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AFFIDAVIT OF LOSS

REPUBLIC OF THE PHILIPPINES)


_____________________________ ) S.S.

I, (Name of Affiant)., Filipino, of legal age, residing at (Address of Affiant), after having been
sworn in accordance with law hereby depose and state:
That I am the true and lawful owner of a certain motor vehicle which is
more particularly described as follows:
MAKE
SERIES
TYPE OF BODY
YEAR MODEL

:
:
:
:

MOTOR NO.
SERIAL/CHASSIS NO.
PLATE NO.
FILE NO.

:
:
:
:

(Change the declaration below to the actual circumstances)


That sometime in June of this year, I was looking for the original
Certificate of Registration of my car but to my surprise, said Owners original
Copy could not found;
That I took pains to look for said Certificate of Registration, but to no
avail;
That I am executing this affidavit to attest to the truth of the foregoing
and to request from the Land Transportation Office of Angeles City, a copy of
said Certificate of Registration.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______________. 20___
at _________________________.

(Name Over Signature of


Affiant)

SUBSCRIBED AND SWORN to before me, this ____ day of ______________, 20___ in
___________________ City, with affiant exhibiting his CTC No. _______________ ,
Issued on ______________________ at _________________________.

NOTARY PUBLIC
Until December 31, 200___

Doc. No. : ________;


Page No. : ________;
Book No. : ________;
Series of 20___.

AFFIDAVIT OF DESISTANCE

REPUBLIC OF THE PHILIPPINES)


CITY OF MANILA

) S.S.

(the persons and circumstances below is fictional, please revise)

I, Juan del la Cruz, of legal age, single, and a resident of # 123 Main
St., Malate, Manila, after having duly sworn to in accordance with law hereby
depose and state:

1. I am the complaining witness for Serious Physical Injuries against


Jesus Santos in the case entitled "People of the Philippines versus Jesus
Santos", Criminal Case No. 12345, Metropolitan Trial Court, Branch No. 11,
City of Manila.

2. After my sober and soul searching assessment and analysis of the


incident, I have realized that because I was not wearing my eyeglasses and it
was dark, I can not point out, without a doubt the accused or any other
person/s who inflicted harm against me.

3. Since I could not state with certainty and without doubt the liability
of Jesus Santos, in fairness to him, I am permanently withdrawing my

complaint against him. I clear him of whatever responsibility or liability to


me.

4. I hereby inform the City Prosecutor of Manila that I am withdrawing


my complaint for Serious Physical Injuries in Criminal Case No. 12345
entitled"People of the Philippines versus Jesus Santos", Metropolitan Trial
Court, Branch No. 11, City of Manila.

5. I likewise request the Metropolitan Trial Court, Branch No. 11, City of
Manila to dismiss with prejudice the said criminal case.

IN WITNESS WHEREOF, I hereby set my hand this __ day of September


20__ at the City of Manila.

Juan de la Cruz
Complaining Witness

SUBSCRIBED AND SWORN to before me this 22nd day of January 20__ at


the City of Manila, Philippines.

Romeo Abad
Public Prosecutor

DEED OF ABSOLUTE SALE


KNOW ALL MEN BY THESE PRESENTS:
This DEED OF ABSOLUTE SALE is made, executed and entered into by:

(NAME OF SELLER), 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 theSELLER
-AND(NAME OF BUYER), Filipino and with residence and postal address at (Address of Buyer),
hereinafter referred to as the BUYER.
WITNESSETH;
WHEREAS, the SELLER 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. 0000
"(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, Psd150980, 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..."
WHEREAS, the BUYER has offered to buy and the SELLER 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) (P
000,000.00) Philippine Currency, hand paid by the vendee to the vendor, the SELLER DO
HEREBY SELL, TRANSFER, and CONVEY by way of Absolute Sale unto the said BUYER, his
heirs and assigns, the certain 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.

(NAME OF SELLER)
Seller

WITH MARITAL CONSENT:


________________________
Name of Seller's Spouse

(NAME OF BUYER)
Buyer

_________________________
Name of Buyer's Spouse

SIGNED IN THE PRESENCE OF:

__________________________

____________________________

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
_____________________________ ) SS.
BEFORE ME, a Notary Public for and in the City of ___________________, personally appeared:
Name

CTC Number

(Name of Seller)
(Name of Buyer)

10000000
10000000

Date/Place Issued
Jan 15, 20__ / Angeles City
Jan 9, 20__ / Manila

Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same are their free act and voluntary 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__.

LEASE CONTRACT

KNOW ALL MEN BY THESE PRESENTS:


This CONTRACT OF LEASE is made and executed at the City of _____, this day of
_______________, 20__, by and between:

(NAME OF LESSOR), of legal age, single/married to (Name of spouse if any), Filipino,


and with residence and postal address at (Address), hereinafter referred to as theLESSOR.

-AND-

(NAME OF LESSEE), Filipino and with residence and postal address at (Address),
hereinafter referred to as the LESSEE.

WITNESSETH; That

WHEREAS, the LESSOR is the owner of THE LEASED PREMISES, a residential property
situated at (Address of property to be leased);

WHEREAS, the LESSOR agrees to lease-out the property to the LESSEE and the LESSEE is
willing to lease the same;

NOW THEREFORE, for and in consideration of the foregoing premises, the LESSOR leases
unto the LESSEE and the LESSEE hereby accepts from the LESSOR the LEASED premises,
subject to the following:

TERMS AND CONDITIONS

1. PURPOSES: That premises hereby leased shall be used exclusively by the LESSEE for
residential purposes only and shall not be diverted to other uses. It is hereby expressly agreed
that if at any time the premises are used for other purposes, the LESSOR shall have the right
to rescind this contract without prejudice to its other rights under the law.

2. TERM: This term of lease is for ONE (1) YEAR. from (Date) to (Date) inclusive. Upon its
expiration, this lease may be renewed under such terms and conditions as my be mutually
agreed upon by both parties, written notice of intention to renew the lease shall be served to
the LESSOR not later than seven (7) days prior to the expiry date of the period herein agreed
upon.

3. RENTAL RATE: The monthly rental rate for the leased premises shall be in PESOS:
AMOUNT IN WORDS (P 00,000.00), Philippine Currency. All rental payments shall be payable
to the LESSOR.

4. DEPOSIT: That the LESSEE shall deposit to the LESSOR upon signing of this contract and
prior to move-in an amount equivalent to the rent for THREE (3) MONTHS or the sum of
PESOS: AMOUNT IN WORDS (P 00,000.00), Philippine Currency. wherein the two (2) months
deposit shall be applied as rent for the 11th and 12th months and the remaining one (1) month
deposit shall answer partially for damages and any other obligations, for utilities such as Water,
Electricity, CATV, Telephone, Association Dues or resulting from violation(s) of any of the
provision of this contract.

5. DEFAULT PAYMENT: In case of default by the LESSEE in the payment of the rent, such as
when the checks are dishonored, the LESSOR at its option may terminate this contract and
eject the LESSEE. The LESSOR has the right to padlock the premises when the LESSEE is in
default of payment for One (1) month and may forfeit whatever rental deposit or advances have
been given by the LESSEE.

6. SUB-LEASE: The LESSEE shall not directly or indirectly sublet, allow or permit the leased
premises to be occupied in whole or in part by any person, form or corporation, neither shall
the LESSEE assign its rights hereunder to any other person or entity and no right of interest
thereto or therein shall be conferred on or vested in anyone by the LESSEE without the
LESSOR'S written approval.

7. PUBLIC UTILITIES: The LESSEE shall pay for its telephone, electric, cable TV, water,
Internet, association dues and other public services and utilities during the duration of the
lease.

8. FORCE MAJEURE: If whole or any part of the leased premises shall be destroyed or
damaged by fire, flood, lightning, typhoon, earthquake, storm, riot or any other unforeseen
disabling cause of acts of God, as to render the leased premises during the term substantially
unfit for use and occupation of the LESSEE, then this lease contract may be terminated
without compensation by the LESSOR or by the LESSEE by notice in writing to the other.

9. LESSOR'S RIGHT OF ENTRY: The LESSOR or its authorized agent shall after giving due
notice to the LESSEE shall have the right to enter the premises in the presence of the LESSEE
or its representative at any reasonable hour to examine the same or make repairs therein or for
the operation and maintenance of the building or to exhibit the leased premises to prospective
LESSEE, or for any other lawful purposes which it may deem necessary.

10. EXPIRATION OF LEASE: At the expiration of the term of this lease or cancellation
thereof, as herein provided, the LESSEE will promptly deliver to the LESSOR the leased
premises with all corresponding keys and in as good and tenable condition as the same is now,
ordinary wear and tear expected devoid of all occupants, movable furniture, articles and effects
of any kind. Non-compliance with the terms of this clause by the LESSEE will give the LESSOR
the right, at the latter's option, to refuse to accept the delivery of the premises and compel the

LESSEE to pay rent therefrom at the same rate plus Twenty Five (25) % thereof as penalty until
the LESSEE shall have complied with the terms hereof. The same penalty shall be imposed in
case the LESSEE fails to leave the premises after the expiration of this Contract of Lease or
termination for any reason whatsoever.

11. JUDICIAL RELIEF: Should any one of the parties herein be compelled to seek judicial
relief against the other, the losing party shall pay an amount of One Hundred (100) % of the
amount clamed in the complaint as attorney's fees which shall in no case be less than
P50,000.00 pesos in addition to other cost and damages which the said party may be entitled
to under the law.

12. This CONTRACT OF LEASE shall be valid and binding between the parties, their
successors-in-interest and assigns.

IN WITNESS WHEREOF, parties herein affixed their signatures on the date and place above
written.

(Name of Lessor)

(Name of Lessee)

LESSOR

LESSEE

Signed in the presence of:


_____________________________

______________________________

ACKNOWLEDGEMENT
Republic of the Philippines)
_________________________) S.S

BEFORE ME, personally appeared:


Name

CTC Number

Date/Place Issued

(Name of Lessor)
(Name of Lessee)

10000000

February 24, 20__ / Cavite City

10000000

January 07, 20__ / Makati

Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same is their free and voluntary act and deed.
This instrument consisting of ____ page/s, including the page on which this acknowledgement
is written, has been signed on each and every page thereof by the concerned parties and their
witnesses, and and sealed with my notarial seal.
WITNESS MY HAND AND SEAL, on the date and place first above written.

Notary Public
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.

DEED OF DONATION

KNOW ALL MEN BY THESE PRESENTS:

That I, ________________________of legal age, single / married


to_______________________ with postal address at
__________________________________________ hereinafter referred to as the DONOR,
and _______________________, likewise of legal age, single / married to
__________________________ with postal address at
_________________________________ hereinafter called the DONEE, witnesseth:

That the DONOR is the registered owner of a parcel of land, more particularly described as
follows:

(Insert description of property to be donated)

That the DONEE is a cousin of the DONOR, who has lovingly dedicated five (5) years of his
life as the latter's personal caregiver and companion;

That FOR AND IN CONSIDERATION of the DONEE'S trust, devotion and affection shown to
the DONOR, and as an act of gratitude and liberality on his part, the DONOR hereby
voluntarily GIVES, TRANSFERS, and CONVEYS by way of donation, unto the said DONEE, his
heirs and assigns, the above described property, together with all the improvements found
thereon, free from all liens and encumbrances;

That the DONOR affirms that this donation is not made with intent to deceive his creditors,
and that he has reserved for himself sufficient funds and property;

That the DONEE hereby accepts and receives this donation made in his favor by the DONOR,
and hereby manifests his gratefulness for the latter's generosity.

IN WITNESS WHEREOF, both the DONOR & DONEE have hereunder subscribed their names
this __________ day of __________________ 20__ at _____________________,
Philippines.

_____________________________

______________________________

DONOR

DONEE

WITNESSES:

_____________________________

______________________________

ACKNOWLEDGEMENT
Republic of the Philippines)
_________________________) S.S

BEFORE ME, a notary for and in the City of Makati, personally appeared:

Name

(Donee)

CTC Number

Date/Place Issued

00000000

June 28, 20__ / Makati City

known to me and to me known to be the same persons who executed the foregoing Deed of
Donation and acknowledged to me that the same is their free and voluntary act and deed.

WITNESS MY HAND AND SEAL, on the date and place first above written.

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

REPUBLIC OF THE PHILIPPINES)


CITY OF MAKATI

) S.S.

x----------------------------x

AFFIDAVIT OF DISCREPANCY
I, SAM L. MILBY, 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 was born on 15th day of the October 1960 to spouses Anna Lerma and John Milby;
2. I have been using the name SAM L. MILBY in all my documents and transactions;
3.

However,

when

obtained

copy

of

my birth

certificate,

discovered

that

mysurname appearing thereon was erroneously written as "MELBY";


4. The names SAM L. MILBY and SAM L. MELBY refers to one and the same person;
5. I execute this Affidavit of Discrepancy of Surname to attest to the truth of the foregoing facts
and to explain the discrepancy in my birth certificate with regards my surname.

IN

WITNESS

WHEREOF,

have

hereunto

set

this ___________________ in Makati City, Metro Manila, Philippines.


____________________
Affiant
SSS ID No. _____________

my

hand

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 __________________.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.

Republic of the Philippines )


Province of Bulacan

Municipality of Meycauayan) s.s.

JOINT AFFIDAVIT OF
TWO DISINTERESTED PERSONS
We, LEONILO M. GO and MICHAEL S. SY, both Filipinos, of legal ages, married and
residents of St. Francis Village, Malhacan, Meycauayan, Philippines, having been duly sworn
in accordance with law, hereby depose and state:
That we both personally know the person of GLORIA R. LABANDERA since her
childhood because formerly, we had lived in the same locality for a long time, and her family
has been a close family friend;
That

we

also

know

and

we

hereby declare that

the

said GLORIA

R.

LABANDERA was born on May 24, 1980 at Meycauayan, Bulacan, Philippines to PERLA R.
LABANDERA and ARIEL LABANDERA;
That we are not related in any way, either by consanguinity or affinity, to the
said GLORIA R. LABANDERA;

As such, we execute this Joint Affidavit to attest to the truth of the foregoing facts
and for any other legal purpose that this Affidavit may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this 1st day of August
2013, at Meycauayan, Bulacan, Philippines.
LEONILOM.GO

MICHAELS.SY

Affiant

Affiant

SUBSCRIBED AND

SWORN

TO before

me

this 1st

day of

August

2013

in Meycauayan, Bulacan, affiants exhibited to me their SSS Identification Card Nos. 1234
and 4567 issued on March 6, 2012 and April 8, 2012, respectively, in Makati City, Metro
Manila.
Doc. No. _____
Page No. _____
Book No. _____
Series of 2013.

REPUBLIC OF THE PHILIPPINES)


CITY OF MAKATI

) S.S.

x-------------------------------------x

AFFIDAVIT OF SERVICE
I, MARIO B. DELA CRUZ, of legal age, Filipino, single and a resident of 3333
Washington Street, Pio del Pilar, Makati City, after having been duly sworn to in accordance
with law, depose and state:
1. That I am employed as a messenger of Atty. Abo Gado with office address at Room 3333
Cityland 10, Tower I, H.V. dela Costa Street, Salcedo Village, Makati City;
2. That on November 15, 2013, I served a copy of the following pleading/paper by registered
mail in accordance with Sec. 10 of Rule 13 of the Rules of Court:
Nature of Pleading/Paper
____________________________
____________________________
____________________________

in Case No. 123456 entitled "Plain Tiff vs. Defen Dant" by depositing a copy in the post
office in a sealed envelope, plainly addressed to the defendant's lawyer at his office
with postage fully paid, as evidenced by Registry Receipt No. 1111 attached and with
instructions to the post master to return the mail to senderafter ten (10) days if
undelivered.

IN WITNESS WHEREOF, I have hereunto set my hand this 19th day of November
2013 in Makati City, Metro Manila, Philippines.
MARIO B. DELA CRUZ
Affiant
Voter's ID No. 5555

SUBCRIBED AND SWORN TO before me this 19th day of November 2013 in Makati
City, Metro Manila, Philippines, affiant exhibiting to me his valid proof of identification.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.
Republic of the Philippines
National Capital Judicial Region
METROPOLITAN TRIAL COURT
Branch LXIII (63)
Makati City

PEOPLE OF THE PHILIPPINES,


- versus -

Crim. Case Nos. 123456 &

555555
ROD MAPA y PEREZ,
Accused.
x----------------------------------------x

MOTION FOR REDUCTION OF BAIL

ACCUSED, assisted by the undersigned counsel, unto this Honorable Court, most
respectfully alleges that:
1.

The accused has been charged with Malicious Mischief and Attempted Homicide;

2.

Consequently, warrants of arrest were issued against accused and the bail for his provisional
liberty has been set at P12,000.00 for Malicious Mischief and P15,000.00 for Attempted
Homicide with a total of P27,000.00 for the two cases;

3.

Accused desires to post the required bail but due to financial constraints considering that he
is jobless and is only depending upon his family, he can only raise the amount of
P12,000.00 for the two cases.
WHEREFORE, in view of the foregoing, it is most respectfully prayed that Accused be
allowed to post his bail bond for the above two (2) cases at a reduced CASH BOND in the
total

amount

Twenty-Seven

Thousand

Pesos

(P27,000.00).

Other reliefs just and equitable in the premises are likewise sought.
Makati City, Philippines. August 12, 2013.

ATTY. VX YZ
Counsel for the Accused

NOTICE OF HEARING
THE BRANCH CLERK OF COURT
MeTC - Branch 63
Makati City
Greetings!
Please submit the foregoing motion to the Honorable Court on August 27, 2013 at
8:30 in the morning for its favorable consideration and approval.

VX YZ
Copy furnished by personal service:

PROSECUTOR

WXYZ

Office of the City Prosecutor, Makati City


ATTY. AB CD
Private Prosecutor
2233 Zamora Street, Pasay City

Republic of the Philippines


National Capital Judicial Region
REGIONAL TRIAL COURT
Branch 147
Makati City
PEOPLE OF THE PHILIPPINES,
Plaintiff,
Crim Case
No. 123456
versus-

for Homicide

AKU SADO,
Accused.
x - - - - - - - - - - - - - - - - - - - - -x

INFORMATION
The undersigned Assistant City Prosecutor hereby accuses Aku Sado of the crime of
Homicide

committed

as

follows:

That on or about August 12, 2013, Makati City within the jurisdiction of this court, the
said accused, armed with a bladed weapon, with intent to kill, did then and there
willfully,unlawfully and feloniously attack, assault and stab one VIC TIMA, thereby inflicting
upon

him

fatal

wound

which

directly

caused

Contrary

to

his

death.
law.

Makati, Philippines, August 22, 2013.

ATTY. BEN TONG


Private Prosecutor

WITNESSES:

MARIA MAKILING

JUAN TAMAD

CERTIFICATION
I hereby certify that a preliminary investigation was conducted in the above-entitled
case,and there is prima facie evidence that the crime of Homicide has been committed and
that the accused is probably guilty thereof.
ATTY. BEN TONG
Private Prosecutor

Bail Recommended: None

Complaint for Unlawful Detainer Sample


REPUBLIC OF THE PHILIPPINES
METROPOLITAN TRIAL COURT
City of Manila
Branch 1
KRUL ACOSTA,

Plaintiff,

-versusMEGAN VITUG,

Defendant.

CIVIL CASE No. 98765


FOR: Unlawful Detainer

x-----------------------------------x
COMPLAINT

1.
2.

3.
4.

5.
6.
7.
8.

COMES NOW, the plaintiff, through the undersigned counsel and unto this Honorable Court,
most respectfully avers:
That the plaintiff, KRUL ACOSTA, is of legal age, Filipino citizen, single, with residence and
postal address at 123 Benitez Street, Manila;
That the defendant, MEGAN VITUG, is of legal age, Filipino citizen, single, with residence
and postal address at 456 Modesto Street, Manila, where they may be served with summons and
other court processes;
The plaintiff is the owner of a land over which an apartment had been constructed located
654 San Pedro Street, Manila;
By virtue of a contract of lease, the plaintiff leased unto the defendant the aforesaid
apartment for a consideration of P5,000.00 a month as rental to be paid within the first ten (10) days
of each month starting November 3, 2011;
The defendant failed to pay the agreed rental for several months starting February 19, 2012
up to the present;
On May 3, 2012, the plaintiff sent a letter of demand to vacate the apartment which was
received by the defendant as shown in the registry return receipt hereto attached as Annex A;
Despite said letter of demand which was repeated by oral demands, the defendant failed and
still refused to pay the agreed amount of rentals and to vacated the apartment;
By reason of failure of the defendant to vacate the premises and to pay the unpaid rentals,
the plaintiff was compelled to file this complaint engaging the services of counsel in the amount of
P10,000.00.
WHEREFORE, premises considered, it is most respectfully prayed unto this Honorable Court
that,
after
hearing,
judgment
be
rendered
ordering
the
defendant:

1.
2.

To vacate the subject premises;


To pay the amount of P5,000.00 per month as compensation for the reasonable use of the
subject premises until they finally vacate the said premises;
3.
To pay the plaintiff the cost of the suit.
City of Manila, September 24, 2012.

REYES, TOLENTINO AND CRUZ LAW OFFICE


Counsel for the Plaintiff
Unit 123, Victoria Tower I
Taft Avenue, Manila
By:
Louise Reyes
Roll of Attorney No. 98765

IBP No. 12345/2-5-12/Manila


PTR No. 87654/12-22-11/Manila
VERIFICATION/CERTIFICATION OF FORUM SHOPPING
Republic of the Philippines )
City of Manila

1.
2.
3.
4.

5.

6.

) S.S.

I, KRUL ACOSTA, of legal age, Filipino citizen, single and resident of 123 Benitez Street,
Manila, after having been duly sworn to in accord Nance with law do hereby depose and say:
That I am the plaintiff in the above-entitled case;
That I have caused the preparation of the foregoing complaint and have read the allegations
contained therein;
The allegations in the said complaint are true and correct of my own knowledge and
authentic records;
I hereby certify that I have not commenced any other action or proceeding involving the same
issues in any court, tribunal or quasi-judicial agency and, to the best of my knowledge, no such other
action or claim is pending therein;
That if I should learn thereafter that a similar action or proceeding has been filed or is
pending, I hereby undertake to report that fact within five (5) days therefrom to the court or agency
where the original pleading and sworn certification contemplated herein have been filed;
I executed this verification/certification to attest to the truth of the foregoing facts and to
comply with the provisions of Adm. Circular No. 04-94 of the Honorable Supreme Court.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 24th of September 2012,
in the City of Manila.
KRUL ACOSTA
SUBSCRIBED AND SWORN to before me this _______ day of September, 2012, in the City of
Manila, affiant exhibiting to me his Drivers License No. 12345 issued by the Land Transportation
Office on April 8, 2012 at the City of Manila.

ATTY. NO CASE
Notary Public
My Commission Expires Dec. 31, 2012
Roll of Attorney No. 34567
IBP No. 12345/2-5-12/Manila
PTR No. 87654/12-22-11/Manila

Doc.No.________
PageNo._______

BookNo._______
Series of 2012.

Demand Letter to Vacate


Date __________

Name of respondent
Address
Dear Mr./Mrs/Ms _________
It has been 30 days since you received my letter dated ______ and still, you have failed to pay and still refuses
to pay your arrears which have now amounted to NINETY ONE THOUSAND PESOS (P 91, 000.00) .
Please be reminded that I have sent you several letters of demand for you to pay your back rentals and to
vacate the premises but the same letters have been left unanswered. Consider this then, as my last and final
demand for you to pay your account within five (5) days from receipt and to VACATE THE premises within ten
(10) days from receipt of this notice. Otherwise, I shall be constrained to commence suit to protect my interests.

Very truly yours,


_______________

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

WE, (Insert Name of Principal) single/married (insert name of spouse if married), of legal age, with
residence and postal address at (Address) do hereby APPOINT (Insert name of Agent /Attorney-InFact)) single/married (insert name of spouse if married), likewise of legal age, with postal address
at (Address) as our true and legal representative to act for and in our name and stead and to
perform the following acts:
To sell, off er for sale, and come to an agreement as to the purchase price and
thereafter to sign for us and in our name and receive payment from the sale of our
property more particularly described as follows: (Insert Description of Property)
HEREBY GRANTING unto our representative full power and authority to execute and
perform every act necessary to render effective the power to sell the foregoing properties, as
though we ourselves, have so performed it, and HEREBY APPROVING ALL that he may do by
virtue hereof with full right of substitution of his person and revocation of this instrument.

IN WITNESS WHEREOF , WE HAVE HEREUNTO SET OUR HANDS THIS ____ DAY OF
_______________ 20__, AT (Insert Place of execution of this Instrument).

_______________________________
(Name of Principal)

__________________________________
(Name of Agent /Attorney-In-Fact)

Signed in the presence of:


_____________________________

Republic of the Philippines )


_________________________) S.S

___________________________________

BEFORE ME, personally appeared:


Name
(Name of Principal)
(Name of Agent)

CTC Number
10000000
10000000

Date/Place Issued
Jan 09, 20__ / Angeles City
Jan 16, 20__ / City of Manila

Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same is their free and voluntary act and deed.
WITNESS MY HAND AND SEAL, on the date and place first above written.

Notary Public

Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.

LAST WILL AND TESTAMENT

KNOW ALL MEN BY THESE PRESENTS:

I, ____name of testator_____ , Filipino citizen, of legal age, single/married to ___insert name of


spouse if any___, born on the ____th of ______________, ____ , a resident of __insert address__ ,
being of sound and disposing mind and memory, and not acting under undue influence or
intimidation from anyone, do hereby declare and proclaim this instrument to be my Last Will
and Testament, in English, the language which I am well conversant. And I hereby declare that:

I. I desire that should I die, it is my wish to be buried according to the rites of the
Roman Catholic Church and interred at our family mausoleum in Manila;
II. To my beloved wife _____name of wife_____, I give and bequeath the following
property to wit:_________________________ ;
III. To my esteemed children, ________________________ and ______________________I
give and bequeath the following properties to wit:_______________________________ in
equal shares;

IV. To my dear brother, __________________________I give and bequeath the following


properties to wit:_______________________________.

V. To my loyal assistant, __________________________I give and bequeath the following


properties to wit:_______________________________.

VI. I hereby designate ____name of executor_____ the executor and administrator of


this Last Will and Testament, and in his incapacity, I name and designate
_____________________ as his substitute.

VII. I hereby direct that the executor and administrator of this Last Will and
Testament or his substitute need not present any bond;
VIII. I hereby revoke, set aside and annul any and all of my other will or testamentary
dispositions that I have made, executed, signed or published preceding this Last Will
and Testament.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ________ day of


_____________, 20__, in ________________, Philippines.

_______________________________________
(Signature of Testator over Printed Name)

ATTESTATION CLAUSE

We, the undersigned attesting witnesses, do hereby affirm that the forgoing is the last Will and
Testament of ___name of testator___ and we certify that the testator executed this document
while of sound mind and memory. That the testator signed this document in our presence, at
the bottom of the last page and on the left hand margin of each and every page, and we, in
turn, at the testator's behest have witnessed and signed the same in every page thereof, on the
left margin, in the presence of the testator and of the notary public, this _____ day of
__________, 20__ at____________.

______________________________
Signature of Witness

____________________________________________
Address

______________________________
Signature of Witness

____________________________________________
Address

______________________________
Signature of Witness

____________________________________________
Address

JOINT ACKNOWLEDGMENT

BEFORE ME, Notary Public for and in the city of ________________, personally appeared:

The testator ________________, with CTC No. __________ issued at ___________ on ____________;
Witness, ___________________, with CTC No. __________ issued at ___________ on ____________;
Witness, ___________________, with CTC No. __________ issued at ___________ on ____________;

Witness, ___________________, with CTC No. __________ issued at ___________ on ____________;

all known to me to be the same persons who executed the foregoing Will, the first as testator
and the last three as instrumental witnesses, and they respectively acknowledged to me that
the same as their own free act and deed.
This Last Will and Testament consists of __ page/s, including the page on which this
acknowledgment is written, and has been signed on the left margin of each and every page
thereof by the testator and his witnesses, and sealed with my notarial seal.
IN WITNESS WHEREOF, I have hereunto set my hand the day, year, and place above written.

Notary Public

Doc. No. _____;


Page No._____;
Book No._____;
Series of 20__.