REPUBLIC OF THE PHILIPPINES

)
MAKATI CITY, METRO MANILA ) S.S.

AFFIDAVIT OF SERVICE
I, __________________ of legal age, Filipino, staff of __________________,
with office address at ____________________________________________,
having been duly sworn in accordance with law, hereby depose and state:
On _______________, I served copies of the following pleading/paper:

[TITLE OF DOCUMENT]
Case No. ______, entitled
pursuant to the Rules of Court.

_____________________________________,

Registered Mail:
BIR LEGAL
8
Counsel for the
2nd Floor, BIR
Building
No. 313 Gil Puyat
Makati City, Metro

[x] By depositing on _________

in the post office at ________
as evidenced by Registry
Receipt(s) No(s). _________
and
_________
hereto
attached and indicated after
the
name(s)
of
the
addressee(s)
and
with
instructions
to
the
postmaster to return the
mail to the sender after ten
(10) days if undelivered.

OFFICE OF THE
GENERAL
134 Amorsolo Street, Legaspi Village
Makati City, Metro Manila

DIVISION, REGION
Respondent
Regional Office
Avenue
Manila
SOLICITOR

_____________, Metro Manila, _________.

_______________________
Affiant
SIGNED, SUBSCRIBED AND SWORN to before me this ____ day of
____________ in ____________, Metro Manila by the affiant, who is
personally known to me and exhibiting to me his ________________________,

a competent evidence of identity as defined by Section 12 of the Rules on

Notarial Practice.
Doc. No.
;
Page No.
;
Book No.
;
Series of ____.