolo Drive, Rockwell, Quezon City, have been duly sworn to in accordance
with the law, declare that I personally delivered the abovementioned documents to the plaintiff and his counsel at Rockwell Drive,
Quezon City, and that they personally received such documents in the said address.
IN WITNESS WHEREOF, I have hereunto set by hand on July 21, 2018 in Quezon City.
Ned Stark
Affiant
SUBSCRIBED AND SWORN TO before me, affiant Ned Stark, on the 21st day of July 2018 in Quezon City, exhibiting his driver’s
license no. 1902 issued by the Land Transportation Office on February 5, 2016, which will expire on February 5, 2021.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2018.
JOHNNIE WALKER,
Complainant
x-----------------------------x
COMPLAINT-AFFIDAVIT
I, JOHNNIE WALKER, Filipino, of legal age and a resident of Unit G, 6237 Manalac St., Barangay Poblacion, Quezon City, after
having been duly sworn to in accordance with law, hereby depose and state:
1. That, I am filing a case of slight physical injuries against JOSE CUERVO of Unit I, 6237 Manalac St., Barangay Poblacion,
Quezon City.
2. That, on 14 February 2018 at around 7p.m., I went to Cuervo’s unit to talk to him about the coverage for the quiz in
our Legal Forms class, when upon seeing me, he got mad and asked me to leave.
3. That, I immediately turned around to leave Cuervo’s unit but he came running towards me and punched me 2 times
on the face and 3 times on the stomach.
4. That, according to the medical certificate issued by St. Luke’s Hospital, I suffered contusions which would take 7 days
to heal.
5. That, the incident was referred to the barangay for conciliation but no settlement had been reached because Cuervo
refused to obey the summons served upon him. Hence, a certificate to file action was issued by the barangay .
6. In view of the foregoing, I am executing this affidavit to support the filing of a criminal case for slight physical injuries
against JOSE CUERVO.
IN WITNESS WHEREOF, I have hereunto set my hand this 22 February 2018, in the City of Makati, Philippines.
SUBSCRIBED AND SWORN to BEFORE ME this 22nd day of FEBRUARY 2018 in the City of Makati, Philippines. FURTHER
CERTIFIES that I have personally examined the herein affiant and was fully convinced that he freely executed and understood the
contents of this Complaint-Affidavit.
I, JOHNNIE WALKER, Filipino, of legal age and a resident of Unit G, 6237 Manalac St., Barangay Poblacion, Quezon City, after
having been duly sworn to in accordance with law, hereby state:
1. I am the affiant in the attached Complaint-Affidavit with residence at the above-mentioned address and I have caused the
preparation and filing of the foregoing Complaint-Affidavit.
2. I have read the contents of the foregoing Complaint-Affidavit and I attest that the contents of the same are true and correct
to the best of my personal knowledge, and are based on authentic documents/evidence in my possession.
3. I attest that I have not commenced any other action or proceeding, involving the same facts and issues subject of this present
Complaint- Affidavit, in the regular courts, the Supreme Court, the Court of Appeals, or the different divisions thereof, or any
other tribunal or agency.
4. To the best of my knowledge, no such action or proceeding over the same facts and issues is, or remains, pending in the
regular courts, Supreme Court, the Court of Appeals, or the different divisions thereof, or any other tribunal or agency.
5. If I should hereafter learn that a similar action or proceeding has been filed or is pending before the regular courts, Supreme
Court, the Court of Appeals, or the different divisions thereof, or any other tribunal or agency, I undertake to promptly inform
this Honorable Court of that fact within five (5) days from such notice.
SUBSCRIBED AND SWORN to BEFORE ME this 25th day of FEBRUARY 2018 in the City of Makati, Philippines. FURTHER CERTIFIES
that I have personally examined the herein affiant and was fully convinced that he freely executed and understood the contents of
this Complaint-Affidavit.
Doc. No. 5;
Page No. 6;
Book No. 8;
Series of 2018.
x------------------------x
INFORMATION
The undersigned assistant city prosecutor, upon the sworn complaint by the offended party charges the accused JAGER SMITH
of a crime of SERIOUS PHYSICAL INJURIES, committed as follows:
That on or about May 1, 2017, in Rockwell, Quezon City and within the jurisdiction of this court, accused JAGER
SMITH, being entitled to the juridical possession of cash amounting to FIVE HUNDRED THOUSAND PESOS (P
500,000.00) did then and there willfully, feloniously, and unlawfully, with intent to gain, misappropriated the cash
to himself thereby committing the crime of estafa.
Contrary to Law.
I certify that a preliminary investigation was conducted in this compliant in accordance with law; that I have personally
examined the complaint and his witnesses and have reasonable grounds to believe that the offense has been committed and that the
accused is probably guilty thereof, that the accused has been informed of the complaint and evidence submitted against him and given
the opportunity to submit controverting evidence, and that this information was filed with the approval of the City Prosecutor.
SUBSCRIBED AND SWORN TO before me, this 14th day of June 2018 in the City of Quezon.
Approved:
(sgd.) Atty. Derek Shepherd
City Prosecutor
WITNESSED BY:
(sgd.) Mark Sloan (sgd.) Miranda Bailey
Pasig City Taguig City
x------------------------x
INFORMATION
The undersigned assistant city prosecutor, upon the sworn complaint by the offended party charges the accused JAGER SMITH
of a crime of ESTAFA, committed as follows:
That on or about May 1, 2017, in Rockwell, Quezon City and within the jurisdiction of this court, accused JAGER
SMITH, being entitled to the juridical possession of cash amounting to FIVE HUNDRED THOUSAND PESOS (P
500,000.00) did then and there willfully, feloniously, and unlawfully, with intent to gain, misappropriated the cash
to himself thereby committing the crime of estafa.
Contrary to Law.
I certify that a preliminary investigation was conducted in this compliant in accordance with law; that I have personally
examined the complaint and his witnesses and have reasonable grounds to believe that the offense has been committed and that the
accused is probably guilty thereof, that the accused has been informed of the complaint and evidence submitted against him and given
the opportunity to submit controverting evidence, and that this information was filed with the approval of the City Prosecutor.
SUBSCRIBED AND SWORN TO before me, this 14th day of June 2018 in the City of Quezon.
Approved:
(sgd.) Atty. Derek Shepherd
City Prosecutor
WITNESSED BY:
(sgd.) Mark Sloan (sgd.) Miranda Bailey
Pasig City Taguig City
x------------------------x
INFORMATION
The undersigned Assistant City Prosecutor, upon sworn complaint originally filed by the offended party, accuses ADDISON
SHEPHERD of the crime of MURDER, committed as follows:
That on or about April 30, 2018 in the City of Makati, Philippines, within the jurisdiction of this Honorable Court,
the said accused, did then and there, with malice aforestated and with deliberate intent to take the life of LEXIE
GREY, willfully, unlawfully, feloniously, suddenly, treacherously, and unexpectedly shot the victim at the back of
her head with a rifle at around 1am when LEXIE GREY was exiting El Chupacabra, Poblacion, Quezon City, thereby
causing the direct and immediate death of LEXIE GREY.
Contrary to Law.
I certify that a preliminary investigation was conducted in this compliant in accordance with law; that I have personally
examined the complaint and his witnesses and have reasonable grounds to believe that the offense has been committed and that the
accused is probably guilty thereof, that the accused has been informed of the complaint and evidence submitted against him and given
the opportunity to submit controverting evidence, and that this information was filed with the approval of the City Prosecutor.
SUBSCRIBED AND SWORN TO before me, this 14th day of June 2018 in the City of Makati.
WITNESSED BY:
(sgd.) Mark Sloan (sgd.) Miranda Bailey
Pasig City Taguig City
x------------------------x
INFORMATION
The undersigned assistant city prosecutor, upon the sworn complaint by the offended party charges the accused JAGER SMITH
of a crime of QUALIFIED THEFT, committed as follows:
That on or about May 1, 20178 in Rockwell, Quezon City and within the jurisdiction of this court, accused JAGER
SMITH, did then and there willfully and feloniously took the money entrust to her worth TEN THOUSAND PESOS
(P 10,000.00) from the cash register, being the cashier in the complainant’s store, breaching the trust reposed
upon her.
Contrary to Law.
I certify that a preliminary investigation was conducted in this compliant in accordance with law; that I have personally
examined the complaint and his witnesses and have reasonable grounds to believe that the offense has been committed and that the
accused is probably guilty thereof, that the accused has been informed of the complaint and evidence submitted against him and given
the opportunity to submit controverting evidence, and that this information was filed with the approval of the City Prosecutor.
SUBSCRIBED AND SWORN TO before me, this 14th day of June 2018 in the City of Quezon.