Judicial affidavit; expanded sample

format
REPUBLIC OF THE PHILIPPINES
xxx Judicial Region
REGIONAL TRIAL COURT
xxx, Rizal
Branch No. xx

HEIRS OF SPS. SERAFIN xxx

AND LUZ xxx, SPS.
LUZ xxx AND
SERAFIN xxx; and
Xxx RESORT,
INCORPORATED,                                                Civil Case No. xxx
                               Plaintiffs,

-          versus –                                                   For:   Annulment of Transfer

                                                                                          Certificate of Title No.
LEONORA xxx,                                          xxx; Etc.
Annulment of
And Those Acting Under                                
Her Authority; and the                                    
REGISTER OF DEEDS OF                              
RIZAL                                                                                  
                                      Defendants.                                   
x---------------------------------------------x                        

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.

Name             :           IRENE  xxx

Age                 :           xxx;
Address          :           xxx St., xxx, Rizal;
Occupation    :           Housewife;
Language       :           English and Tagalog.