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Small Claims Forms

Small Claims Forms

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Published by Oscar Corpuz Jr.
Legal Forms - Small Claims Forms
Legal Forms - Small Claims Forms

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Categories:Types, Business/Law
Published by: Oscar Corpuz Jr. on Sep 16, 2013
Copyright:Attribution Non-commercial

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07/13/2015

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REPUBLIC OF THE PHILIPPINES ______________________________ ______________________________ __________________, 
Plaintiff,
Vs.
Civil Case No. _________________  __________________,For: __________________________ Defendant,
THIS FORM IS NOT FOR SALEAND MAY BE PRODUCED(Ang FORM na ito ay LIBRE at maaaring kopyahin)STATEMENT OF CLAIM(
 HABLA NG PAGSINGIL
)
1.
 
The personal circumstances of the parties are as follows:(Ang bawat panig ay ang mga sumusunod)
 _______________________________________________ 
 NAME OF PLAINTIFF/S SEX AGE CIVIL STATUS
(Pangalan ng Naghahabla) (Kasarian) (Edad) (Katayuang sibil)
(Put a check on any of the following)
(Pumili sa mga sumusunod at lagyan ng Tsek)
INDIVIDUAL
CORPORATION
PARTNERSHIP
(Tao / Indibidwal) (Korporasyon) (Bakasan)
 
COOPERATIVE
SOLE PROPRIETORSHIP
(Kooperatiba)(Solong Pagmamay-ari)
HOME ADDRESS: (City) __________________________________ _______
(Pahatirang Sulat sa Bahay) [Lungsod]
ZIP code(Province, if applicable) ______________________________ _______
(Lalawigan, kung meron)
ZIP codeTelephone No. ___________________ Cellphone No. ________________ 
(Telepono Blg.) (Selpon Blg.)
PLACE OF WORK ______________________________________________________ 
(Lugar ng Pinagtatrabahuhan)
 FORM 1-SCC 
Page (pahina) 1
 
 NAME OF REPRESENTATIVE, if applicable ______________________________________________ 
(Pangalan ng Kinatawan, kung meron)
HOME ADDRESS: (City) ____________________________________ _______
(Pahatirang Sulat sa Bahay) [Lungsod]
ZIP code(Province, if applicable) ________________________________ _______
(Lalawigan, kung meron)
ZIP codeTelephone No. ___________________ Cellphone No. _______________
(Telepono Blg.) (Selpon Blg.)
 ____________________ ________ ________________________  NAME OF PLAINTIFF/S SEX AGE CIVIL STATUS
(Pangalan ng Naghahabla) (Kasarian) (Edad) (Katayuang sibil)
INDIVIDUAL
CORPORATION
PARTNERSHIP
(Tao / Indibidwal) (Korporasyon) (Bakasan)
 
COOPERATIVE
SOLE PROPRIETORSHIP
(Kooperatiba)(Solong Pagmamay-ari)
HOME ADDRESS: (City) _____________________________________ ________ 
(Pahatirang Sulat sa Bahay) [Lungsod]
ZIP code(Province, if applicable) ________________________________ ________ 
(Lalawigan, kung meron)
ZIP codeTelephone No. ___________________ Cellphone No. ________________ 
(Telepono Blg.) (Selpon Blg.)
PLACE OF WORK ____________________________________________________________________ 
(Lugar ng Pinagtatrabahuhan)
 NAME OF REPRESENTATIVE, if applicable _______________________________________________ 
(Pangalan ng Kinatawan, kung meron)
HOME ADDRESS: (City) _____________________________________ _______
(Pahatirang Sulat sa Bahay) [Lungsod]
ZIP code(Province, if applicable) ________________________________ _______
(Lalawigan, kung meron)
ZIP codeTelephone No. ___________________ Cellphone No. ________________ 
(Telepono Blg.) (Selpon Blg.)
PLACE OF WORK ____________________________________________________________________ 
(Lugar ng Pinagtatrabahuhan)
Telephone No. ___________________ Cellphone No. ________________ 
(Telepono Blg.) (Selpon Blg.)
 If more than one (1) defendant , list next defendant here:(Kung higit sa isa (1) ang hinahabla, ilagay ang susunod na hinahabla rito:)
 FORM 1-SCC 
Page (pahina) 2
 
 _______________________ ________ ________________________  NAME OF DEFENDANT/S SEX AGE CIVIL STATUS
(Pangalan ng Hinahabla) (Kasarian) (Edad) (Katayuang sibil)
INDIVIDUAL
CORPORATION
PARTNERSHIP
(Tao / Indibidwal) (Korporasyon) (Bakasan)
 
COOPERATIVE
SOLE PROPRIETORSHIP
(Kooperatiba)(Solong Pagmamay-ari)
HOME ADDRESS: (City) _____________________________________ ________ 
(Pahatirang Sulat sa Bahay) [Lungsod]
ZIP code(Province, if applicable) ________________________________ ________ 
(Lalawigan, kung meron)
ZIP codeTelephone No. ___________________ Cellphone No. ________________ 
(Telepono Blg.) (Selpon Blg.)
PLACE OF WORK ____________________________________________________________________ 
(Lugar ng Pinagtatrabahuhan)
 NAME OF REPRESENTATIVE, if applicable _______________________________________________ 
(Pangalan ng Kinatawan, kung meron)
HOME ADDRESS: (City) _____________________________________ _______
(Pahatirang Sulat sa Bahay) [Lungsod]
ZIP code(Province, if applicable) ________________________________ _______
(Lalawigan, kung meron)
ZIP codeTelephone No. ___________________ Cellphone No. ________________ 
(Telepono Blg.) (Selpon Blg.)
PLACE OF WORK ____________________________________________________________________ 
(Lugar ng Pinagtatrabahuhan)
Telephone No. ___________________ Cellphone No. ________________ 
(Telepono Blg.) (Selpon Blg.)
*
 Note:
 If you need more space, you can write at the back of this form.
*Tala:
 Kung kailangan mo ng karagdagang patlang, maaari mong isulat sa likod ng  Form na ito.)
 FORM 1-SCC 
Page (pahina) 3

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