SAMPLE DRAFT

Republic of the Philippines )

City of Makati ) S.S.

AFFIDAVIT OF SERVICE

I, ________________, of legal age, married, and with office

address at ___________________, Makati City, subscribing under
oath, hereby depose and state:

1. I am a Liason Officer of LAW OFFICES.

2. On October 11, 2019, I served copies of the COMPLIANCE

dated October 10, 2019 for the case entitled SPS. JOSE P.
DELA CRUZ versus HEIRS OF FRANCISCO RIZAL docketed
as CA-G.R. SP No. 11111.

3. A copy of the aforementioned document was served by

personal service to:

a. COURT OF APPEALS.
b. HON. PRESIDING JUDGE RTC-BRANCH 134 MAKATI
CITY
c. ATTY. ROXAS A. OSMENA, JR.

4. A copy of the aforementioned document was served by

registered mail by depositing copies in the post office in a
sealed envelope, all served copies having its own registry
receipts, plainly addressed to the parties involved in the case
with instruction to the postmaster to return the mail to the
sender if undelivered. The following parties shall receive the
aforementioned document:

a. ATTY. JEREMY O. BIRTHDAY

1
 SAMPLE DRAFT

WITNESS MY HAND AND SEAL this __________ day of

_________ in the City of Makati.

__________________
NAME
AFFIANT

SUBSCRIBED AND SWORN to before me, this ________ day of

__________ his PhilHealth I.D. No. 01-534543534534-5 at Makati
City, Philippines.

__________________________
NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2019.