VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

I, ________________, Filipino, of legal age, married and a resident of

_______________________ after having duly sworn to in accordance with law, do
hereby depose and state:
1. That I am the Petitioner in the above-entitled case;
2. That I have caused the preparation and filing of the foregoing Petition and
the allegations therein are true and correct, based on personal knowledge or
authentic documents.
3. The pleading is not filed to harass, cause unnecessary delay, or needlessly
increase the cost of litigation.
4. The factual allegations therein have evidentiary support or, if specifically, so
identified, will likewise have evidentiary support after a reasonable
opportunity for discovery.
5. That I further certify that there is no pending action or proceeding involving
the same issues in the Supreme Court, Court of Appeals, or any other
tribunal or agency. If I should thereafter learn that the same or similar action
is pending, I shall undertake to inform the Honorable Court of this fact
within five (5) days therefrom.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____

day of ___________ in __________________.
______________________________

Affiant

SUBSCRIBED AND SWORN TO before me this ___day of ________,

20___ in _________with Driver’s License No. _________, valid until __________
and I hereby certify that I personally examined the affiant herein and that I am
fully satisfied that she voluntarily executed the foregoing petition and she
understood all the allegations herein.
Doc No.____;
Page No. ___;
Book No.____;
Series of 2020;