Republic of the Philippines

National Capital Judicial Region

___________________________
______________________

_________________________
Plaintiff,

-versus- Civil Case No. _________

____________________________,
Defendant.
x------------------------------------------x

RESPONSE

_________________ (“Corporation”), state/s:

1. Defendant denies the statement of claim for any of the following reasons:
(Tinatanggihan ng Hinahabla and Habla ang Pagsingil sa alinmang
sumusunod na dahilan):

(a) Defendant does not owe plaintiff any money.

√ (Ang Hinahabla ay walang pagkakautang na salapi sa
Naghahabla)

Defendants owes plaintiff only a portion of the amount

claimed.
(Ang utang ng Hinahabla ay bahagi lamang ng halagang
sinisingil ng Naghahabla)

It is the plaintiff who owes defendant money

(Ang naghahabla ang siyang may utang na salapi sa
Hinahabla)

(b) If defendant owes plaintiff only a portion of the amount claimed,

how much is this? _____________n/a____________________.
(Kung ang utang ng Hinahabla ay bahagi lamang ng halagang
sinisingil ng Naghahabla, magkano ito?)

(c) If it is the plaintiff who owes defendant money, how much and
 when did this happen? ______________n/a_________________
(Kung ang Naghahabla ang siyang may utang ng salapi sa
Hinahabla, magkano at kalian ito nangyari?)

If no specific date, estimate the time period:

(Kung walang tiyak na Petsa, ibigay ang tantiyang panahon)

Date started ____n/a________

(Petsa nagsimula)

Through ________n/a________
(Hanggang)

(d) How did you compute the money owed you? (Do not include court
costs or fees for service.)
(Paano mo kinukwenta ang salaping pagkakautang sa iyo? [Huwag
isama ang filing fees at bayad sa serbisyo.])
_________________________n/a_________________________

2. If plaintiff owes you money, did you ask plaintiff to pay you? ___n/a__
(Kung ang Naghahabla ay siyang may pagkukulang sa iyo, siningil mo
ba siya?)

Yes No
(Oo) (Hindi)

If yes, how?
(Kung oo, paano?)

In person Others (specify)

(Sa kanya mismo) (Iba pa [ano ito?])

In writing
(Sa sulat)

By phone
(Sa telepono)

3. Do you have any proof? __√__ Yes _____ No

(Meron ka bang anumang katibayan?) (Oo) (Hindi)
What is this proof? ______ Receipt
(Anong katibayan ito?) (Resibo)

__√_ Other Document

 (Iba pang dokumento)

__√__ Witness
(saksi/testigo)

The proof consists the following:

Exhibit Document Purpose

1

4. As the statement of Claim is baseless, defendant is entitled to the

following counterclaim:
(Sa dahilang walang basehan ang Habla ng Pagsingil, ang Hinahabla ay
may karapatan sa mga ganting-habol na sumusunod)

Actual Damages for the value of the suffered by the filing of the
√ case _____________________________________________.

(Bayad para sa aktwal na pinsalang idinulot ng pagsampa sa

kaso)

Moral Damages for wounded feelings, mental anguish, serious

anxiety, besmirched reputation and other inconveniences the
plaintiff caused you by the filing of this case Php____________.

(Bayad Pinsalang Moral para sa nasaktang damdamin/sama ng

loob, lubhang pag-iisip, nabahirang reputasyon at iba pang
pinsala na idinulot ng pagsampa ng kaso)

Exemplary Damages to teach plaintiff a lesson Php_________.

(Bayad Pinsalang Panghalimbawa para maturuan ng aral ang

Naghahabla)

Costs of suit for the money defendant spent in filing a

countercharge against plaintiff Php______________________.

(Kabayaran/Gastos sa kasong isinampa)

_______________________
 By:

______________________________

Copy furnished:

EXPLANATION

Filing and Service of the Response to the Honorable Court and Plaintiff
is by registered mail, personal service not being practicable due to
distance and time constraints.

____________________________