REPUBLIC OF THE PHILIPPINES

National Capital Judicial Region

REGIONAL TRIAL COURT
Manila, Branch ___

JUAN DELA CRUZ,

Plaintiff,

Civil Case No. ______________

-versus- FOR: Damages based on
Quasi-Delict

VICTORIO PABLO,
Defendant.
x---------------------------------------------x

EX-PARTE MOTION TO LITIGATE AS INDIGENT LITIGANT

Plaintiff Juan Dela Cruz, through counsel and unto this

Honorable Court, most respectfully states that:

1. The plaintiff is currently jobless, has no means of livelihood

and cannot afford to pay the required docket fee. A copy of Juan Dela
Cruz’ Certificate of Indigency is hereto attached as Annex “A”.
Additionally, her sworn statement attesting to the truthfulness of her
indigency is hereto attached as Annex “B”.

2. Also, attached with this Motion is the Certificate of No

Property Holdings1, issued by the City Assessor of Manila, and an
affidavit2 of two disinterested persons attesting to the truthfulness of
Juan Dela Cruz’ affidavit.

3. Plaintiffs now comes to this Honorable Court and

respectfully move that she be allowed to litigate as indigent litigant, and
be exempted from the payment of the required docket fees and other
lawful fees.

1 Annex “C”

2 Annex “D”
 PRAYER

WHEREFORE, premises considered, it is respectfully prayed of

this Honorable Court that the plaintiffs be allowed to litigate as indigent
litigants.

Other reliefs just and equitable under the premises are likewise
prayed for.

Makati City for Manila, January 14, 2016.

By:

ATTY
For the Plaintiff

NOTIFICATION

OFFICE OF THE CLERK OF COURT

Regional Trial Court, Manila
4th Floor, Manila City Hall, Manila

Greetings:

Please submit the foregoing Ex-Parte Motion to Litigate as

Indigent Litigant and approval of the Honorable Executive Judge
immediately upon receipt hereof.