Republic of the Philippines

Department of Justice
Municipal Trial Court
Iba, Zambales

Pepe Smith
Complainant,

-versus- Case No. _____

For: Parricide

Derek Ramos
Respondent.
x-------------------------------------x

COMPLAINT - AFFIDAVIT

The UNDERSIGNED, Pepe Smith, accuses Derek Ramos, of

Unlawful Detainer, committed as follows, to wit:

That starting June 11, 2018, in the residence for lease at No. 2
Bagumbayan, Iba Zambales, Philippines, the respondent Derek Ra
mos failed to pay the monthly rental amounting to P5,000/Month t
hat was agreed verbally. The facts of the incident are narrated as fo
llows:

1. That I, PEPE SMITH, the undersigned complainant, Filipi

no and of legal age, residing at No. 1 Bagumbayan, Iba, Za
mbales, Philippines.;
 2. That the respondent, Filipino and of legal age, Brother in L
aw of the Complainant, residing at No. 2 Bagumbayan, Ib
a, Zambales, Philippines;

3. That Derek Ramos agreed to lease the house of Mr. Pepe S

Mith for residential purposes for Php5,000.00/Mo without
any written agreement;

4. That the respondent failed to pay the rent starting June 11,
2018 also remodeled and converted the house into a bar;

5. That the complainant suffered psychologically, social dam

ages and suffered heart attack upon knowing that his hous
e was converted into a bar;

6. That the amount required for the restoration of the house t

o its former condition is P500,000,The amount of the comp
lainants hospital bill totaled to P500,000, Moral damages a
nd Attorneys fee shall be paid also by the respondent;

7. That due my Health condition (complainant), I am appoin

ting Ms. Myra E as my representative.;

8. In view of the foregoing, I am executing this affidavit to su

pport my Legal claim for Moral and Actual damages also t
he eviction of the respondent DEREK RAMOS as soon as
possible.

IN WITNESS WHEREOF, I have hereunto set my hand this S

eptember 16, 2019 at Iba, Zambales, Philippines.

PEPE SMITH
Complainant
SUBSCRIBED AND SWORN to before me this September 16, 2019
at Iba, Zambales. I hereby certify that I have examined the Affiant
and that I am fully satisfied that she has voluntarily executed and
understood the contents of her Complaint-Affidavit.

Manuel M Mismanos Jr.

Assistant City Prosecutor
MCLE Compliance No. VI-0001807
March 27, 2017