FORM 3-SCC

REPUBLIC OF THE PHILIPPINES

MUNICIPAL TRIAL COURT IN CITIES
Eleventh Judicial Region
Branch 3, Davao City

CANTILAN BANK INC,

Rep. by Clarissa C. Geli,
Plaintiff,
vs. M-DVO-19-00732-SMC
FOR: COLLECTION OF SUM OF
MONEY AND DAMAGES

ANA LIZA BOSTON ONG

MARIA DIVINA GRACIA ROBLE DARGANTES
MA. THERESA YU PALATULAN
JENNIFER OCLARRIT GUMANIT
JOCELYN ADOORNA BENITUASAN,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x

RESPONSE
(SAGOT)

Defendant/s state/s:
(Ang Hinahabla ay nagsasaad:)

1. Defendant denies the Statement of Claim for any of the following reasons:
(Put a check in any of the following)
(Tinatanggihan ng Hinahabla ang Habla ng Pagsingil sa alinmang
sumusunod na dahilan): [Pumili sa mga sumusunod at lagyan ng tsek]

(a) _______
Defendant does not owe plaintiff any money.
(Ang Hinahabla ay walang pagkakautang na salapi sa
Naghahabla.)
________
Defendant 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?
(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?
(Kung ang Naghahabla ang siyang may utang na salapi sa Hinahabla,
magkano at kailan ito nangyari?)
_________________________________________________.
_________________________________________________. If no
specific date, estimate the time period:
(Kung walang tiyak na petsa, ibigay ang tantiyang panahon)
Date started _______________
(Petsa nagsimula)
Through__________________
(Hanggang)

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

2. If plaintiff owes you money, did you ask plaintiff to pay you?
(Kung ang Naghahabla ay siyang may pagkakautang 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)

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

counterclaims:
(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 loss suffered by the filing of
the case P _______________.
(Bayad para sa aktwal na pinsalang idinulot ng pagsampa ng
kaso)

____ Costs of suit for the money defendant spent in filing a

countercharge against plaintiff P ________________.
(Kabayaran/Gastos sa kasong isinampa)

MARIA DIVINA GRACIA R. DARGANTES

DEFENDANT
(Hinahabla)

MA. THERESA Y PALATULAN

DEFENDANT
(Hinahabla)

JENNIFER O GUMANIT
DEFENDANT
(Hinahabla)

JOCELYN A BENITUASAN
DEFENDANT
(Hinahabla)
Republic of the Philippines)
Davao City )S.S.
x-----------------------------------x

VERIFICATION AND CERTIFICATION OF NON-FORUM

SHOPPING

We, MARIA DIVINA GRACIA R. DARGANTES, MA.

THERESA Y PALATULAN, JENNIFER O GUMANIT and JOCELYN
A BENITUASAN, all of legal age, and with office address at San Juan Elementary
School, Brgy. Centro Agdao, Davao City, Philippines, after having been duly sworn to in
accordance with law, depose and state:

1) We are the Defendants in the above-entitled case;

2) We caused the preparation, read and signed the instant Response, and all
the contents/allegations thereof are true and correct of our own personal
knowledge or based on authentic records; and

3) We hereby CERTIFY that we have not commenced any other action or

proceeding involving the same issues on any other tribunal or agency, that
to the best of our knowledge, no such action or proceeding is pending on
any other tribunal or agency, and that if we should thereafter learn that a
similar action has been filed or pending before any tribunal or agency we
undertake to report that fact within five (5) days therefrom to the Court or
agency wherein the original pleading and sworn certification
contemplated herein have been filed.

IN WITNESS WHEREOF, We hereunto set our hands this

_________________________ at Davao City, Philippines.

MARIA DIVINA GRACIA R. DARGANTES JENNIFER O GUMANIT

DEFENDANT DEFENDANT

MA. THERESA Y PALATULAN JOCELYN A BENITUASAN

DEFENDANT DEFENDANT

SUBSCRIBED AND SWORN to before me this

______________________ at Davao City, Philippines.