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Republic of the Philippines

REGIONAL TRIAL COURT

FIRST JUDICIAL REGION

BRANCH 69

Lingayen, Pangasinan

TERESA A. OLEGARIO, CIVIL CASE No. 19695

Plaintiff,

- versus -

GLYDES L. MENDOZA, Spouses


PATRICIO and FE L. DE VALLE and
Spouses BONIFACIO and NANCY L.
PANINGBATAN,
Defendants.

JUDICIAL AFFIDAVIT

(Rule on Judicial Affidavit, A.M. No. 12-8-8-12, September 4, 2012)

I. PRELIMINARY INFORMATION:

A. NAME AND OTHER PERSONAL CIRCUMSTANCES OF THE


WITNESS.

1. Name: GLYDES L. MENDOZA;

2. Age: of legal age;

3. Address: Brgy. Zamora, Mangatarem, Pangasinan, Philippines;

4. Occupation: Vendor;

5. Language: Filipino.

B. LAWYER WHO CONDUCTED OR SUPERVISED THE EXAMINATION


OF THE WITNESS.

1. Name: Atty. Michael G. dela Vega;

2. Address: DELA VEGA LAW OFFICE, Unit 3, Floor 1, Twin


Haven’s Inn Bldg., Gomez Street, Brgy. Zamora, Poblacion,
Mangatarem, Philippines; and

3. Place of Examination: DELA VEGA LAW OFFICE, Unit 3, Floor 1,


Twin Haven’s Inn Bldg., Gomez Street, Brgy. Zamora, Poblacion,
Mangatarem, Philippines.
II. OFFER/PURPOSE OF TESTIMONY.

This Judicial Affidavit is executed to serve as, in lieu of, and to form part of, her
direct testimony in the instant case.

This Judicial Affidavit is offered is being offered:

1. To serve as her direct testimony in connection with the above-entitled


case;

2. To prove the material allegations in the Answer disputing the material


allegations in the Complaint;

3. To identify relevant documents in connection with her direct testimony;


and

4. To testify on other related matters.

III. JUDICIAL AFFIDAVIT PROPER.

I, GLYDES L. MENDOZA, Filipino citizen, of legal age, married and resident of


Brgy. Zamora, Mangatarem, Pangasinan, Philippines, after having duly sworn into in
accordance with law, hereby deposes and states:
I.

NUMBER QUESTION ANSWER


PLEASE STATE I am GLYDES L. MENDOZA, Filipino
1. YOUR NAME, citizen, of legal age, married and resident of
CITIZENSHIP, AGE, Brgy. Zamora, Mangatarem, Pangasinan,
RESIDENCE, AND Philippines.
OCCUPATION?

Why are you here To give a sworn statement by way of a


2. now? judicial affidavit, the same to constitute as
my direct testimony, in the above-captioned
case.

For the record, please He is Atty. Michael G. dela Vega.


3. state the name and
address of the lawyer He is a resident of DELA VEGA LAW
who is conducting or OFFICE, Unit 3, Floor 1, Twin Haven’s Inn
supervising your Bldg., Gomez Street, Brgy. Zamora,
examination? Poblacion, Mangatarem, Philippines.

For the record, please It is in his law office (DELA VEGA LAW
4. state the examination OFFICE) located at Unit 3, 1st Flr., Twin
where it is being held Haven’s Inn Bldg., Gomez Street, Brgy.
now? Zamora, Poblacion, Mangatarem,
Philippines.

In what language do In Filipino. With my permission, the


5. you want your contents of my judicial affidavit are
examination to be translated in English.
conducted?
II.
NO. QUESTION ANSWER
Will you answer the questions to be asked full Yes sir.
6. conscious that you do so under oath, and that you
may face criminal liability for false testimony or
perjury?

Yes sir.
7. Will you answer my questions based only on your
personal knowledge and authentic records or
documents?

8.
Are you the petitioner who filed who filed before Yes sir.
the Honorable Court, the subject petition?

III.

NO. QUESTION ANSWER


9.

WARRANTY

I warrant that the documentary evidence identified, marked and attached to this
judicial affidavit are faithful reproduction of the original.
REPUBLIC OF THE PHILIPPINES)
________________________ ) S.S.
PROVINCE OF PANGASINAN )

ATTESTATION

I, Atty. Michael Gotos dela Vega, of legal age, married, Filipino citizen,
and a resident of Carmeliteville Subdivision, Mangatarem, Pangasinan, after
having duly sworn to in accordance with law, hereby depose and state:

1. That I have fully recorded the questions I asked and the corresponding answers that
the witness gave; and
2. That neither I nor any person then present or assisting me coached the witness
regarding the latter’s answers.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________, in


________________________.

_________________________________

(Atty. Michael Gotos dela Vega)

(Affiant)

I.B.P. Card with Roll of Attorneys’ Number 54447


Date: 13 March 2019

TO: BRANCH CLERK OF COURT

RTC- BRANCH 69

Lingayen, Pangasinan

Greetings!

Kindly submit the foregoing JUDICIAL AFFIDAVIT for the consideration and
resolution of the Honorable Court sans hearing, immediately upon receipt hereof.

Thank you!

_____________________________

ATTY. MICHAEL GOTOS DELA VEGA

(Counsel for Defendants)

Copy furnished to: Proof of Service


ATTY. DOMINIQUE C. EVANGELISTA By : _____________

(Counsel for Plaintiff) This: _________________

At: 120 Avenida Rizal West, Lingayen, On: ______________

Pangasinan

EXPLANATION

Service and Filing were done by private mail courier due to lack of messengerial
personnel, distance and time constraints, such that the same cannot be personally made.

_____________________________
ATTY. MICHAEL GOTOS DELA VEGA

(Counsel for Defendants)