1 2016 Small Claims Court Forms-Merged

2016 REVISED RULES OF PROCEDURE ON SMALL CLAIMS CASES
SAMPLE FORMS
FORM 1-SCC
REPUBLIC OF THE PHILIPPINES

_______________________________
_______________________________
__________________________,
Plaintiff, vs. Civil Case No. ______ ______ ____
For: _______________________
__________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
STATEMENT OF CLAIM
(HABLA NG PAGSINGIL)
1. The personal circumstances of the parties are as follows:

(Ang bawat panig ay ang mga sumusunod)
_______________________ ______ ______ ____________

NAME OF PLAINTIFF/S SEX AGE CIVIL STATUS
(Pangalan ng Naghahabla) (Kasarian) (Edad) (Katayuang Sibil)
(Put a check on any of the following)
(Pumili sa mga sumusunod at lagyan ng tsek)
INDIVIDUAL CORPORATION PARTNERSHIP

(Tao/Indibidwal) (Korporasyon) (Bakasan)
COOPERATIVE SOLE PROPRIETORSHIP
(Kooperatiba) (Solong Pagmamay-ari)
SAMPLE FORMS
NATURE OF BUSINESS:
(Uri ng Negosyo)
BANKING LENDING
(Bangko) (Pagpapautang)
OTHERS/PLEASE INDICATE________________________
(Iba pang uri ng negosyo)
PLAINTIFF’S HOME ADDRESS:

(Pahatirang Sulat sa Bahay ng Naghahabla)
(City) ___________________________________ ________
(Lungsod) Zip Code
(Province, if applicable)_______________________ ________
(Lalawigan, kung meron) Zip Code
Telephone No. ______________ Cellphone No._____________
(Telepono Blg.) (Selpon Blg.)
PLACE OF WORK: ___________________________________________

(Lugar ng Pinagtatrabahuan)
NAME OF PLAINTIFF’S REPRESENTATIVE:

____________________________
if applicable (must be a non-lawyer)
(Pangalan ng Kinatawan:)
(kung meron) [dapat hindi abogado]
HOME ADDRESS: (City) ________________________ ________

(Pahatirang Sulat sa Bahay) (Lungsod) Zip Code
(Province, if applicable)_________________________ ________

SAMPLE FORMS

(Telepono Blg.) (Selpon Blg.) (Selpon Blg.)
PLACE OF WORK: ___________________________________________


_______________________ ______ ______ _____________

NAME OF DEFENDANT/S SEX AGE CIVIL STATUS
(Pangalan ng Hinahabla) (Kasarian) (Edad) (Katayuang Sibil)

DEFENDANT’S HOME ADDRESS:

(Pahatirang Sulat sa Bahay ng Hinahabla)
(City) ___________________________________ ________

(Lungsod) Zip Code


PLACE OF WORK: ___________________________________________


SAMPLE FORMS
NAME OF DEFENDANT’S REPRESENTATIVE:

________________________________



PLACE OF WORK: ___________________________________________


If more than one (1) defendant, list next defendant here:

(Kung higit sa isa (1) ang Hinahabla, ilagay ang susunod na hinahabla
rito:)
_______________________ ______ ______ _____________
NAME OF DEFENDANT/S SEX AGE CIVIL STATUS
(Pangalan ng Hinahabla) (Kasarian) (Edad) (Katayuang Sibil)

DEFENDANT’S HOME ADDRESS:

(Pahatirang Sulat sa Bahay ng Hinahabla)
(City) ___________________________________ ________

(Lungsod) Zip Code
SAMPLE FORMS


PLACE OF WORK: ___________________________________________


NAME OF DEFENDANT’S REPRESENTATIVE:

__________________________________



PLACE OF WORK: ___________________________________________


*Note: If you need more space, you can write at the back of this Form.
(*Tala: Kung kailangan mo ng karagdagang patlang, maaari mong isulat sa
likod ng Form na ito.)
SAMPLE FORMS
2. Plaintiff claims the defendant owes him/her/it

P________________________.
(Ang Hinahabla ay umutang sa Naghahabla ng halagang)
(a) Why does the defendant owe plaintiff money?

(Bakit ang Hinahabla ay nagkautang ng salapi sa Naghahabla?)
____________________________________________________
___________________________________________________. (If
you need more space, please use the back page). (Kung kailangan
mo ng karagdagang patlang, maaaring gamitin ang likod ng
pahinang ito.)
(b) When did this happen?

(Kailan ito nangyari?)
Date: _______________________
(Petsa)
If no specific date, give the time period:

(Kung walang tiyak na petsa, ibigay ang tantiyang panahon)
Date started: _______________________
(Petsa nagsimula)
Through: _______________________
(Hanggang)
(c) How did you compute the money owed to you? (Do not include
court costs or fees)
___________________________________________________.
(Paano mo kinuwenta ang salaping inutang sa iyo?) [Hindi kasama
ang bayad sa pagpapatala sa hukuman.]
3. (a) Did you ask the defendant to pay you before you filed this case?
(Siningil mo ba ang Hinahabla bago ka nagsampa ng kasong ito?)
Yes No
(Oo) (Hindi)
If no, explain:
________________________________________________
(Kung hindi, ipaliwanag)
SAMPLE FORMS
(b) How did you ask the defendant?
Paano mo siningil ang Hinahabla?)
In person By phone
(Sa kanya mismo) (Sa telepono)
In writing Others (please specify) ______
(Sa sulat) (Iba pa) [pakisulat kung paano]
(c) When did you do this?

_________________________________________
(Kailan mo ginawa ito?)
4. What is your proof that defendant owes you money?

________________________
(Ano ang iyong katibayan o pruweba na ang Hinahabla ay may utang na
salapi sa iyo?)
5. Did you attach your proof to this form?

(Iyo bang inilakip ang katibayan o pruweba sa Form na ito?)
Yes No
(Oo (Hindi)
6. Was this claim referred to the barangay?
(Dumaan ba sa barangay ang paniningil na ito?)
Yes No Not Covered
(Oo) (Hindi) (Hindi sakop)
State reason:
_________________________________________________
(Isulat ang dahilan)
If yes, do you have a Certificate to File Action or a Compromise
Agreement executed before the barangay? __________
(Kung oo, meron ka bang Patunay sa Pagsampa ng Kaso o Kasunduan
na isinagawa sa barangay?)
6-A. How many small claims cases have you filed within this
calendar year prior to this present case, in this court station and
in the entire country: _____
(Pang ilang kaso na itong isinampa mo sa loob ng kasalakuyang
taon sa korte na ito at sa buong bansa?)
SAMPLE FORMS
7. By the filing of this action, plaintiff hereby waives any amount in excess
of P200,000.00, excluding interest and costs.
(Sa pagsampa ng kasong ito, ang Naghahabla ay isinusuko ang
anumang halaga na higit sa P200,000.00, hindi kasama ang tubo at
gastos sa pagsampa ng kasong ito.)
PRAYER
(PAGSAMO)
WHEREFORE, plaintiff respectfully prays for judgment ordering

defen-dant to pay the amount of P ____________, with interest at the rate of
_____% per annum/per month from ___________________ until fully paid.
(DAHIL DITO, ang Naghahabla ay magalang na sumasamo na igawad

ang kapasiyahang utusan ang Hinahabla na magbayad sa Naghahabla ng
halagang P_____________, pati ang tubo na ______% bawat taon/ buwan
simula _______________ hanggang ganap o lubos na mabayaran ito.)
__________________________________, ____________, 20___.
______________________
FOR OFFICIAL USE ONLY (Para PLAINTIFF
sa Opisyal na gamit lamang)
- To be accomplished by the Branch Clerk of Court-
(Naghahabla)
(Sasagutan ng Kawani ng Hukuman)
1. Cause of action
Check
Promissory Note
Contract
Oral Written
Barangay Agreement
Others (Please specify):
_________________________________.
2. _____ Barangay conciliation required. If yes,

_____ Certificate to File Action
_____ Compromise Agreement
attached.
_____ Barangay conciliation not required.
Please state the reason):
________________________________________.
SAMPLE FORMS
FORM 1-A-SCC
VERIFICATIONAND CERTIFICATIONAGAINST
NON-FORUM SHOPPING, SPLITTING A SINGLE
CAUSE OF ACTION AND MULTIPLICITY OF SUITS
I,_________________________ of legal age, _________________,

(name) (citizenship)
__________________, and a resident of _________________________,
(civil status) (residence)
on oath, state:
1. That I am the _____________________ in the above-entitled case have

caused this _______________________________ to be prepared; that I
read and understood its contents which are true and correct of my own
personal knowledge and/or based on true records;
2. That I have not commenced any action or proceeding involving the same
issue or subject matter, and specifically the same check/s in the Supreme
Court, the Court of Appeals or any other tribunal or agency, particularly
before the Office of the City Prosecutor of _______________________
; that to the best of my knowledge, no such action or proceeding is
pending in the Supreme Court, the Court of Appeals or any other tribunal
or agency, and that, if I should learn thereafter that a similar action or
proceeding has been filed or is pending before these courts or tribunal or
agency, I undertake to report that fact to the Court within five (5) days
therefrom.
3. That the filing of this case is not in violation of the rule against splitting
a single cause of action or multiplicity of suits.
4. That I knowingly and voluntarily waive and forego the institution of any
criminal complaint for Violation of Batas Pambansa Blg. 22 against the
defendant herein based on the same check/s subject matter of this Small
Claims Complaint.
SAMPLE FORMS
IN WITNESS WHEREOF, I have hereunto set my hand this day of

______________, 20_____.
______________________
Affiant
SUBSCRIBED AND SWORN to before me this ____________ day of

______________, 20_____.
______________________
NOTARY PUBLIC
SAMPLE FORMS
FORM 2-SCC

_______________________________
_______________________________
_______________________________
_____________________________,
Plaintiff,
vs. Civil Case No. ________________
For: _______________________
_____________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
SUMMONS
TO: _________________________
_____________________________
_____________________________
GREETINGS:
You are hereby required, within ten (10) days from receipt of this Sum-
mons, to file with this Court and serve on plaintiff, your verified Response to
the attached Statement of Claim. The form of the required Response is
attached hereto.
You are required to submit with your Response certified copies of
docu-ments as well as affidavits of any witness to stand as your evidence in
this case. You must present the original document/s on the day of hearing.
A motion to dismiss is prohibited and shall not be entertained. Any
ground for dismissal should be included in your Response. Likewise, motions
for bill of particulars and for extension to file pleadings, affidavits or any
other paper are prohibited.
Your failure to respond within the 10-day period AND TO APPEAR AT
THE HEARING OF THIS CASE will authorize the Court to render judgment.
SAMPLE FORMS
Witness my hand under the seal of this Court, this _______day of

____________, 20_____, at ____________________________, Philippines.
_________________________
BRANCH CLERK OF COURT
NOTE: FOR INQUIRIES, CALL TEL. #_________________

SAMPLE FORMS
FORM 3-SCC

_______________________________
_______________________________
_______________________________
_____________________________,
Plaintiff,
vs. Civil Case No. ________________
For: _______________________
_____________________________,
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.)
SAMPLE FORMS
____ 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?)
SAMPLE FORMS
____ 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)
________________________
DEFENDANT
(Hinahabla)
SAMPLE FORMS
VERIFICATION AND CERTIFICATION AGAINST NON-

FORUM SHOPPING, SPLITTING A SINGLE CAUSE OF
ACTION AND MULTIPLICITY OF SUITS
(if with permissive counterclaim)
(PAGPAPATOTOO O PAGPAPATUNAY NA WALANG IBANG

KASONG NAKASAMPA/NAKABINBIN SA IBANG
HUKUMAN) (kapag may ganting habol na pinahihintulutan)
SAMPLE FORMS
FORM 4-SCC

_______________________________
_______________________________
_______________________________
__________________________________,
Plaintiff,
vs. Civil Case No. ________
For: _________________
__________________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
NOTICE OF HEARING
(ABISO NG PAGDINIG)
YOUR CASE IS SET for hearing before the Presiding Judge of this
Court on _______________________ at _______________.
(Ang inyong kaso ay diringgin ng Pinunong Hukom ng Hukumang ito

sa _______________________________, sa ganap na _________.)
YOU MUST ATTEND THE HEARING. IF YOU CANNOT

ATTEND BECAUSE IT IS PHYSICALLY IMPOSSIBLE FOR YOU TO
DO SO, YOU MAY AUTHORIZE A REPRESENTATIVE WHO IS NOT A
LAWYER TO APPEAR FOR YOU. FOR THIS PURPOSE YOU SHOULD
FILL UP FORM 5-SCC (SPECIAL POWER OF ATTORNEY).
(KINAKAILANGAN NINYONG DUMALO SA PAGDINIG. KUNG HINDI

KAYA NG KATAWAN NINYO ANG PAGDALO NANG PERSONAL SA
PAGDINIG NG IYONG KASO, MAAARI KANG MAGPADALA NG IYONG
KINATAWAN NA HINDI ABOGADO SA PAGDINIG. SA GANITONG
LAYUNIN, PUNUAN NINYO ANG FORM 5-SCC [NATATANGING GAWAD-
KAPANGYARIHAN - SPECIAL POWER OF ATTORNEY.])
SAMPLE FORMS
WITNESS the HON.______________________________________,

Presiding Judge of this Court, this ____ day of ________________, 20___, at
__________________________, Philippines.
(Saksi si Kgg. __________________________________________,

Pinunong Hukom ng Hukumang ito, ngayong ____________________,
20___ dito sa ______________, Pilipinas.)
_______________________________
Branch Clerk of Court
(Sangay na Kawani ng Hukuman)
NOTE: FOR INQUIRIES, CALL TEL. #____________

(Tala: Para sa katanungan, tumawag sa Korte sa Tel. Blg. _________)
SAMPLE FORMS
FORM 5-SCC

_______________________________
_______________________________
_______________________________
__________________________________,
Plaintiff,
vs. Civil Case No. ________

For: _________________
__________________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
PLAINTIFF’S RETURN/MANIFESTATION
This is to certify that on (date) and (date) , the

undersigned tried to serve the Summons, Statement of Claim, together with
the Annexes and Notice of Hearing upon the defendant/s
name/s of defendant/s , but failed and unavailing on the ground that the
said defendant/s was/were not around during the time of service.
However, on (date) , the Summons, Statement of Claims,
Annexes thereto and Notice of Hearing were served personally to (name of
defendant who received) , as shown by her/his signature
appearing at the lower portion of the summons.
WHEREFORE, the original copy of the Summons is respectfully
returned to the Honorable Court, DULY SERVED PERSONALLY.
__________________, Philippines, (date).
_____________________
PLAINTIFF
SAMPLE FORMS
FORM 5-A-SCC

_______________________________
_______________________________
_______________________________
__________________________________,
Plaintiff,
vs. Civil Case No. ______

For: _______________
__________________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
PLAINTIFF’S RETURN/MANIFESTATION
This is to certify that on (date) and (date) , the undersigned

tried to serve the Summons, Statement of Claim, together with the Annexes
and Notice of Hearing upon the defendant/s name/s of defendant/s , but
failed and unavailing on the ground that the said defendant/s was/were not
around during the time of service.
However, on (date) , the Summons, Statement of Claims, Annexes
thereto and Notice of Hearing were served through (name of person who
received) , who introduced himself/herself as a (relationship of the person to
the defendant/s), a person of suitable age and discretion, residing therein,
who signed at the lower portion of the summons.
Substituted service was made after the undersigned exerted earnest
efforts to serve the Summons, together with the Statement of Claim, Annexes
thereto and the Notice of Hearing personally upon the defendant, which
proved futile.
WHEREFORE, the original copy of the Summons is respectfully
returned to the Honorable Court, DULY SERVED.
_________________, Philippines, (date).
_____________________
PLAINTIFF
SAMPLE FORMS
FORM 6-SCC

_______________________________
_______________________________
_______________________________
__________________________________,
Plaintiff,

For: _______________
__________________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
MOTION TO PLEAD AS INDIGENT
_____________________, unto this Honorable Court, respectfully

alleges that:
1. I am a resident of ___________________;
2. My gross income and that of my immediate family does not exceed

__________________;
3. I do not own real property with an assessed value of more than

(amount as provided in the Revised Rules of Court, as amended) as shown by
the attached Certification issued by the Office of the City/Municipal Assessor
and the City/Municipal Treasurer’s Office;
4. Due to financial constraint, I cannot afford to pay for the expenses

of a court litigation as I do not have enough funds for food, shelter and other
basic necessities;
5. Should the court render judgment in my favor, the amount of the

docket and other legal fees which I was exempted from paying shall be a lien
on the judgment, unless the court orders otherwise.
SAMPLE FORMS
WHEREFORE, premises considered, it is respectfully prayed that I be

exempted from the payment of docket and other legal fees as indigent
pursuant to Section 21, Rule 3, in relation to Section 18, Rule 141 of the
Revised Rules of Court.
Other reliefs just and equitable under the premises are likewise prayed
for.
______________________
PLAINTIFF
SAMPLE FORMS
FORM 7-SCC
SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, __________________________________, of legal age, single/

married, with residence at ______________________________
do hereby appoint, name and constitute __________________________,
likewise of legal age, single/married, with residence at
______________________________, who is related to me and/or is my next-
of-kin, and is not a lawyer, as my true and legal representative to act for and
in my name and stead and to represent me during the hearing of Civil Case
No.____________, to enter into amicable settlement, to submit to alternative
modes of dispute resolution and to make admissions or stipulations of facts
and documents without further consultation from me.
I hereby grant my representative full power and authority to execute

and perform every act necessary to render effective the power to compromise
as though I myself have so performed it and hereby approving all that he may
do by virtue of these presents.
In witness whereof, I hereunto set my hand this ___________ day of

______________, 20______, at ______________________________.
_______________________________
Principal
_______________________________
Agent
Witnesses: _________________ ________________________
(ACKNOWLEDGMENT)
SAMPLE FORMS
FORM 8-SCC

_______________________________
_______________________________
_______________________________
__________________________________,
Plaintiff,

For: _______________
__________________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
JOINT MOTION
(FOR DISMISSAL)
Plaintiff and defendant, unto this Honorable Court, respectfully allege

that:
1. Plaintiff and defendant have mutually and voluntarily settled their

claim and counterclaim to the entire satisfaction of each other; and
2. The parties no longer have a cause of action against each other.
WHEREFORE, premises considered, plaintiff and defendant

respectfully pray that the plaintiff’s statement of claim and defendant’s
counterclaim incorporated in his response be dismissed.
Other reliefs just and equitable under the premises are likewise prayed
for.
(place) , (date) .
_____________________ _____________________
Plaintiff Defendant
SAMPLE FORMS
To the Branch Clerk of Court:

Please submit the foregoing motion for the consideration of the Court
without hearing and further argument from the parties.
_____________________ _____________________
Plaintiff Defendant
SAMPLE FORMS
FORM 9-SCC

_______________________________
_______________________________
_______________________________
__________________________________,
Plaintiff,

For: _______________
__________________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
MOTION FOR APPROVAL OF COMPROMISE AGREEMENT
The parties respectfully allege that:
1. Plaintiff filed this claim against defendant for:
_____________ collection of sum of money

_____________ liquidated damages
_____________ enforcement of barangay agreement
2. The parties have come to an amicable settlement and have executed

a compromise agreement with the following terms and conditions.
(copy terms and condition here)
3. The parties agree that the approval of this agreement by the Court
shall put an end to this litigation, except for purposes of execution in case of
default.
WHEREFORE, premises considered, the parties respectfully pray that

the court approve this agreement and render judgment on the basis thereof.
(place) , (date) .
___________________ ______________________
Plaintiff Defendant
SAMPLE FORMS
FORM 10-SCC

_______________________________
_______________________________
_______________________________
__________________________________,
Plaintiff,

For: _______________
__________________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
DECISION
(BASED ON COMPROMISE AGREEMENT)
Plaintiff filed this case against defendant for _____________________

in the amount of ________________________.
Defendant denied plaintiff’s claim on the ground of _________________

and set up a counterclaim for _______________________.
The parties, however, reached an amicable settlement and submitted to

the court a compromise agreement, the terms and conditions of which are as
follows:
(terms and condition here)
It appearing that the agreement is not contrary to law, morals, good

customs, public moral and public policy, and pursuant to Articles 2028 and
2037 of the Civil Code of the Philippines, the same is hereby APPROVED
and ADOPTED as the Decision of this court.
The parties are hereby ordered to faithfully comply with the terms and
conditions of the agreement.
SAMPLE FORMS
WHEREFORE, judgment is hereby rendered approving the
Compromise Agreement and the parties are ordered to comply with the terms
and conditions, as follows:
(The judge should define the rights and obligations of

the parties under the judgment approving the Compromise
Agreement to be enforced by a Writ of Execution.)
SO ORDERED.
(place) , (date) .
________________________
Presiding Judge
SAMPLE FORMS
FORM 11–SCC

_______________________________
_______________________________
_______________________________
(Title) (Case Number)
DECISION
This is a small claims action for (state which of the claims or demands
below is the subject of the action filed):
[For money owed under any of the following:
1. Contract of lease
2. Contract of loan
3. Contract of services
4. Contract of sale
5. Contract of mortgage; or
For liquidated damages arising from contracts;
The enforcement of a barangay amicable settlement or an arbitration
award involving a money claim covered by this Rule pursuant to
Section 417 of Republic Act 7160, otherwise known as The Local
Government Code of 1991.]
Plaintiff alleges that (state material allegations and prayer in the
Statement of Claim).
Defendant alleges that (state reasons for denial of the claim and other
material allegations in the Response including counterclaims, if any).
On (date), both parties appeared during the hearing conducted by (state
name of Judge who conducted the dispute resolution. State whether parties
appeared personally or through a specially authorized representative.)
Considering the failure of the parties to arrive at any settlement of the
dispute, this court proceeded with the hearing of the case which was
terminated on _________________.
SAMPLE FORMS
The issue to be resolved by this court is whether__________________.

Plaintiff’s evidence consists of: (state documents of plaintiff, affidavits
submitted if any and statements made by plaintiff and witnesses under oath
during the hearing.)
Defendant’s evidence consists of: (state documents of defendant,
affidavits submitted if any and statements made by defendant and witnesses
under oath during the hearing.)
This court finds that the claim of plaintiff (or defendant in a counterclaim)
is (state whether meritorious or devoid of merit). Under Article/Section (state the
applicable provisions of law) or pursuant to established jurisprudence (cite
applicable jurisprudence). In this case, this court found that (state first the factual
findings established by the evidence and then the legal conclusions).
Wherefore, the (claim/counterclaim) is (granted/denied). This court orders
____________________ to pay to _______________________ the amount
of (state the monetary award or damages) with interest of (if applicable under
Civil Code and/or settled jurisprudence) until fully paid.
SO ORDERED.
(place) , (date) .
____________________
Presiding Judge
Copy furnished:
All parties
Office of the Clerk of Court of ____________
SAMPLE FORMS
FORM 12-SCC

_______________________________
_______________________________
_______________________________
__________________________________,
Plaintiff,

For: _______________
__________________________________,
Defendant.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
MOTION FOR EXECUTION

Plaintiff/Defendant, unto this Honorable Court, respectfully alleges that:
1. On _______________, a judgment was rendered by the Court, the
dispositive portion of which reads:
2. The judgment is final, executory and unappealable.
3. The defendant has not complied with the judgment.
WHEREFORE, premises considered, it is respectfully prayed that a
writ of execution be issued to implement the judgment of the Court dated
__________________.
______________________, __________________.
_______________________
Plaintiff/Defendant
SAMPLE FORMS
NOTICE OF HEARING
NAME OF DEFENDANT (If filed by the Plaintiff)

NAME OF PLAINTIFF (If filed by the Defendant)
NAME OF CLERK OF COURT
Please be notified that the undersigned will submit the foregoing motion
for the consideration and approval of the Court on _________________
at ______________.
(place) , (date) .
_____________________
Plaintiff/Defendant
Republic of the Philippines
MUNICIPAL TRIAL COURT
Cavite City
MICHELLE A. VALE CRUZ

Plaintiff,
Civil Case No. 55121
For: Unlawful Detainer
LANZ AIDAN L. OLIVES
Respondent.
x-------------------------------x
COMPLAINT
PLAINTIFF, by counsel, and unto this Honorable Court, most respectfully
allege: THAT
1. Plaintiff is of legal age, Filipino, with residence and postal address at 777 Heaven
St., San Antonio, Cavite City where she may be served notices and other court
processes;
2. Respondent is of legal age, Filipino, with residence and postal address at 518 VC
Apartments M. Gregorio St., San Antonio, Cavite City;
3. Plaintiff is the absolute owner and lessor of that certain apartment situated in Cavite
City and now leased ad occupied by the respondent;
4. Pursuant to the lease contract (Exhibit A) executed by the plaintiff and the
respondent dated October 28, 2015, the respondent is obliged to pay a monthly rental
payment of P10,000.00 to the plaintiff;
5. A stipulation in the said lease contract provides that in case of default by the lessee
of the payment of the rent such as when the checks are dishonored, the plaintiff at
its option may terminate this contract and eject the lessee;
6. On January 28, 2016, the plaintiff tried to encash BPI Check No. 25613
corresponding to the rental payment for the month of January but the same was
dishonored due to insufficiency of funds;
7. On the same day, plaintiff informed the respondent that the latter’s check was
dishonored and demanded that formed be paid in cash instead but the respondent
failed to do so;
8. On February 28, 2016, the plaintiff tried to encash BPI Check No. 25614
corresponding to the rental payment for the month of February but the same was also
dishonored due to insufficiency of funds;
9. On the same day, plaintiff again went to the respondent and demanded for the
payment of the two dishonored checks and for respondent to vacate the premises but
respondent failed to tender payment and refused to vacate the premises;
10. On March 15, 2016, plaintiff, with assistance of a counsel, sent a formal demand
letter (Exhibit B) to the respondent giving him ten days to make his rental payment
and vacate the premises
11. On March 25, 2016, at the expiration of the ten-day grace period given by the
plaintiff, the respondent still has not made his payment and consistently refused to
vacate the apartments;
12. Until now, respondent still refuse to vacate and restore possession and pay his
rentals.
13. Thus, respondent is unlawfully withholding possession of the subject apartment
from the plaintiff despite last and final demand, to the damage and prejudice of the
plaintiff;
14. Before filing this complaint, the dispute has been referred to the Lupong
Tagapamayapa of Cavite City but the respondent failed to appear, hence, no
amicable settlement was made (Exhibit C).
PRAYER
WHEREFORE, premises considered, it is most respectfully prayed of this
Honorable Court that after due notice and hearing, judgment be rendered in favor of
Plaintiff:
1. For the restitution of the abovementioned apartment;
2. For the payment of TWENTY THOUSAND PESOS (P20,000.00), Philippine
currency, representing the arrears of rent now overdue;
3. To pay the cost of the suit
Other reliefs just and equitable under the premises are likewise prayed for.
Cavite City, Philippines, March 31, 2016.
ATTY. GRACE MARIELLE CRUZ

Counsel for Plaintiff
Cruz & Associates Law Firm
117 Gamboa St., San Lorenzo, Cavite City
VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

(City of Cavite ) S.S.
I, MICHELLE A. VALE CRUZ, of legal age, after having been duly sworn
in accordance with law, depose and state that:
1. I am a plaintiff in the above-stated case;
2. I caused the preparation of the foregoing complaint;
3. I have read the contents thereof and the facts stated therein are true and correct of
my personal knowledge and/or on the basis of copies of documents and records in
my possession;
4. I have not commenced any other action or proceeding involving the same issues
in the Supreme Court, the Court of Appeals, or any other tribunal or agency;
5. To the best of my knowledge and belief, no such action or proceeding is pending
in the Supreme Court, the Court of Appeals, or any other tribunal or agency;
6. If I should thereafter learn that a similar action or proceeding has been filed or is
pending before the Supreme Court, the Court of Appeals, or any other tribunal or
agency, I undertake to report that fact within five (5) days therefrom to this
Honorable Court.
Cavite City, Philippines, March 31, 2016

__________________
Michelle A. Vale Cruz
SUBSCRIBED AND SWORN to before me this 31st day of March 2016

at Cavite City, Philippines affiant exhibiting to me her Passport No. 58158450 issued
in DFA Manila 2014.
Doc. No.___________; Kayelyn Lat
Page No.___________; NOTARY PUBLIC for Cavite
Book No.__________; Commission Serial No.______
Series of 2016. Until December 31, 2016.
Roll of Attorney_______
IBP No.________
PTR No._______
Republika ng Pilipinas
MUNICIPAL TRIAL COURT
Lungsod ng Cavite
MICHELLE A. VALE CRUZ

Nagsasakdal,
Kaso Sibil Blg. 55121
Para sa: Unlawful Detainer
LANZ AIDAN L. OLIVES
Nasasakdal.
x---------------------------------x
REKLAMO
NAGSASALITA, sa pamamagitan ng tagapayo, at sa Kagalang-galang na
Hukuman na ito, sa buong paggalang na sinasabi: IYON
1. Ang nagsasakdal ay nasa legal na edad, Filipino, na may tirahan at postal address
sa 777 Heaven St., San Antonio, Cavite City kung saan siya ay maaaring maghatid
ng mga abiso at iba pang proseso ng hukuman;
2. Nasa legal na edad ang respondent, Filipino, na may tirahan at postal address sa
518 VC Apartments M. Gregorio St., San Antonio, Cavite City;
3. Ang nagsasakdal ay ang ganap na may-ari at nagpapaupa ng partikular na
apartment na iyon na matatagpuan sa Cavite City at ngayon ay inuupahan ang ad
na inookupahan ng respondent;
4. Alinsunod sa kontrata sa pag-upa (Exhibit A) na isinagawa ng nagsasakdal at ng
respondent na may petsang Oktubre 28, 2015, obligado ang respondent na
magbayad ng buwanang bayad sa pag-upa na P10,000.00 sa nagsasakdal;
5. Ang isang takda sa nasabing kontrata sa pag-upa ay nagsasaad na kung sakaling
hindi mabayaran ng nangungupahan ang pagbabayad ng upa tulad ng kapag ang
mga tseke ay hindi pinarangalan, ang nagsasakdal sa opsyon nito ay maaaring
wakasan ang kontratang ito at paalisin ang lessee;
6. Noong Enero 28, 2016, sinubukan ng nagsasakdal na i-encash ang BPI Check No.
25613 na naaayon sa bayad sa pag-upa para sa buwan ng Enero ngunit ito rin ay
hindi pinarangalan dahil sa kakulangan ng pondo;
7. Sa parehong araw, ipinaalam ng nagsasakdal sa respondent na ang tseke ng huli ay
hindi pinarangalan at hiniling na bayaran ang nabuo sa halip na cash ngunit nabigo
ang respondent na gawin ito;
8. Noong Pebrero 28, 2016, sinubukan ng nagsasakdal na i-encash ang BPI Check
No. 25614 na naaayon sa bayad sa pag-upa para sa buwan ng Pebrero ngunit ito rin
ay hindi pinarangalan dahil sa kakulangan ng pondo;
9. Noong araw ding iyon, muling nagtungo ang nagsasakdal sa respondent at hiningi
ang pagbabayad ng dalawang dishonored na tseke at lisanin ng respondent ang
lugar ngunit nabigo ang respondent na magbayad at tumanggi na lisanin ang lugar;
10. Noong Marso 15, 2016, ang nagsasakdal, sa tulong ng isang abogado, ay nagpadala
ng isang pormal na demand letter (Exhibit B) sa respondent na nagbibigay sa kanya
ng sampung araw upang bayaran ang kanyang rental at lisanin ang lugar;
11. Noong Marso 25, 2016, sa pagtatapos ng sampung araw na palugit na ibinigay ng
nagsasakdal, hindi pa rin nagbabayad ang respondent at patuloy na tumatanggi na
lisanin ang mga apartment;
12. Hanggang ngayon, tumatanggi pa rin ang respondent na lisanin at ibalik ang pag-
aari at bayaran ang kanyang mga inuupahan.
13. Kaya, labag sa batas na ipinagkakait ng respondent ang pagmamay-ari ng paksang
apartment mula sa nagsasakdal sa kabila ng huli at huling kahilingan, sa pinsala at
pagkiling ng nagsasakdal;
14. Bago ihain ang reklamong ito, ang hindi pagkakaunawaan ay isinangguni sa
Lupong Tagapamayapa ng Lungsod ng Cavite ngunit nabigong humarap ang
respondent, kaya naman, walang maayos na pag-aayos (Exhibit C).
PANALANGIN
KAYA, ang mga lugar na isinasaalang-alang, ito ay lubos na magalang na
idinadalangin ng Kagalang-galang na Hukuman na pagkatapos ng nararapat na
paunawa at pagdinig, ay ibigay ang hatol na pabor sa Nagsasakdal:
1. Para sa pagsasauli ng nabanggit na apartment;
2. Para sa pagbabayad ng DALAWAMPUNG LIBONG PESOS (P20,000.00),
pera ng Pilipinas, na kumakatawan sa atraso ng upa na overdue na;
3. Upang bayaran ang halaga ng suit
Ang iba pang mga kaluwagan na makatarungan at patas sa ilalim ng lugar ay
ipinagdarasal din.
Lungsod ng Cavite, Pilipinas, Marso 31, 2016.
ATTY. GRACE MARIELLE CRUZ

Tagapayo para sa Nagsasakdal
Cruz & Associates Law Firm
117 Gamboa St., San Lorenzo, Cavite City
VERIFICATION AT CERTIFICATION NG NON-FORUM SHOPPING
(Lungsod ng Cavite ) SS
Ako, si MICHELLE A. VALE CRUZ, na nasa legal na edad, pagkatapos na

manumpa nang nararapat alinsunod sa batas, ay nagpapaalis at nagsasaad na:
1. Ako ay isang nagsasakdal sa nabanggit na kaso;
2. Ako ang naging sanhi ng paghahanda ng naunang reklamo;
3. Nabasa ko ang mga nilalaman nito at ang mga katotohanang nakasaad doon ay
totoo at tama sa aking personal na kaalaman at/o batay sa mga kopya ng mga
dokumento at mga rekord na nasa akin;
4. Hindi pa ako nagsimula ng anumang iba pang aksyon o paglilitis na
kinasasangkutan ng parehong mga isyu sa Korte Suprema, Court of Appeals, o
anumang iba pang tribunal o ahensya;
5. Sa abot ng aking kaalaman at paniniwala, walang ganoong aksyon o paglilitis
ang nakabinbin sa Korte Suprema, Court of Appeals, o anumang ibang tribunal o
ahensya;
6. Kung pagkatapos noon ay malalaman ko na ang isang katulad na aksyon o
paglilitis ay isinampa o nakabinbin sa Korte Suprema, sa Hukuman ng Apela, o
anumang iba pang tribunal o ahensya, sinisikap kong iulat ang katotohanang iyon
sa loob ng limang (5) araw mula roon itong Kagalang-galang na Hukuman.
Lungsod ng Cavite, Pilipinas, Marso 31, 2016
________________
Michelle A. Vale Cruz
NAG-SUBSCRIBE AT NANUMPA sa harap ko ngayong ika-31 ng Marso 2016

sa Cavite City, Philippines affiant na nagpapakita sa akin ng kanyang Passport No.
58158450 na inisyu sa DFA Manila 2014.
Kayelyn Lat
NOTARY PUBLIC para sa Cavite
Commission Serial No.______
Hanggang Disyembre 31, 2016.
Roll of Attorney_______
IBP No.________
PTR No._______
Doc No. __
Pahina Blg__
Book No.__
Serye ng___
REGIONAL TRIAL COURT
Ninth Judicial Region
Branch ___
Pagadian City
FABIAN TAPAYAN CIVIL CASE NO. _________

Represented By:
FABIAN B. TAPAYAN JR.
Plaintiff,
-versus- for
BABE REVELO LAUREA Recovery of Possession

Defendant. With Prayer for
Preliminary Mandatory Injunction
x----------------------------------x
COMPLAINT
Comes Now, Plaintiff through undersigned counsel, unto the Honorable Court,
most respectfully states and avers: THAT-
1. Plaintiff is of legal age, married, and resident of Paglaum II, Tuburan

District, Pagadian City;
2. Plaintiff is being represented in this instant case by Fabian B. Tapayan Jr.,

who is of legal age, married and resident of Paglaum II, Tuburan District,
Pagadian City, by virtue of a Special Power of Attorney (SPA). Plaintiff,
through his representative, may be served with summons, orders, notices and
other court processes that the Honorable Court may issue; (copy of the SPA
is hereto attached and marked as Annex “A” and “A-1”)
3. Defendant is likewise of legal age, and resident of Purok Tabing-Ilog,

Balangasan District, Pagadian City, where she may be served with summons,
notices, orders and other court processes that this Honorable Court may
issue;
4. Plaintiff is the true and registered owner of a parcel of land situated in Purok
Riverside, Balangasan District, Pagadian City covered by Transfer
Certificate of Title No. T-4,465 consisting of an area of ONE HUNDRED
EIGHTY (180) square meters; (hereto attached and marked as Annex “B”,
(“B-1”, “B-2” and “B-3”) is the copy of the Certified True Copy of TCT No.
T-4,465)
5. The present assessed value of the subject parcel of land is Six Thousand
Three Hundred Pesos (P 6,300.00) as can be gleaned from the present tax
declaration of the same under Tax Declaration No. 2K9-002930; (hereto
attached as Annex “C” is copy of said tax declaration for reference)
6. The subject parcel of land was declared in the name of the Plaintiff for tax
purposes since 1980 under Tax Declaration No. 1631; (copy of Tax
Declaration No. 1631 is hereto attached and marked as Annexes “D” and
“D-1”;
7. Plaintiff has been paying the real property taxes of the subject parcel of land
since 1980 up to the present as evidenced by the certification issued by the
Office of the City Treasurer of Pagadian City dated 6 November 2017;
(hereto attached and marked as Annex “E”;
8. Since Plaintiff had no immediate need of the subject parcel of land, the
former allowed Defendant and her family to occupy the same with the
condition that the latter shall vacate the subject parcel of land after demand
is made upon them by the Plaintiff; (hereto attached and marked as Annexes
“F” and “F-1” is the affidavit of Miguel Alvar Bernante for reference)
9. Sometime in year 2012, Plaintiff demanded from the Defendant and her
family to vacate the said subject property but the latter refused and still
continue to occupy the said property;
10. Sometime in year 2016, the said subject lot was gutted by fire including the
house erected thereon. As a result thereof, Plaintiff, through his son, decided
to cordon the area and instructed the Defendant and her descendants to
vacate the premises, however, the latter refused to turn over the property and
instead constructed a house thereat; (pictures of the wreckage of the property
after the fire incident is hereto attached for reference and marked as Annexes
“G”, “G-1”, “G-2”, “G-3”, “G-4” and “G-5”);
11. Consequently, Plaintiff was able to secure a copy of a Notice of Illegal

Construction issued by the Office of the Building Official, Pagadian City,
dated 11 July 2016. In that notice, Defendant was advised to stop the
construction of the house over the subject property. (A copy of said notice is
hereto attached for reference and marked as Annex “H”);
12. On 18 July 2016, Plaintiff thru a lawyer demanded the Defendant to cease
and desist from further constructing a house in the said subject property as
herein Defendant continued to construct and build a house thereat. The
demand letter was delivered to the thru the Office of the Barangay of
Barangay Balangasan, Pagadian City; (A copy of the demand letter, pictures
depicting the construction of the house, and the affidavit of the Barangay
Messenger are hereto attached for reference and marked as Annexes “I”,
“J”(“J-1”, “J-2”, “J-3”, and J-4”) and “K” respectively);
13. A case for unlawful detainer was already been instituted by the Plaintiff
against herein Defendant which was docketed with Civil Case No. 2599. The
case was dismissed by the Court in favor of the Defendant for, accordingly,
failure of the Plaintiff to bring the action personally before the Lupon
Tagapamayapa for the conciliation proceedings;
14. After the dismissal of the case, another demand letter was sent to the
Defendant demanding her to vacate the subject parcel of land with the
assistance of the Office of the Barangay of Barangay Balangasan,
unfortunately, this time, Defendant refused to receive the demand letter; (
hereto attached and marked as Annex “L” is the copy of the demand letter
dated 15 December 2017)
15. By reason thereof, Plaintiff was constrained to send a demand letter by way
of registered mail, but was returned unserved for “ Party Out No One to
Received” . Another demand letter was again sent by way of registered mail
but likewise returned unserved for the same reason;
16. Despite numerous demands for her and her family to vacate, Defendant has
remained in illegal possession of the said land up to the present and still
retain such possession;
17. Defendant has been in possession over the parcel of land without any legal
right. In fact, it is herein Plaintiff who is paying the annual real property
taxes of the subject parcel of land. Defendant is enjoying the possession over
the same to the prejudice of the registered owner of the parcel of land,
considering that Plaintiff despite wanting to ;
18. The reasonable rental of the land is Php 3,000.00 per month;
19. Accordingly, while possession by tolerance is lawful, such possession

becomes illegal upon demand to vacate is made by the owner and the
possessor by tolerance refuses to comply with such demand (Prieto v. Reyes
14 SCRA 432; Yu v. De Lara, 6 SCRA 786, 788; Isidro v. Court of Appeals,
G.R. No. 105586, December 15, 1993);
20. A person who occupies the land of another at the latter’s tolerance or
permission without any contract between them, is necessarily bound by an
implied promise that he will vacate upon demand (Yu v. De Lara, supra cited
in Sumulong v. Court of Appeals, G.R. No. 108817, May 10, 1994);
21. Due to unjust refusal of the Defendant to vacate and return the said land to
the Plaintiff, the latter was considered to endorse the said matter to his legal
counsel for the filling of an appropriate action in court and incurred
attorney’s fees in the amount of Php 50, 000.00 and the amount of Php 2,
500.00 per court hearing;
22. This action is being filed within a period of two (2) years from the demand
on Defendant to vacate the said property.
PETITION FOR ISSUANCE OF THE WRIT OF PRELIMINARY INJUNCTION

Plaintiff re-pleads all the foregoing allegations by way of reference in so far as they
are for the issuance of preliminary injunction.
23. That the plaintiff is entitled to the relief demanded and the whole or part of
such relief consist in ordering the defendant to deliver to the plaintiff
possession of the land subject of this case which is described under
paragraph 4 of the complaint;
24. That the continued possession or continuance of the unlawful acts

complained of during the litigation would cause irreparable damage to the
plaintiff who is wrongfully prevented in entering and taking possession of
his land and considering that the defendant has already constructed a
structure on the land.
25. That the plaintiff is able and willing to put up an injunction bond in the sum
fixed by this Honorable court, executed in favor of the defendant to the effect
that the plaintiff will pay all damages which defendant may suffer as a result
of the injunction if the court should finally decide that plaintiff is not entitled
thereto.
PRAYER
WHEREFORE, premises considered, it is most respectfully prayed of this

Honorable Court that pending final judgment, a writ of preliminary mandatory
injunction be issued ordering the defendant to vacate and deliver to the plaintiff the
land described under paragraph 3 of the complaint and after due hearing making
the injunction permanent and further after due notice and hearing, judgment be
rendered in favor of the plaintiff, as follows:
1. Ordering the defendant demolish and/or to remove at his expense whatever
structure he caused to be constructed on Lot No. 1451-B and also to demolish
and/or remove the concrete fence constructed on the South Eastern side of Lot No.
1451-B which is described under paragraph 3 of this complaint.
2. Ordering the defendant his servants and those residing and working under
them to vacate Lot No. 1451-B and to deliver possession thereon to the plaintiff;
3. To pay the plaintiff the sum of P2,000.00 a month until such time that the
land Lot No. 1451-B is delivered to the plaintiff;
VERIFICATION/CERTIFICATION
OF NON-FORUM SHOPPING
I, FABIAN TAPAYAN, Filipino, of legal age, married, a resident of 1016

Condominium, Luzon Avenue, Cebu Business Park, Cebu City, Philippines
after having been duly sworn in accordance with law depose and say:
1. That I am the plaintiff in the above-entitled case;
2. That I caused the preparation of the foregoing Complaint and I

have read the allegations therein and certify that the same are true and correct
of my own personal knowledge;
3. That I further certify that I have not commenced any other action
involving the same issues before the Supreme Court, Court of Appeals or any
division thereof or any tribunal or agency; and to the best of my knowledge
no such action is pending before the Supreme Court, Court of Appeals or any
division thereof or any tribunal or agency;
4. That in the event that any action involving the same should be
made known, I hereby bind myself to report the same within five (5) days
from knowledge thereof to this Honorable Court.
WITNESS WHEREOF, I hereunto set my hand this of 11th _ day

December, 2017 at Cebu City, Cebu, Philippines.
LUKE DEIDER
Plaintiff
SUBSCRIBED AND SWORN TO before me this 11th_ day

of December, 2017 at Cebu City, affiant having exhibited to me his
Driver’s License with No. 14389047 issued on 04-21-15 at Cebu City.
NOTARY PUBLIC
Doc. No.
Page No.
Book No.__
Series of
Ikasiyam na Rehiyong Hudikatura
Sangay ___
Pagadian City
FABIAN TAPAYAN CIVIL CASE NO. _________

Kinakatawan ni:
FABIAN B. TAPAYAN JR.
Nagsasakdal,
-laban sa- para sa
BABE REVELO LAUREA Recovery of Possession

Nasasakdal. With Prayer for
Preliminary Mandatory Injunction
x----------------------------------x
x----------------------------------x
REKLAMO
Dumating Ngayon, Nagsasakdal sa pamamagitan ng nasa ilalim na pirma ng

abogado, sa Kagalang-galang na Hukuman, buong paggalang na nagsasaad at
sumasalungat: NA-
1. Nasa legal na edad ang nagsasakdal, may asawa, at residente ng Paglaum II,
Tuburan District, Pagadian City;
2. Ang nagsasakdal ay kinakatawan sa instant case na ito ni Fabian B. Tapayan

Jr., na nasa legal na edad, may asawa at residente ng Paglaum II, Tuburan
District, Pagadian City, sa bisa ng Special Power of Attorney (SPA). Ang
nagsasakdal, sa pamamagitan ng kanyang kinatawan, ay maaaring bigyan ng
mga patawag, mga utos, mga abiso at iba pang proseso ng hukuman na
maaaring ilabas ng Kagalang-galang na Hukuman; (Ang kopya ng SPA ay
nakalakip dito at minarkahan bilang Annex "A" at "A-1")
3. Nasa legal na edad din ang nasasakdal, at residente ng Purok Tabing-Ilog,

Distrito ng Balangasan, Pagadian City, kung saan maaari siyang bigyan ng
patawag, paunawa, utos at iba pang proseso ng hukuman na maaaring ilabas
ng Kagalang-galang na Hukuman;
4. Ang nagsasakdal ay ang tunay at rehistradong may-ari ng isang parsela ng

lupa na matatagpuan sa Purok Riverside, Balangasan District, Pagadian City
na sakop ng Transfer Certificate of Title No. T-4,465 na binubuo ng isang
lugar na ISANG DAAN WALO (180) metro kuwadrado; (kalakip dito at
minarkahan bilang Annex “B”, (“B-1”, “B-2” at “B-3”) ay ang kopya ng
Certified True Copy ng TCT No. T-4,465)
5. Ang kasalukuyang tinasang halaga ng paksang parsela ng lupa ay Anim na
Libo Tatlong Daang Piso (P 6,300.00) na maaaring makuha mula sa
kasalukuyang deklarasyon ng buwis ng pareho sa ilalim ng Tax Declaration
No. 2K9-002930; (Kalakip dito bilang Annex “C” ay kopya ng nasabing tax
declaration para sanggunian)
6. Ang paksang parsela ng lupa ay idineklara sa pangalan ng Nagsasakdal para

sa mga layunin ng buwis mula noong 1980 sa ilalim ng Tax Declaration No.
1631; (kopya ng Tax Declaration No. 1631 ay nakalakip dito at minarkahan
bilang Annexes “D” at “D-1”;
7. Ang nagsasakdal ay nagbabayad ng mga buwis sa real property ng paksang

parsela ng lupa mula noong 1980 hanggang sa kasalukuyan bilang ebidensya
ng sertipikasyon na inisyu ng Office of the City Treasurer ng Pagadian City
na may petsang 6 Nobyembre 2017; (nakalakip dito at minarkahan bilang
Annex "E";
8. Dahil ang Nagsasakdal ay walang agarang pangangailangan ng paksang

parsela ng lupa, pinahintulutan ng una ang Nasasakdal at ang kanyang
pamilya na sakupin ang parehong may kondisyon na ang huli ay dapat
lisanin ang paksang parsela ng lupa pagkatapos na humingi sa kanila ng
Nagsasakdal; (kalakip dito at minarkahan bilang Annexes “F” at “F-1” ay
ang affidavit ni Miguel Alvar Bernante para sanggunian)
9. Noong taong 2012, hiniling ng Nagsasakdal sa Nasasakdal at sa kanyang

pamilya na lisanin ang nasabing paksang ari-arian ngunit tumanggi ang huli
at patuloy pa ring inookupahan ang nasabing ari-arian;
10. Noong taong 2016, natupok ng apoy ang nasabing subject lot kasama na ang
bahay na itinayo sa ibabaw nito. Bilang resulta nito, nagpasya ang
Nagsasakdal, sa pamamagitan ng kanyang anak, na i-cordon ang lugar at
inutusan ang Nasasakdal at ang kanyang mga inapo na lisanin ang lugar,
gayunpaman, tumanggi ang huli na ibalik ang ari-arian at sa halip ay nagtayo
ng bahay doon; (mga larawan ng pagkasira ng ari-arian pagkatapos ng
insidente ng sunog ay nakalakip dito bilang sanggunian at minarkahan bilang
Annexes "G", "G-1", "G-2", "G-3", "G-4" at " G-5”);
11. Dahil dito, nakuha ng Nagsasakdal ang isang kopya ng Notice of Illegal
Construction na inisyu ng Office of the Building Official, Pagadian City, na
may petsang 11 July 2016. Sa notice na iyon, pinayuhan ang Defendant na
ihinto ang pagtatayo ng bahay sa subject property. . (Ang isang kopya ng
nasabing paunawa ay nakalakip dito para sa sanggunian at minarkahan
bilang Annex "H");
12. Noong ika-18 ng Hulyo 2016, ang Nagsasakdal sa pamamagitan ng isang

abogado ay humiling sa Nasasakdal na itigil at itigil ang karagdagang
pagtatayo ng isang bahay sa nasabing paksang ari-arian dahil dito
nagpatuloy ang Nasasakdal sa pagtatayo at pagtatayo ng isang bahay doon.
Ang demand letter ay inihatid sa pamamagitan ng Office of the Barangay of
Barangay Balangasan, Pagadian City; (Ang isang kopya ng demand letter,
mga larawan na naglalarawan sa pagtatayo ng bahay, at ang affidavit ng
Barangay Messenger ay kalakip dito bilang sanggunian at minarkahan
bilang Annexes “I”, “J” (“J-1”, “J-2 ”, “J-3”, at J-4”) at “K” ayon sa
pagkakabanggit);
13. Ang isang kaso para sa labag sa batas na detainer ay sinimulan na ng

Nagsasakdal laban sa Defendant dito na naka-docket ng Civil Case No.
2599. Ang kaso ay ibinasura ng Korte pabor sa Defendant para sa, nang
naaayon, sa pagkabigo ng Nagsasakdal na personal na dalhin ang aksyon.
bago ang Lupon Tagapamayapa para sa conciliation proceedings;
14. Matapos ang pagbasura ng kaso, isa pang demand letter ang ipinadala sa
Defendant na humihiling sa kanya na lisanin ang subject parcel of land sa
tulong ng Office of the Barangay of Barangay Balangasan, sa kasamaang
palad, sa pagkakataong ito, ang Defendant ay tumanggi na tumanggap ng
demand letter; ( dito kalakip at minarkahan bilang Annex “L” ang kopya ng
demand letter na may petsang 15 December 2017)
15. Dahil dito, napilitan ang Nagsasakdal na magpadala ng isang demand letter
sa pamamagitan ng rehistradong koreo, ngunit ibinalik nang hindi naihatid
para sa "Party Out No One to Received" . Ang isa pang demand letter ay
muling ipinadala sa pamamagitan ng rehistradong koreo ngunit ibinalik din
nang hindi naihatid para sa parehong dahilan;
16. Sa kabila ng maraming kahilingan para sa kanya at sa kanyang pamilya na

lisanin, ang Nasasakdal ay nanatili sa iligal na pagmamay-ari ng nasabing
lupa hanggang sa kasalukuyan at nananatili pa rin ang naturang pag-aari;
17. Nasa pagmamay-ari ng nasasakdal ang parsela ng lupa nang walang

anumang legal na karapatan. Sa katunayan, narito ang Nagsasakdal na
nagbabayad ng taunang mga buwis sa real property ng paksang parsela ng
lupa. Tinatangkilik ng nasasakdal ang pag-aari sa parehong pagkiling ng
rehistradong may-ari ng parsela ng lupa, isinasaalang-alang ang
Nagsasakdal sa kabila ng pagnanais na ;
18. Ang makatwirang upa ng lupa ay Php 3,000.00 bawat buwan;
19. Alinsunod dito, habang ang pagmamay-ari sa pamamagitan ng

pagpapaubaya ay naaayon sa batas, ang naturang pagmamay-ari ay nagiging
labag sa batas kapag hinihiling na lisanin ng may-ari at ang nagmamay-ari
sa pamamagitan ng pagpapaubaya ay tumangging sumunod sa naturang
kahilingan (Prieto v. Reyes 14 SCRA 432; Yu v. De Lara, 6 SCRA 786, 788;
Isidro laban sa Court of Appeals, GR No. 105586, Disyembre 15, 1993);
20. Ang isang tao na sumasakop sa lupain ng iba sa pagpapaubaya o pahintulot

ng huli nang walang anumang kontrata sa pagitan nila, ay kinakailangang
nakatali sa isang ipinahiwatig na pangako na siya ay lilisanin kapag
hinihiling (Yu v. De Lara, supra na binanggit sa Sumulong v. Court of
Appeals, GR No. 108817, Mayo 10, 1994);
21. Dahil sa hindi makatarungang pagtanggi ng Nasasakdal na lisanin at ibalik

ang nasabing lupa sa Nagsasakdal, ang huli ay itinuring na i-endorso ang
nasabing usapin sa kanyang legal na tagapayo para sa pagpuno ng naaangkop
na aksyon sa korte at natamo ang mga bayad sa abogado sa halagang Php 50
, 000.00 at ang halagang Php 2, 500.00 kada pagdinig sa korte;
22. Ang aksyon na ito ay inihahain sa loob ng dalawang (2) taon mula sa
kahilingan ng Nasasakdal na lisanin ang nasabing ari-arian.
PETITION FOR ISSUANCE OF THE WRIT OF PRELIMINARY INJUNCTION
Ang nagsasakdal ay muling nagsusumamo sa lahat ng nabanggit na mga paratang

sa pamamagitan ng sanggunian hanggang sa ang mga ito ay para sa pagpapalabas
ng preliminary injunction.
23. Na ang nagsasakdal ay may karapatan sa hinihinging lunas at ang kabuuan

o bahagi ng naturang kaluwagan ay binubuo sa pag-uutos sa nasasakdal na
ihatid sa nagsasakdal ang pag-aari ng lupang paksa ng kasong ito na
inilarawan sa ilalim ng talata 4 ng reklamo;
24. Na ang patuloy na pagmamay-ari o pagpapatuloy ng mga labag sa batas na

gawaing inirereklamo sa panahon ng paglilitis ay magdudulot ng hindi
maibabalik na pinsala sa nagsasakdal na maling pinipigilan sa pagpasok at
pag-aari ng kanyang lupain at isinasaalang-alang na ang nasasakdal ay
nakapagtayo na ng isang istraktura sa lupa.
25. Na ang nagsasakdal ay magagawa at handang maglagay ng isang injunction

bond sa halagang itinakda nitong Kagalang-galang na hukuman, na
isinagawa pabor sa nasasakdal sa epekto na babayaran ng nagsasakdal ang
lahat ng mga pinsala na maaaring maranasan ng nasasakdal bilang resulta ng
utos kung ang ang hukuman ay dapat na sa wakas ay magpasya na ang
nagsasakdal ay walang karapatan dito.
PANALANGIN
KAYA, ang mga lugar na isinasaalang-alang, ito ay lubos na magalang na

idinadalangin ng Kagalang-galang na Hukuman na nakabinbin ang pinal na
paghatol, isang writ of preliminary mandatory injunction ay inilabas na nag-uutos
sa nasasakdal na lisanin at ihatid sa nagsasakdal ang lupang inilarawan sa ilalim ng
talata 3 ng reklamo at pagkatapos ng angkop na pagdinig. ginagawang permanente
ang utos at pagkatapos ng nararapat na paunawa at pagdinig, ang paghatol ay
ibibigay na pabor sa nagsasakdal, tulad ng sumusunod:
1. Pag-uutos sa nasasakdal na gibain at/o tanggalin sa kanyang gastos ang
anumang istraktura na idinulot niyang itayo sa Lot No. 1451-B at gayundin na
gibain at/o tanggalin ang kongkretong bakod na itinayo sa Timog Silangang bahagi
ng Lot No. 1451-B na inilalarawan sa ilalim ng talata 3 ng reklamong ito.
2. Nag-utos sa nasasakdal sa kanyang mga tagapaglingkod at sa mga

naninirahan at nagtatrabaho sa ilalim nila na lisanin ang Lot No. 1451-B at ihatid
ang pag-aari doon sa nagsasakdal;
3. To bayaran ang nagsasakdal ng halagang P2,000.00 sa isang buwan

hanggang sa panahong maihatid ang lupang Lot No. 1451-B sa nagsasakdal;
OF NON FORUM SHOPPING
Ako, si FABIAN TAPAYAN, Filipino, nasa legal na edad, may asawa,

residente ng 1016 Condominium, Luzon Avenue, Cebu Business Park, Cebu
City, Pilipinas pagkatapos na manumpa alinsunod sa batas ay nagpatalsik at
nagsabing:
1. Na ako ang nagsasakdal sa kaso na pinamagatang nasa itaas;
2. Na naging sanhi ako ng paghahanda ng nabanggit na Reklamo at

nabasa ko ang mga paratang doon at pinatutunayan na ito ay totoo at tama sa
aking sariling personal na kaalaman;
3. Na higit kong pinatutunayan na hindi ako nagsimula ng anumang

iba pang aksyon na kinasasangkutan ng parehong mga isyu sa harap ng Korte
Suprema, Court of Appeals o anumang dibisyon nito o anumang tribunal o
ahensya; at sa abot ng aking kaalaman walang ganoong aksyon ang
nakabinbin sa Korte Suprema, Court of Appeals o anumang dibisyon nito o
anumang tribunal o ahensya;
4. Na kung sakaling ang anumang aksyon na may kinalaman dito

ay dapat ipaalam, sa pamamagitan nito ay ibinibigay ko ang aking sarili na
iulat ito sa loob ng limang (5) araw mula sa pagkakaalam nito sa Kagalang-
galang na Hukuman.
SAKSI KUNG KUNG SAAN, ibibigay ko ang aking kamay

ngayong Disyembre, 2017 sa Cebu City, Cebu, Philippines.
LUKE
DEIDER
Nagsasakdal
NAG-SUBSCRIBE AT NANUMPA NA bago ko ito ng

Disyembre, 2017 sa Cebu City, ipinakita sa akin ng karelasyon ang
kanyang Driver's License na may No. 14389047 na inisyu noong 04-
21-15 sa Cebu City.
NOTARY PUBLIC
Dok. Hindi.
Pahina Blg.
Book No.__
Serye ng
7th Judicial Region
Branch 26, Cebu City
LUKE DEIDER
Plaintiff
CIVIL CASE NO.
-versus- For: Collection of a Sum of
Money with Damages
ARIANNE SANTOS and
SURIGAO ISLAND SALES
CORPORATION (SISC)
Defendant
X -------------------------------------------------- X
COMPLAINT
PLAINTIFF, thru the undersigned Counsel, unto this Honorable

Court, respectfully alleges:
1. That Plaintiff is of legal age, American, a resident of 1016

Condominium, Luzon Avenue, Cebu Business Park, Cebu City,
Philippines;
2. That Defendant, Arianne Santos, is likewise of legal age,

Filipino, President of Surigao Island Sales Corporation (SISC) with
principal office address at Hinatuan, Surigao del Sur, Philippines where
summons and court processes may be served;
3. That Defendant, Surigao Island Sales Corporation

(hereinafter “SISC”) is a domestic corporation duly organized and
existing under Philippine laws with principal office address at Hinatuan,
Surigao del Sur, Philippines per last General Information Sheet filed
with the Securities and Exchange Commission where summons and
court processes may also be served;
4. That on February 23, 2010, the defendant, ARIANNE for

brevity through her sister Rona, affirmed and confirmed that plaintiff
Page | 1
is a creditor of SISC for brevity for a sum of money amounting to
Twenty-five Million Four Hundred Thousand Pesos
(PhP25,400,000.00), among others, and made an undertaking that a
Promissory Note in favor of plaintiff shall be executed to secure the
latter's creditor position in SISC. This promissory note is to be the joint
obligation of SISC and the defendant;
5. That in recognition of defendant’s SISC obligation in favor

of the plaintiff, the former through Rona executed a Promissory Note
in favor of the plaintiff on May 3, 2010, a copy of the promissory note
is hereto attached as Annex “A”;
6. That as shown in the promissory note, the obligation was

to become due and demandable one year from its execution and said
obligation is also to be interest-bearing at 25%per annum;
7. That after the lapse of one year from its execution, no

payment was made to the plaintiff;
8. That plaintiff sent separate letters to the defendants

containing the demand for the payment of its obligation, copies of
which are hereto attached as Annex “B”;
9. That notwithstanding plaintiff's repeated demands, both

written and verbal, defendants failed, neglected and refused to fulfill
its obligations without just and valid grounds to the continued damage
and prejudice of plaintiff, leaving no other recourse but to litigate and
file this action;
10. That defendants have, as of this date, defaulted in the

payment of an aggregate amount of Sixty-nine Million Eight
Hundred Fifty Thousand Pesos (P69, 850,000.00);
11. That the plaintiff in order to enforce his rights and

interests, has sought the services of a legal counsel with attorney’s
fees amounting to One Hundred Thousand Pesos (PhP
4,500,000.00) and an appearance fee of Five Thousand Pesos (PhP
5,000.00) per hearing;
12. That the plaintiff has paid for litigation expenses amounting
already to Six Million Three Hundred Twenty Thousand Pesos
(PhP 6,320,000.00)
Page | 2
13. That by reason of defendant’s unjustified acts as well as
bad faith and intentional refusal to pay his overdue obligation, Plaintiff
is entitled to the award of moral damages in the amount of One
Million (P1,000,000.00);
14. That by reason of defendant’s violation and disregard of

Plaintiff’s rights, the award of exemplary damages in the amount of
One Million (P1,000,000.00) is likewise warrant to serve as a
deterrent to the commission by the defendants and to others similarly-
minded of similar acts in the future.
PRAYER
WHEREFORE, PREMISES CONSIDERED, it is most

respectfully prayed of this Honorable Court that, after due hearing,
judgment be rendered against the defendant ordering the latter to pay
the plaintiff as follows:
1. The amount of TWENTY-FIVE MILLION FOUR

HUNDRED THOUSAND PESOS (P25,400,000.00) representing the
unpaid principal obligation as evidenced by the Promissory Note duly
executed dated May 3, 2010;
2. The amount of FORTY-FOUR MILLION FOUR

HUNDRED FIFTY PESOS (P44,450,000.00) representing the interest
of 25% per annum as evidenced also by the Promissory Note duly
executed dated May 3, 2010;
3. The amount of ONE MILLION PESOS (P1,000,000.00) as

and by way of moral damages;
3. The amount of ONE MILLION PESOS (P1,000,000.00) as

and by way of exemplary damages;
4. Litigation Expenses amounting to SIX MILLION THREE

HUNDRED TWENTY THOUSAND PESOS (PhP 6,320,000.00)
Other reliefs just and equitable under the premises are likewise
prayed for.
Cebu City, December 11, 2017
Page | 3
SABDULLAH VILLABLANCA ESCANO DAYAGBIL LAW
(SVEDLAW)
Counsel for the Plaintiff
SVEDLAW TOWER, Cebu Business Park (Ayala), 6000, Cebu City
Roll No’s. 76430; 76431; 76432;7624
IBP No’s. 352980; 342149; 198260; 102879
All dated: March-02-05
MCLE Compliance No’s.11-02432527, 12-03045727, 13-20143817,
14-43043587
Telephone No. : (032) 253-4990, Fax No. : (032) 254-3497
Email-address: SVEDLAW@gmail.com
Page | 4
OF NON-FORUM SHOPPING
I, LUKE DEIDER, American, a resident of 1016 Condominium,

Luzon Avenue, Cebu Business Park, Cebu City, Philippines after having
been duly sworn in accordance with law depose and say:
1. That I am the plaintiff in the above-entitled case;
2. That I caused the preparation of the foregoing Complaint

and I have read the allegations therein and certify that the same are
true and correct of my own personal knowledge;
3. That I further certify that I have not commenced any other

action involving the same issues before the Supreme Court, Court of
Appeals or any division thereof or any tribunal or agency; and to the
best of my knowledge no such action is pending before the Supreme
Court, Court of Appeals or any division thereof or any tribunal or
agency;
4. That in the event that any action involving the same should
be made known, I hereby bind myself to report the same within five
(5) days from knowledge thereof to this Honorable Court.
WITNESS WHEREOF, I hereunto set my hand this 11th _ day

of December, 2017 at Cebu City, Cebu, Philippines.
LUKE DEIDER
Plaintiff
SUBSCRIBED AND SWORN TO before me this 11th_ day
of December, 2017 at Cebu City, affiant having exhibited to me his

Driver’s License with No. 14389047 issued on 04-21-15 at Cebu City.
NOTARY PUBLIC
Doc. No.
Page No.
Book No.
Series of
Page | 5
Page | 6
7th Judicial Region
Branch 26, Cebu City
LUKE DEIDER
Nagsas
akdal CIVIL CASE NO.
-laban sa- Para sa: Collection of Sum of
Money with Damages
ARIANNE SANTOSat
SURIGAO ISLAND SALES
CORPORATION (SISC)
Nasasakdal
X -------------------------------------------------- X
REKLAMO
NAGSASAKDAL, sa pamamagitan ng nalagdaan sa ilalim ng

Tagapayo, sa Kagalang-galang na Hukumang ito, ay magalang na
nagsasaad ng:
1. Nasa legal na edad ang Nagsasakdal, Amerikano, residente

ng 1016 Condominium, Luzon Avenue, Cebu Business Park, Cebu City,
Philippines;
2. Ang Nasasakdal na iyon, si Arianne Santos, ay nasa legal

na edad din, Filipino, Presidente ng Surigao Island Sales Corporation
(SISC) na may address ng punong tanggapan sa Hinatuan, Surigao del
Sur, Philippines kung saan maaaring ihatid ang mga patawag at
proseso ng hukuman;
3. Ang Defendant na iyon, ang Surigao Island Sales

Corporation (simula dito ay “SISC”) ay isang domestic na korporasyon
na nararapat na organisado at umiiral sa ilalim ng mga batas ng
Pilipinas na may address ng punong tanggapan sa Hinatuan, Surigao
del Sur, Pilipinas kada huling General Information Sheet na inihain sa
Securities and Exchange Commission kung saan ipinatawag at ang
mga proseso ng korte ay maaari ding ihatid;
Pahina
|1
4. Na noong Pebrero 23, 2010, ang nasasakdal, si ARIANNE
para sa maikli sa pamamagitan ng kanyang kapatid na si Rona, ay
pinagtibay at kinumpirma na ang nagsasakdal Na bilang pagkilala sa
obligasyon ng SISC ng nasasakdal na pabor sa nagsasakdal, ang una
sa pamamagitan ni Rona ay nagsagawa ng Promissory Note na pabor
sa nagsasakdal noong Mayo 3, 2010, ang isang kopya ng promissory
note ay nakalakip dito bilang Annex "A";
5. Na tulad ng ipinapakita sa promissory note, ang obligasyon

ay dapat na dapat bayaran at hinihiling isang taon mula sa
pagpapatupad nito at ang nasabing obligasyon ay magkakaroon din ng
interes sa 25% kada taon;
6. Na pagkatapos ng paglipas ng isang taon mula sa

pagpapatupad nito, walang bayad na ginawa sa nagsasakdal;
7. Ang nagsasakdal na iyon ay nagpadala ng hiwalay na mga

liham sa mga nasasakdal na naglalaman ng kahilingan para sa
pagbabayad ng obligasyon nito, ang mga kopya nito ay nakalakip dito
bilang Annex "B";
8. Na sa kabila ng paulit-ulit na mga kahilingan ng

nagsasakdal, kapwa nakasulat at pasalita, ang mga nasasakdal ay
nabigo, pinabayaan at tumangging tuparin ang mga obligasyon nito
nang walang makatarungan at balidong batayan sa patuloy na pinsala
at pagkiling ng nagsasakdal, na walang iniwang ibang paraan kundi
ang maglitis at magsampa ng aksyong ito;
9. Na ang mga nasasakdal ay, sa petsang ito, ay hindi

nagbabayad ng pinagsama-samang halaga na Animnapu't siyam na
Milyon Walong Daan Limampung Libong Piso (P69, 850,000.00);
10. Na ang nagsasakdal upang maipatupad ang kanyang mga

karapatan at interes, ay humingi ng serbisyo ng isang legal na
tagapayo na may bayad sa abogado na nagkakahalaga ng Isang Daang
Libong Piso (PhP 4,500,000.00) at bayad sa pagharap na Limang Libo
Piso (PhP 5,000.00) bawat pagdinig;
11. Na ang nagsasakdal ay nagbayad para sa mga gastusin sa

paglilitis na umaabot na sa Anim na Milyon Tatlong Daan
Dalawampung Libong Piso (PhP 6,320,000.00)
12. Na dahil sa hindi makatarungang mga gawa ng nasasakdal
pati na rin ang masamang pananampalataya at sadyang pagtanggi na
bayaran ang kanyang overdue na obligasyon, ang Nagsasakdal ay may
Pahina
|2
karapatan sa paggawad ng moral damages sa halagang Isang Milyon
(P1,000,000.00);
13. Na dahil sa paglabag ng nasasakdal at pagwawalang-

bahala sa mga karapatan ng Nagsasakdal, ang paggawad ng mga
kapuri-puri na pinsala sa halagang Isang Milyon (P1,000,000.00) ay
gayundin na magsisilbing hadlang sa komisyon ng mga nasasakdal at
sa iba pang may kaparehong pag-iisip ng katulad na kumikilos sa
hinaharap.
PANALANGIN
KUNG SAAN, PREMISES CONSIDERED, magalang na nanalangin

sa Kagalang-galang na Hukuman na, pagkatapos ng angkop na
pagdinig, ay ibigay ang hatol laban sa nasasakdal na nag-uutos sa huli
na bayaran ang nagsasakdal gaya ng sumusunod:
1. Ang halagang DALAWAMPU'T LIMANG MILYON APAT NA

DAANG LIBONG PESOS (P25,400,000.00) na kumakatawan sa hindi
nabayarang prinsipal na obligasyon bilang ebidensya ng Promissory
Note na nararapat na naisakatuparan noong Mayo 3, 2010;
2. Ang halagang 44,450,000.00 (P44,450,000.00) na

kumakatawan sa interes na 25% bawat taon na pinatunayan din ng
Promissory Note na nararapat na isinagawa noong Mayo 3, 2010;
3. Ang halaga ng ISANG MILYON PESOS (P1,000,000.00)

bilang at sa pamamagitan ng moral na pinsala;
3. Ang halaga ng ISANG MILYON PESOS (P1,000,000.00)

bilang at sa pamamagitan ng mga huwarang pinsala;
4. Mga Gastos sa Litigation na umaabot sa anim na MILYON

TATLONG DAANG TWENTRY PESOS (PhP 6,320,000.00)
Ang iba pang mga kaluwagan na makatarungan at patas sa

ilalim ng lugar ay ipinagdarasal din.
Cebu City, Disyembre 11, 2017
Pahina
|3
SABDULLAH VILLABLANCA ESCANO DAYAGBIL LAW
(SVEDLAW)
SVEDLAW TOWER, Cebu Business Park (Ayala), 6000, Cebu City
Roll No's. 76430; 76431; 76432;7624
IBP No. 352980; 342149; 198260; 102879
Lahat ng may petsang: Marso-02-05
MCLE Compliance No.11-02432527, 12-03045727, 13-20143817,
14-43043587
Numero ng Telepono : (032) 253-4990, Fax No. : (032) 254-3497
Email-address:SVEDLAW@gmail.com
Pahina
|4
NG HINDI FORUM SHOPPING
Ako, si LUKE DEIDER, Amerikano, residente ng 1016

Condominium, Luzon Avenue, Cebu Business Park, Cebu City, Pilipinas
pagkatapos na manumpa alinsunod sa batas ay nagpapaalis at
nagsabing:
1. Na ako ang nagsasakdal sa kaso na pinamagatang nasa

itaas;
2. Na naging sanhi ako ng paghahanda ng nabanggit na

Reklamo at nabasa ko ang mga paratang doon at pinatutunayan na ito
ay totoo at tama sa aking sariling personal na kaalaman;
3. Na higit kong pinatutunayan na hindi ako nagsimula ng

anumang iba pang aksyon na kinasasangkutan ng parehong mga isyu
sa harap ng Korte Suprema, Court of Appeals o anumang dibisyon nito
o anumang tribunal o ahensya; at sa abot ng aking kaalaman walang
ganoong aksyon ang nakabinbin sa Korte Suprema, Court of Appeals
o anumang dibisyon nito o anumang tribunal o ahensya;
4. Na kung sakaling ang anumang aksyon na may kinalaman

dito ay dapat ipaalam, sa pamamagitan nito ay ibinibigay ko ang aking
sarili na iulat ito sa loob ng limang (5) araw mula sa pagkakaalam nito
sa Kagalang-galang na Hukuman.
SAKSI KUNG KUNG SAAN, ibibigay ko ang aking

kamay ngayong ika 11-araw ng Disyembre, 2017 sa
Cebu City, Cebu, Philippines.
LUKE DEIDER
Nagsasakdal
NAG-SUBSCRIBE AT NANUMPA na itong 11ika_ araw
ng Disyembre, 2017 sa Cebu City, ipinakita sa akin ng karelasyon ang

kanyang Driver's License na may No. 14389047 na inisyu noong 04-
21-15 sa Cebu City.
NOTARY PUBLIC
Doc No. _______
Pahina Blg_____
Book No.
Serye ng______
Pahina
|5
Pahina
|6
NATIONAL CAPITAL JUDICIAL REGION
BRANCH _________
JABBA D. HUTT,
Plaintiff,
- versus - Civil Case No. 16-100

For: Collection of sum
of money
SPOUSES HAN AND LEIA SOLO,

AND THE TRADE FEDERATION,
INC.,
Defendants.
x---------------------------------------x
JUDICIAL AFFIDAVIT
OF
DEFENDANT LEIA SKYWALKER-SOLO
This Judicial Affidavit of Leia Skywalker-Solo is executed to

serve her direct testimony in the instant case.
I, Leia Skywalker-Solo, of legal age, married, and living at Unit

123, MayForever Condominium, Makati City, defendant in this case,
state under oath as follows:
PRELIMINARY STATEMENT
The person examining me is Atty. Dennie Vieve D.P. Idea with

office address at Idea, Caraig and Associates Law Office, No. 1914
Hunters Bldg., Makati Avenue, Makati City. The examination is being
held at the same address. I am answering her questions fully
conscious that I do so under oath and may face criminal liability for
false testimony and perjury.
PURPOSE: This affidavit/testimony of defendant Leia Skywalker-

Solo is being offered to prove that the plaintiff Jabba D. Hutt and co-
defendant and spouse, Han Solo, did not enter into a Contract of
Loan, and assuming that they did, herein defendant has no
knowledge and/or participation to the said transaction alleged in the
subject complaint.
Defendant will also prove that the checks, allegedly issued for security
of the alleged loan, which is in her name, were not issued by her for
the said purpose.
1. Q. Please state your name and other personal circumstances for

the record.
A. I am Leia Skywalker-Solo, a Filipino and of legal age. I am
married to Han Solo. I live at Unit 123, MayForever
Condominium, Makati City.
2. Q. Do you know why you are here?

A. Yes, because I am one of the defendants in a suit filed by Mr. Jabba
D. Hutt.
3. Q. Do you know Mr. Jabba D. Hutt?

A. No, Maam.
4. Q. But have you met him personally?

A. No, Maam.
5. Q. What is the job of your spouse?

A. He is the Chief Operating Officer of the Trade Federation, Inc.
6. Q. Do you know his relationship or connection with Mr. Hutt?

A. No, Maam.
7. Q. But with the best of your knowledge, what kind of transaction

did your husband and Mr. Hutt entered into?
A. An investment.
8. Q. I am showing you this document, herein referred to as “Exhibit

C.” Do you know this document?
A. Yes Maam.
9. Q. What is this document?

A. The checks named in my account.
10. Q. Who signed this document?

A. Myself.
11. Q. What is your purpose for signing it?

A. It was intended for the payment for a house we are planning
to buy.
12. Q. According to the information, these checks were actually lost?
A. Yes, Maam.
13. Q. How was it lost?

A. My husband, after attending a meeting, left the envelope
containing such checks.
14. Q. Then, what happened?
A. My husband called me that the checks were lost.
15. Q. What did you do after knowing the lost of the checks?
A. I called my bank, informed the Manager that said check were
lost. I also sent them a letter informing the same and
requested for “stop payment” for the lost checks to which the
bank in a letter acknowledged.
16. Q. Do you have proof of such acknowledgment?
A. Yes Maam. I have the bank’s acknowledgment letter (Annex
“5”).
IN WITNESS WHEREOF, I have hereunto set my hand this

15th day of February 2016.
Leia Skywalker-Solo
Affiant
SWORN ATTESTATION
The undersigned hereby attests that, as counsel of the witness,

he faithfully recorded the questions he asked and the corresponding
answer of the witness and that he did not coached the witness’
answers to the questions propounded.
ATTY. CONNIE A. MACAPAGAO

NOTARY PUBLIC
Until December 31, 2016
PTR No. 64965557-07 – 01/05/2014
IBP No. 761988-01 – 01/05/2014
Both in Makati City
MCLE Compliance No. 0034255
Doc. No. 245;

Page No. 35;
Book No. 42;
series of 2016
REPUBLIKA NG PILIPINAS
NATIONAL CAPITAL JUDICIAL REGION
SANGAY _________
JABBA D. HUTT,
Nagsasakdal,
- laban kay- Kaso Sibil Blg. 16-100
Para sa: Collection of

Sum of Money
MAG-ASAWA HAN AT LEIA SOLO,

AT ANG TRADE FEDERATION,
INC.,
Mga nasasakdal.
x----------------------------------------------------x
JUDICIAL AFFIDAVIT
NG
NAGTATANGGOL na si LEIA SKYWALKER-SOLO
Ang Judicial Affidavit na ito ni Leia Skywalker-Solo ay

isinagawa upang maihatid ang kanyang direktang
testimonya sa agarang kaso.
Ako,Leia Skywalker-Solo, nasa legal na edad, may asawa, at

nakatira sa Unit 123, MayForever Condominium, Makati City,
nasasakdal sa kasong ito, nakasaad sa ilalim ng panunumpa ng
sumusunod:
PAUNANG PAHAYAG
Ang taong sumusuri sa akin ay Sinabi ni Atty. Dennie Vieve DP

Idea na may address ng opisina sa Idea, Caraig and Associates Law
Office, No. 1914 Hunters Bldg., Makati Avenue, Makati City. Ang
pagsusulit ay gaganapin sa parehong address. Sinasagot ko ang
kanyang mga tanong nang buong mulat na ginagawa ko ito sa ilalim ng
panunumpa at maaaring maharap sa kriminal na pananagutan para sa
maling testimonya at pagsisinungaling.
LAYUNIN:Ang affidavit/testimonya na ito ng nasasakdal na si Leia
Skywalker-Solo ay inaalok upang patunayan na ang nagsasakdal na si
Jabba D. Hutt at ang kasamang nasasakdal at asawa, si Han Solo, ay
hindi pumasok sa isang Kontrata ng Pautang, at sa pag-aakalang
ginawa nila, dito ang nasasakdal ay may walang kaalaman at/o
pakikilahok sa nasabing transaksyon na sinasabing sa paksang
reklamo.
Patutunayan din ng nasasakdal na ang mga tseke, na inilabas umano

para sa seguridad ng umano'y utang, na nasa kanyang pangalan, ay
hindi niya inisyu para sa nasabing layunin.
1. T. Pakisabi ang iyong pangalan at iba pang mga personal na

pangyayari para sa rekord.
S. Ako si Leia Skywalker-Solo, isang Pilipino at nasa tamang edad.

Ako ayikinasal kay Han Solo. nakatira ako saYunit 123, MayForever
Condominium, Makati City.
2. T. Alam mo ba kung bakit ka nandito?

S. Oo, dahil isa ako sa mga nasasakdal sa isang demanda na
isinampa ni G. Jabba D. Hutt.
3. T. Kilala mo ba si Mr. Jabba D. Hutt?

S. Hindi po, Maam.
4. T. Pero nakilala mo na ba siya ng personal?

S. Hindi po, Maam.
5. T. Ano ang trabaho ng iyong asawa?

S. Siya ang Chief Operating Officer ng Trade Federation, Inc.
6. T. Alam mo ba ang kanyang relasyon o koneksyon kay Mr. Hutt?

S. Hindi po, Maam.
7. T. Ngunit sa abot ng iyong kaalaman, anong uri ng transaksyon baa

ng pinasok ng asawa mo at ni Mr. Hutt?
S. Isang pamumuhunan.
8. T. Ipinakikita ko sa iyo ang dokumentong ito, na tinutukoy ditto

bilang “Exhibit C.” Alam mo ba ang dokumentong ito?
S. Opo Maam.
9. T. Ano ang dokumentong ito?

S. Ang mga tseke na pinangalanan sa aking account.
10. T. Sino ang pumirma sa dokumentong ito?

S. Ang aking sarili.
11. T. Ano ang layunin mo sa pagpirma nito?

S. Pambayad sa bahay na plano naming bilhin.
12. T. Ayon sa impormasyon, ang mga tseke na ito ay talagang nawala?

S. Oo, Maam.
13. T. Paano ito nawala?

S. Ang aking asawa, pagkatapos dumalo sa isang pulong, ay iniwan
ang sobre naglalaman ng mga naturang tseke.
14.T. Tapos, anong nangyari?
S. Tinawagan ako ng asawa ko na nawala ang mga tseke.
15. T. Ano ang ginawa mo pagkatapos mong malaman ang pagkawala
ng mga tseke?
S. Tinawagan ko ang aking bangko, ipinaalam sa Manager na ang
nasabing tseke ay nawala. Nagpadala rin ako sa kanila ng isang
liham na nagpapaalam sa parehong at humiling ng "ihinto ang
pagbabayad" para sa mga nawawalang tseke kung saan kinilala
ng bangko sa isang sulat.
16.T. Mayroon ka bang patunay ng naturang pagkilala?
S. Opo Maam. Mayroon akong sulat ng pagkilala ng bangko (Annex
“5”).
SA PATOTOO KUNG ANO, Ibinigay ko ang aking kamay

ngayong ika-15 araw ng Pebrero 2016.
Leia Skywalker-Solo
Affiant
SUMUMPA NA PAGPAPATUNAY
Pinatutunayan ng may lagda sa ibaba na, bilang tagapayo ng

saksi, matapat niyang itinala ang mga tanong na itinanong niya at ang
kaukulang sagot ng saksi at hindi niya tinuruan ang mga sagot ng saksi
sa mga tanong na inihain.
ATTY. CONNIE A. MACAPAGAO

NOTARY PUBLIC
Hanggang Disyembre 31, 2016
PTR No. 64965557-07 – 01/05/2014
IBP No. 761988-01 – 01/05/2014
Parehong nasa Makati City
MCLE Compliance No. 0034255
Dok. Blg. 245;

Pahina Blg. 35;
Aklat Blg. 42;
serye ng 2016
METROPOLITAN TRIAL COURT
X x x CITY
BRANCH x x x
JUAN DELA CRUZ,

Plaintiff
Civil Case No. xxx
- Versus –
Unlawful Detainer
MARIA CLARA, etc.,
Defendants.
x---------------------------------x
ANSWER
(In re: Summons, Received on
xxx 2011)
The DEFENDANT xxx, by counsel, respectfully states:
I. ANSWER
1. Paragraphs 1 and 2 of the Complaint are admitted.
2. Paragraphs 2 to 6 of the Complaint are denied for lack of knowledge or information sufficient to form a belief
as to the veracity or falsity thereof, the allegations therein being matters known only to, and are within the
control only, of the plaintiff.
3. Paragraphs 7 to 9 of the Complaint are admitted.
4. Paragraph 10 of the Complaint is denied for lack of knowledge and information sufficient to form a belief as
to the veracity or falsity of the alleged amounts of attorney’s fees agreed upon between the plaintiff and her
lawyer. The said paragraph is likewise denied insofar as it alleges that the defendant has no basis or
justification to occupy the subject property, the truth being those alleged in the special and affirmative
defenses part herein below.
II. SPECIAL AND AFFIRMATIVE DEFENSES
5. The title to and ownership in fee simple over the subject property is in the name of the Government Service
Insurance System (GSIS), its registered owner, and not the plaintiff. (See Annex “A”, Par. 3, Complaint).
6. The plaintiff is not “the owner” in fee simple of the subject property, contrary to her allegation in Par. 3 of
the Complaint.
7. The alleged Deed of Conditional Sale between the GSIS and the plaintiff is not annotated on the title on the
property. (See dorsal side of the title of the property, marked as Annex “A”, Par. 3, Complaint).
8. Although the GSIS has given the plaintiff the right of possession of the property under Par. 4 © of the Deed
of Conditional Sale (Annex “B”, Par. 4, Complaint), the plaintiff knew or was supposed to know or was
deemed by law to be obligated to know and to investigate the fact that at the time of her purchase of the
property, the xxx Family were in possession of the property and that it had a vested, beneficial and equitable
right thereto by reason of Memorandum of Agreement (MOA) executed in 1975 between its original
purchaser xxx, represented by xxx, on the one hand, and the matriarch of the xxx Family, i.e., xxx, on the
other.
A copy of the said MOA is attached as Annex “1”.
A copy of the Special Power of Attorney of xxx (1974) is attached as Annex “2” hereof.
9. Since 1975 up to the present time, the xxx Family has been in possession of the subject property by reason
of the said MOA. This fact was known to plaintiff when she investigated the background property until the
time she closed her purchase thereof with the GSIS. There is no proof that plaintiff had reported the real
situation of the property to the GSIS for a solution or amicable settlement between the parties prior to her
purchase thereof. Likewise, the GSIS did not send any investigator to investigate the situation of the
property prior to and at the time of its sale to the plaintiff. It did not issue any formal notice to the defendant
or the xxx Family about the impending attempt of the plaintiff to purchase the property. Had the xxx Family
been notified thereon, they would have taken urgent steps to acquire the same instead of the plaintiff.
10. In 2002, Sps. xxx, the parents of the herein defendant xxx, executed a Special Power of Attorney in favor
of the herein defendant, a copy of which is marked as Annex “3” hereof.
11. The defendant had answered the demanded letter, dated xxx 2011, of the plaintiff through a letter, dated
xxx 2011, of defendant’s counsel, a copy of which is attached as Annex “4” hereof. It requested plaintiff’s
lawyer for a special conference to discuss a serious extrajudicial compromise, without admission of guilt on
the part of the defendant. It was not formally answered by the plaintiff.
12.GSIS is an (if not “the”) indispensable party in the suit being the registered owner in fee simple of the subject
property. The ownership rights of plaintiff under her unannotated Deed of Conditional Sale with the GSIS
are merely inchoate and contingent. The Complaint shows no Board Resolution from the Board of Trustees
of the GSIS empowering the plaintiff to sue the defendant in behalf of the GSIS in the instant case.
III. COMPULSORY COUNTERCLAIM
13.By reason of the abuse of right committed by the plaintiff and by reason of the instant precipitate and
unfounded suit, the defendant was constrained to hire the services of a lawyer to defend his rights and
interests for a professional fee of P20,000.00 plus P3,000.00 per court appearance;
14.Similarly, the plaintiff’s unfounded suit has caused the defendant mental anguish and suffering and public
humiliation and embarrassment, for which the defendant claims moral damages of P100,000.00.
IV. PRAYER
WHEREFORE, premises considered, it is respectfully prayed that the parties be given ample time
to reach an amicable settlement before the xxx City Mediation Center; and that in case of a failure thereof,
and after trial, the complaint be dismissed for lack of merit and the defendant’s compulsory counterclaim be
granted, i.e.. attorney’s fees of P20,000.00 plus moral damages of P100,000.00, plus costs of suit.
The defendant respectfully prays for such and other reliefs as may be deemed just and equitable
in the premises.
xxx City, xxx 2011.
LASERNA CUEVA-MERCADER LAW OFFICES

Counsel for Defendant xxx
Unit 15, Star Arcade, C.V Starr Avenue
Philamlife Village, Las Pinas City 1740
MANUEL J. LASERNA JR.

Xxx
VERIFICATION
AND
ANTI-FORUM SHOPPINFG CERTIFICATION
I, JUAN DELA CRUZ, of legal age, married, Filipino, and with postal address c/o 0123, Barangay xxx, xxx
Village, xxx, xxx City, under oath, depose:
I am the defendant in the foregoing case; that I caused the preparation of the foregoing Answer;
that I have read its contents; and that the same are true and correct of my own direct, personal knowledge.
Further, pursuant to Rule 7 of the 1997 Rules of Civil Procedure and existing Supreme Court circulars, I
hereby certify that I have not heretofore commenced any other action or proceeding involving the same
issues in the Supreme Court, the Court of Appeals, or any other tribunal or agency; that to the best of my
knowledge, no such action or proceeding is pending in the Supreme Court, the Court of Appeals, or any
other tribunal or agency; and that if I should hereafter learn that other similar or related actions or
proceedings has been filed or is pending before the Supreme Court, the Court of Appeals, or any other
tribunal or agency, I undertake to report that fact within five (5) days therefrom to this court.
xxx City, xxx 2011.
Xxx
Affiant/Defendant
SSS Member ID No.
xxx
Issued on xxx 1975
SUBSCRIBED and sworn to before me in xxx City on xxx 2011, the affiant showing his SSS Member
ID Card as stated above as competent proof of his identity.
NOTARY PUBLIC
Doc. No. ____

Page No. ____
Book No. ____
Series of 2011
Cc :
Atty. Xxx
Counsel for Plaintiff
xxx Rm. xxx
xxx Bldg.
Brgy. xxx, xxx City
Metro Manila
Reg. Rec. No.
Date PO
EXPLANATION
A copy of this pleading is served via registered mail, instead of via personal service, on the adverse
counsel due to the distance of his law office address and the lack of field staff of undersigned counsel at
this time.

METROPOLITAN TRIAL COURT
X xx LUNGSOD
SANGAY xxx
JUAN DELA CRUZ,

Nagsasakdal
Kaso Sibil Blg. xxx
-Laban sa -
Unlawful Detainer
MARIA CLARA, atbp.,
Mga nasasakdal.
x---------------------------------x
ANSWER
(In re: Summons, Natanggap noong
xxx 2011)
Ang DEFENDANT xxx, sa pamamagitan ng abogado, ay magalang na nagsasaad:
I. ANSWER
1. Ang mga talata 1 at 2 ng Reklamo ay tinatanggap.
2. Ang mga talata 2 hanggang 6 ng Reklamo ay tinatanggihan dahil sa kakulangan ng kaalaman o

impormasyong sapat upang bumuo ng isang paniniwala sa katotohanan o kamalian nito, ang mga paratang
dito ay mga bagay na alam lamang, at nasa kontrol lamang, ng nagsasakdal.
3. Ang mga talata 7 hanggang 9 ng Reklamo ay tinatanggap.
4. Ang talata 10 ng Reklamo ay tinanggihan dahil sa kakulangan ng kaalaman at impormasyong sapat upang
bumuo ng isang paniniwala sa katotohanan o kamalian ng mga di-umano'y halaga ng mga bayad sa
abogado na napagkasunduan sa pagitan ng nagsasakdal at ng kanyang abogado. Ang nasabing talata ay
itinatanggi din sa kadahilanang ito ay nagsasaad na ang nasasakdal ay walang batayan o katwiran upang
sakupin ang paksang pag-aari, ang katotohanan ay ang mga pinaghihinalaang nasa espesyal at afirmative
defenses na bahagi dito sa ibaba.
II. ESPESYAL AT MGA AFFIRMATIVE DEFENSES
5. Ang titulo at pagmamay-ari sa simple fee sa subject na ari-arian ay nasa pangalan ng Government Service
Insurance System (GSIS), ang rehistradong may-ari nito, at hindi ang nagsasakdal. (Tingnan ang Annex
“A”, Par. 3, Reklamo).
6. Ang nagsasakdal ay hindi "ang may-ari" sa simpleng bayad ng paksang ari-arian, salungat sa kanyang
paratang sa Par. 3 ng Reklamo.
7. Ang sinasabing Deed of Conditional Sale sa pagitan ng GSIS at ng nagsasakdal ay walang anotasyon sa
titulo sa ari-arian. (Tingnan ang dorsal side ng titulo ng property, na minarkahan bilang Annex “A”, Par. 3,
Reklamo).
8. Bagama't binigyan ng GSIS ang nagsasakdal ng karapatang magkaroon ng ari-arian sa ilalim ng Par. 4 ©
ng Deed of Conditional Sale (Annex “B”, Par. 4, Reklamo), alam o dapat alam ng nagsasakdal o itinuring
ng batas na obligadong malaman at imbestigahan ang katotohanan na sa panahon ng kanyang pagbili ng
ari-arian, ang xxx Pamilya ay nagmamay-ari ng ari-arian at na ito ay may vested, kapaki-pakinabang at
pantay na karapatan dito sa pamamagitan ng Memorandum of Agreement (MOA) na isinagawa noong
1975 sa pagitan ng orihinal na bumibili nito xxx, na kinakatawan ng xxx, sa isang banda, at ang matriarch
ng xxx Family, ibig sabihin, xxx, sa kabilang banda.
Ang kopya ng nasabing MOA ay kalakip bilang Annex “1”.
Ang isang kopya ng Espesyal na Kapangyarihan ng Abugado ng xxx (1974) ay nakalakip bilang Annex
"2" dito.
9. Mula noong 1975 hanggang sa kasalukuyan, ang xxx Family ay nagmamay-ari ng subject property dahil
sa nasabing MOA. Ang katotohanang ito ay nalaman ng nagsasakdal nang siya ay nag-imbestiga sa
background na ari-arian hanggang sa oras na isara niya ang kanyang pagbili nito sa GSIS. Walang patunay
na iniulat ng nagsasakdal ang tunay na sitwasyon ng ari-arian sa GSIS para sa isang solusyon o maayos
na kasunduan sa pagitan ng mga partido bago siya bumili nito. Gayundin, ang GSIS ay hindi nagpadala ng
sinumang imbestigador upang imbestigahan ang sitwasyon ng ari-arian bago at sa oras ng pagbebenta
nito sa nagsasakdal. Hindi ito nagbigay ng anumang pormal na paunawa sa nasasakdal o sa xxx Family
tungkol sa nalalapit na pagtatangka ng nagsasakdal na bilhin ang ari-arian. Kung ang xxx Family ay
naabisuhan tungkol doon, sila ay gumawa ng mga agarang hakbang upang makuha ang pareho sa halip
na ang nagsasakdal.
10. Noong 2002, si Sps. xxx, ang mga magulang ng nasasakdal dito xxx, ay nagsagawa ng Espesyal na
Kapangyarihan ng Abugado na pabor sa nasasakdal dito, ang kopya nito ay minarkahan bilang Annex “3”
dito.
11. Sinagot ng nasasakdal ang hinihinging liham, na may petsang xxx 2011, ng nagsasakdal sa pamamagitan
ng isang liham, na may petsang xxx 2011, ng abogado ng nasasakdal, ang kopya nito ay nakalakip bilang
Annex “4” dito. Hiniling nito ang abogado ng nagsasakdal para sa isang espesyal na kumperensya upang
talakayin ang isang seryosong kompromiso sa extrajudicial, nang walang pag-amin ng pagkakasala sa
bahagi ng nasasakdal. Hindi ito pormal na sinagot ng nagsasakdal.
12. Ang GSIS ay isang (kung hindi “ang”) kailangang-kailangan na partido sa demanda bilang ang rehistradong
may-ari sa simple fee ng subject na ari-arian. Ang mga karapatan sa pagmamay-ari ng nagsasakdal sa
ilalim ng kanyang hindi nabanggit na Deed of Conditional Sale kasama ang GSIS ay inchoate at contingent
lamang. Ang Reklamo ay nagpapakita ng walang Board Resolution mula sa Board of Trustees ng GSIS na
nagbibigay ng kapangyarihan sa nagsasakdal na idemanda ang nasasakdal sa ngalan ng GSIS sa agarang
kaso.
III. COMPULSORY COUNTERCLAIM
13. Dahil sa pang-aabuso ng karapatan na ginawa ng nagsasakdal at dahil sa agarang pag-usad at walang
batayan na demanda, napilitan ang nasasakdal na kumuha ng mga serbisyo ng isang abogado upang
ipagtanggol ang kanyang mga karapatan at interes para sa isang propesyonal na bayad na P20,000.00
plus P3,000.00 kada pagharap sa korte;
14. Katulad nito, ang walang batayan na demanda ng nagsasakdal ay nagdulot ng paghihirap at pagdurusa sa
pag-iisip ng nasasakdal at kahihiyan at kahihiyan sa publiko, kung saan ang nasasakdal ay nag-claim ng
moral damages na P100,000.00.
IV. PANALANGIN
KUNG SAAN, ang mga lugar na isinasaalang-alang, ito ay magalang na ipinagdarasal na ang mga
partido ay mabigyan ng sapat na panahon upang maabot ang isang mapayapang kasunduan sa harap ng
xxx City Mediation Center; at na kung sakaling mabigo ito, at pagkatapos ng paglilitis, ang reklamo ay i-
dismiss dahil sa kawalan ng merito at ang sapilitang sagot ng nasasakdal ay pagbigyan, ibig sabihin.
attorney's fees na P20,000.00 plus moral damages na P100,000.00, kasama ang mga gastos sa suit.
Ang nasasakdal ay magalang na nananalangin para sa ganoon at iba pang mga kaluwagan na
maaaring ituring na makatarungan at pantay sa lugar.
xxx Lungsod, xxx 2011.
LASERNA CUEVA-MERCADER LAW OFFICES

Tagapayo para sa Nasasakdal xxx
Unit 15, Star Arcade, CV Starr Avenue
Philamlife Village, Las Pinas City 1740

X xx
VERIFICATION
AT
ANTI-FORUM SHOPPINFG CERTIFICATION
Ako, si JUAN DELA CRUZ, nasa legal na edad, may-asawa, Filipino, at may postal address c/o 0123,
Barangay xxx, xxx Village, xxx, xxx City, sa ilalim ng panunumpa, pinatalsik:
Ako ang nasasakdal sa naunang kaso; na naging sanhi ako ng paghahanda ng naunang Sagot;
na nabasa ko ang nilalaman nito; at ang parehong ay totoo at tama sa aking sariling direkta, personal na
kaalaman.
Dagdag pa, alinsunod sa Rule 7 ng 1997 Rules of Civil Procedure at umiiral na mga sirkular ng Korte
Suprema, sa pamamagitan nito ay pinatutunayan ko na hindi pa ako nagsimula ng anumang iba pang
aksyon o paglilitis na kinasasangkutan ng parehong mga isyu sa Korte Suprema, Court of Appeals, o
anumang iba pang tribunal o ahensya; na sa abot ng aking kaalaman, walang ganoong aksyon o paglilitis
ang nakabinbin sa Korte Suprema, Court of Appeals, o anumang ibang tribunal o ahensya; at na kung
pagkatapos ay malalaman ko na ang iba pang katulad o nauugnay na mga aksyon o paglilitis ay isinampa
o nakabinbin sa Korte Suprema, Court of Appeals, o anumang iba pang tribunal o ahensya, sinisikap kong
iulat ang katotohanang iyon sa loob ng limang (5) araw mula doon sa hukuman na ito.
xxx Lungsod, xxx 2011.
X xx
Affiant/Defendant
SSS Member ID No.
xxx
Inilabas noong xxx 1975
NAG-SUBSCRIBE at nanumpa sa harap ko sa xxx City noong xxx 2011, ang affiant na nagpapakita ng
kanyang SSS Member ID Card na nakasaad sa itaas bilang karampatang patunay ng kanyang
pagkakakilanlan.
NOTARY PUBLIC
Dokumento Blg. ____

Pahina Blg. ____
Book No. ____
Serye ng 2011
Cc :
Sinabi ni Atty. xxx

xxx Rm. xxx
xxx Bldg.
Brgy. xxx, xxx Lungsod
Metro Manila
Sinabi ni Reg. Rec. Hindi.
Petsa PO
PALIWANAG
Ang isang kopya ng pagsusumamo na ito ay inihahatid sa pamamagitan ng rehistradong koreo, sa halip
na sa pamamagitan ng personal na serbisyo, sa adverse counsel dahil sa layo ng address ng kanyang
law office at kakulangan ng field staff ng undersigned counsel sa oras na ito.

7th JUDICIAL REGION
MUNICIPAL TRIAL COURT IN CITIES
City of Cebu, Branch 3
JUAN DELA A. CRUZ,

Plaintiff,
- versus - CIVIL CASE NO. M-011035

For: Collection of a sum of money and
Damages
PEDRO A. SANTOS,
Defendant.
x---------------------------/
REPLY WITH MOTION TO SET PRE-TRIAL
PLAINTIFF, by undersigned counsel, unto the Honorable Court, most

respectfully manifest that on February 3, 2017, he received a copy of the
ANSWER WITH COMPULSORY COUNTERCLAIMS of Defendant in
the above-entitled case and, by way of a REPLY to new matters alleged
therein, hereby state THAT:
1. The allegation in Paragraph 8 of the Answer with Compulsory

Counterclaim is specifically denied, the truth being that alleged in
the Complain;
2. Paragraphs 9, 10, 11, and 12 are specifically denied for lack of

knowledge sufficient to form a belief as to the truth or falsity
thereof;
3. The allegation in Paragraph 13 is admitted insofar as the Plaintiff’s

refusal to acknowledge the receipt issued by the Plaintiff’s wife,
the truth being that the Plaintiff did not authorize any other person,
including his wife, to receive payment from the Defendant;
4. Paragraphs 14, 15, and 16 are specifically denied, the truth being
that the present action is well-founded in fact and in law, filed in
good faith to protect and vindicate the rights of the Plaintiff
violated by the Defendant; therefore, there is no basis whatsoever
1
for the Defendant to recover any damages, attorney’s fees nor
expenses of litigation from the Plaintiff;
II
The issues are joined. The case is ripe for pre-trial.
PRAYER
WHEREFORE, premises considered, it is most respectfully prayed of

this Honorable Court that the counterclaim of the Defendant be dismissed
and that the case be set for pre-trial
Cebu City, February 6, 2017.
PABUAYA & SANTOS LAW OFFICE

Room 204, CRM Building,
Escario cor. Molave Sts., Lahug,
Cebu City 6000
Telephone Number: (032) 253-1890 to 91
Fax Number: (032) 253-1892
E-mail Address: inquiry@pslawoffice.com
By:
ATTY. CRISTIE PEARL O. PABUAYA

Roll No. 374435
IBP No. 827847, 01/04/17, Cebu City
PTR No. 576784, 01/04/17, Cebu City
MCLE Compliance No. V-0008811
Telephone No. (032) 253-1890 local 101
E-mail Address: cpopabuaya@pslawoffice.com
ATTY. MARIA EMMA C. SANTOS

Roll No. 383325
IBP No. 8448436, 01/05/17, Cebu City
PTR No. 599013, 01/05/17, Cebu City
Telephone No. (032) 253-1890 local 102
E-mail Address: emecsantos@pslawoffice.com
2
Copy furnished, in accordance with
Section 11, Rule 13 of the Revised
Rules of Court, by registered mail,
due to shortage of messengerial
services, to:
CORCUERA & OTADOY LAW OFFICE

Unit 164, SCR Building,
General Maxilom Avenue,
Cebu City 6000
ATTY. ALVIN Q. VASQUEZ

Clerk of Court
Municipal Trial Court in Cities,
Cebu City, Branch 9,
3/F Qimonda IT Center,
Sergio Osmeña Boulevard,
Cebu City
3
IKA-7 JUDICIAL REGION
MUNICIPAL TRIAL COURT SA MGA LUNGSOD
Lungsod ng Cebu, Sangay 3
JUAN DELA A. CRUZ,

Nagsasakdal,
- laban sa - CIVIL CASE NO. M-011035 Para sa:

COLLECTION OF SUM OF MONEY
PEDRO A. SANTOS,
Nasasakdal.
x--------------------------/
REPLY SA ANSWER WITH COUNTERCLAIMS
Nagsasakdal, sa pamamagitan ng nakapirmang abogado, sa

Kagalang-galang na Hukuman, buong-galang na ipinahayag na noong
Pebrero 3, 2017, nakatanggap siya ng kopya ng SAGOT NA MAY
COMPULSORY COUNTERCLAIMS ng Nasasakdal sa kaso na
pinamagatang nasa itaas at, sa pamamagitan ng isang REPLY sa mga
bagong bagay na pinaghihinalaang dito, isinasaad dito na:
I.
1. Ang paratang sa Paragraph 8 ng Answer with Compulsory

Counterclaim ay partikular na tinanggihan, ang katotohanan ay
ang sinasabi sa Reklamo;
2. Ang mga talata 9, 10, 11, at 12 ay partikular na tinatanggihan

dahil sa kakulangan ng sapat na kaalaman upang bumuo ng isang
paniniwala sa katotohanan o kasinungalingan nito;
3. Ang paratang sa Talata 13 ay tinatanggap hanggang sa pagtanggi

ng Nagsasakdal na kilalanin ang resibo na inisyu ng asawa ng
Nagsasakdal, ang katotohanan ay hindi pinahintulutan ng
Nagsasakdal ang sinumang tao, kabilang ang kanyang asawa, na
tumanggap ng bayad mula sa Nasasakdal;
4. Ang mga talata 14, 15, at 16 ay partikular na tinanggihan, ang

katotohanan ay ang kasalukuyang aksyon ay may batayan sa
katotohanan at sa batas, na inihain nang may mabuting loob
upang protektahan at ipagtanggol ang mga karapatan ng
Nagsasakdal na nilabag ng Nasasakdal; samakatuwid, walang
anumang batayan
para mabawi ng Nasasakdal ang anumang mga pinsala, bayad sa

abogado o gastos sa paglilitis mula sa Nagsasakdal;
II
Ang mga isyu ay pinagsama. Ang kaso ay hinog na para sa pre-trial.
PANALANGIN
KAYA, ang mga lugar na isinasaalang-alang, ito ay lubos na magalang

na idinadalangin ng Kagalang-galang na Hukuman na ang counterclaim ng
Nasasakdal ay i-dismiss at ang kaso ay itakda para sa pre-trial.
Cebu City, Pebrero 6, 2017.

Tagapayo para sa Nagsasakdal Room 204,
CRM Building, Escario cor. Molave Sts.,
Lahug, Cebu City 6000
Numero ng Telepono: (032) 253-1890 hanggang

91 Numero ng Fax: (032) 253-1892
E-mail Address:inquiry@pslawoffice.com
ni:

Roll No. 374435
IBP No. 827847, 01/04/17, Cebu City PTR No.
576784, 01/04/17, Cebu City MCLE
Compliance No. V-0008811 Telephone No.
(032) 253-1890 local 101 E-mail Address:
cpopabuaya@pslawoffice.com
ATTY. MARIA EMMA C. SANTOS Roll

No. 383325
IBP No. 8448436, 01/05/17, Cebu City PTR No.
599013, 01/05/17, Cebu City MCLE
Compliance No. V-0008815 Telephone No.
(032) 253-1890 local 102 E-mail Address:
emecsantos@pslawoffice.com
Ibinigay ang kopya, alinsunod sa Seksyon 11, Rule
13 ng Binagong Mga Tuntunin ng Hukuman, sa

pamamagitan ng rehistradong koreo, dahil sa
kakulangan ng mga serbisyo ng mensahero, sa:
CORCUERA & OTADOY LAW OFFICE

General Maxilom
Avenue, Cebu City 6000
ATTY. ALVIN Q.
VASQUEZ Clerk of Court
Municipal Trial Court sa mga Lungsod,
Cebu City, Branch 9,
3/F Qimonda IT Center,
Sergio Osmeña Boulevard,
Cebu City
3
DEPARMENT OF JUSTICE
OFFICE OF THE PROVINCIAL PROSECUTOR OF CAVITE
HALL OF JUSTICE COMPOUND, AGUINALDO HIGHWAY, IMUS CAVITE
ARACELI H. PURI,
Complainant,
NPS Docket No. IV-03—INV10F2634

-versus-
DINA C. PEREZ,
Respondent,
x- - - - - - - - - - - - - - - - - - - - - - - - - - - x
REJOINDER TO REPLY AFFIDAVIT
I, DINA C. PEREZ, Filipina, of legal age and presently residing at Lot 3,

Fatima II, City of Dasmariñas, after having been sworn on oath in
accordance with law, depose and say:
1. That respondent herein reiterates what she stated in her

“KONTRA SALAYSAY” as being the truth and nothing but the truth on the
transaction that occurred between the former and complainant;
2. That what occurred sometime in September 3, 2009, was a

case of a simple loan were the complainant lend money to respondent
with a side agreement for interest and a collateral that I must be emphasize
that if there was any error in the description of the collateral the same is of
no moment, because respondent nevertheless, acknowledged her
indebtedness. In fact, respondent was pushed against the wall, since
complainant after agreeing to lend the amount of TWO HUNDRED
1
THOUSAND PESOS (P200,000.00) only gave the respondent the amount of
ONE HUNDRED FORTY THOUSAND PESOS (P140,000.00). Stating that the
amount of SIXTY THOUSAND PESOS (P60,000.00) was deducted to cover the
interest for THREE MONTHS (3), complainant justified such deduction as
being legal ;
3. That respondent do not deny her indebtedness, this has been

her stand, the only thing is that the complainant wants to impose an interest
that is shocking, immoral and contrary to public policy. While it may be true
that the parties herein may stipulate on the amount of interest to be paid.
It does not mean that the respondent is not without remedy to contest the
unreasonable interest. Respondent is not reneging on her contractual
obligation but she want to make it clear, that like the complainant who has
the right to collect, she too has the corresponding right to question the
extremely unconscionable interest impose on her ;
4. That contrary to the claim of the complainant, respondent did

not submit a fake title as collateral. Transfer certificate of Title No. 897787,
she used as a collateral intact and is with the Registry of Deeds of the
Province of Cavite. To prove respondent’s good faith, she wrote a letter to
the Registry of Deeds for the Province of Cavite, requesting for a
Certification as to whether or not TCT No. 897787 is existing. This is to belie
the accusation of the complainant that respondent was deliberately faking
a document; Copy of the said letter is here fore attached as Annex “A.”;
5. That for the crime of estafa in general to exist, its basic element
of deceit, must have to be shown or proven. In the case at her, respondent
did not employ deception to complainant to acquire a loan. Complainant
know at the start of the transaction that what was used as a collateral for
the loan transaction was not yet in the name of respondent. Respondent
2
was honest in so admitting it to the complainant. Why would she now claim
that respondent fake a title? It seems that complainant getting too far to
criminally induct respondent for a crime she did not commit. For sure,
contracting a loan is not a criminal offense. No law says that such act is
criminal.;
6. Yes respondent do ignored the calls of complainant

sometimes, but the same is not avoidance to pay the loan, but simply to
prevent the complainant from hurling unsavory language to respondent.
Complainant was to insistent to charge a unconscionable and shocking
interest and respondent was an unwilling victim to fall into this prey.
Respondent was greatly in need and such should not he taken against her,
if she swallowed an interest against her will;
7. That from the facts herein presented, it is immaculately clear

that no probable cause exist to criminally indirect herein respondent for the
crime of estafa. No prima-facie evidence of deceit was proven by the
complainant. Admittedly, respondent may be held civilly liable, not
criminally liable. Respondent is willing to pay, but the payment must be
reasonable and made within the parameters of decency and morality;
8. All told, the case for estafa be should be dismissed for lack of
legal and factual basis.;
Respectfully submitted,
DINA C. PEREZ
Affiant
3
Imus Cavite 6000
Telephone Number: (032) 253-1890 to 91 Fax Number: (032) 253-1892
E-mail Address: inquiry@pslawoffice.com
By:

Roll No. 374435
IBP No. 827847, 01/04/17, Imus Cavite
PTR No. 576784, 01/04/17, Imus Cavite
Telephone No. (032) 253-1890 local 101 E-mail Address:
cpopabuaya@pslawoffice.com
ATTY. MARIA EMMA C. SANTOS

Roll No. 383325
IBP No. 8448436, 01/05/17, Imus Cavite
PTR No. 599013, 01/05/17, Imus Cavite
Telephone No. (032) 253-1890 local 102 E-mail Address:
emecsantos@pslawoffice.com
Copy furnished, in accordance with Section 11, Rule 13 of the Revised Rules
of Court, by registered mail, due to shortage of messengerial services, to:
CORCUERA & OTADOY LAW OFFICE Counsel for the Plaintiff

General Maxilom Avenue,
Imus Cavite 6000
ATTY. ALVIN Q. VASQUEZ Clerk of Court

Municipal Trial Court in Cities,
Cebu City, Branch 9, 3/F Qimonda IT Center, Sergio Osmeña
Boulevard, Imus Cavite
4
DEPARMENT OF JUSTICE
OFFICE OF THE PROVINCIAL PROSECUTOR OF CAVITE
HALL OF JUSTICE COMPOUND, AGUINALDO HIGHWAY, IMUS CAVITE
ARACELI H. PURI,
Nagrereklamo,
NPS Docket No. IV-03—INV10F2634

-laban sa-
DINA C. PEREZ,
Respondent,
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
REJOINDER SA REPLY AFFIDAVIT
Ako si, DINA C. PEREZ, Filipina, nasa tamang edad at kasalukuyang

naninirahan sa Lot 3, Fatima II, Lungsod ng Dasmariñas, pagkatapos
manumpa ng alinsunod sa batas, nagpapaalis at nagsabing:
1. Inulit ng respondent dito ang kanyang sinabi sa kanyang

"KONTRA SALAYSAY" bilang katotohanan at walang iba kundi ang
katotohanan sa transaksyon na naganap sa pagitan ng una at
nagrereklamo;
2. Na ang nangyari noong Setyembre 3, 2009, ay isang kaso ng

isang simpleng pautang ay ang nagrereklamo ay nagpahiram ng pera sa
respondent na may panig na kasunduan para sa interes at isang collateral
na dapat kong bigyang-diin na kung mayroong anumang pagkakamali sa
paglalarawan ng collateral ang parehong ay walang sandali, dahil
1
sumasagot gayunpaman, kinikilala ang kanyang pagkakautang. Sa
katunayan, ang respondent ay itinulak sa pader, dahil ang nagrereklamo
matapos pumayag na ipahiram ang halagang DALAWANG DAANG
LIBONG PESOS (P200,000.00) ay nagbigay lamang sa respondent ng
halagang ONE HUNDRED FORTY LIBONG PESOS (P140,000.00). Isinasaad na
ang halagang SIXTY THOUSAND PESOS (P60,000.00) ay ibinawas upang
masakop ang interes sa loob ng TATLONG BUWAN (3), ang nagrereklamo
ay nagbigay-katwiran sa naturang pagbawas bilang legal;
3. Ang respondent na iyon ay hindi itinatanggi ang kanyang

pagkakautang, ito ang kanyang paninindigan, ang tanging bagay ay ang
nagrereklamo ay gustong magpataw ng interes na nakakagulat, imoral at
salungat sa pampublikong patakaran. Bagama't maaaring totoo na ang
mga partido dito ay maaaring magtakda ng halaga ng interes na
babayaran. Hindi ito nangangahulugan na ang sumasagot ay walang
remedyo upang labanan ang hindi makatwirang interes. Hindi tinatalikuran
ng respondent ang kanyang obligasyon sa kontraktwal ngunit nais niyang
linawin, na tulad ng nagrereklamo na may karapatang mangolekta, siya
rin ay may kaukulang karapatan na tanungin ang labis na walang
konsensyang interes na ipinapataw sa kanya;
4. Na taliwas sa claim ng complainant, hindi nagsumite ng

pekeng titulo ang respondent bilang collateral. Transfer certificate ng Title
No. 897787, ginamit niya bilang collateral na buo at kasama sa Registry of
Deeds ng Lalawigan ng Cavite. Upang patunayan ang mabuting loob ng
respondent, sumulat siya sa Registry of Deeds para sa Lalawigan ng Cavite,
na humihiling ng Sertipikasyon kung mayroon o wala ang TCT No. 897787.
Ito ay para pasinungalingan ang akusasyon ng nagrereklamo na sadyang
nagpe-peke ng dokumento ang respondent; Ang kopya ng nasabing
liham ay nakalakip dito bilang Annex "A.";
2
5. Na para umiral ang krimen ng estafa sa pangkalahatan, ang
pangunahing elemento ng panlilinlang, ay kailangang ipakita o
patunayan. Sa kaso sa kanya, ang respondent ay hindi gumamit ng
panlilinlang sa nagrereklamo upang makakuha ng pautang. Alam ng
nagrereklamo sa simula ng transaksyon na ang ginamit bilang collateral
para sa loan transaction ay wala pa sa pangalan ng respondent. Naging
tapat ang respondent kaya inamin ito sa nagrereklamo. Bakit niya ngayon
sasabihin na pekeng titulo ang respondent na iyon? Mukhang napakalayo
na ng nagrereklamo para gawing kriminal ang respondent para sa isang
krimen na hindi niya ginawa. For sure, hindi criminal offense ang
pagkontrata ng loan. Walang batas na nagsasabi na ang ganitong
gawain ay kriminal.;
6. Oo, hindi pinapansin ng respondent ang mga tawag ng

nagrereklamo minsan, ngunit hindi rin ang pag-iwas sa pagbabayad ng
utang, ngunit para lamang pigilan ang nagrereklamo na maghagis ng
hindi magandang salita sa respondent. Ang nagrereklamo ay igiit na
singilin ang isang hindi matapat at nakakagulat na interes at ang
sumasagot ay isang ayaw na biktima na mahulog sa biktimang ito.
Lubhang nangangailangan ang Respondent at hindi siya dapat kunin
laban sa kanya, kung lumunok siya ng interes na labag sa kanyang
kalooban;
7. Na mula sa mga katotohanang ipinakita dito, malinaw na

malinaw na walang posibleng dahilan ang hindi direktang kriminal dito na
sumasagot para sa krimen ng estafa. Walang prima-facie na ebidensya ng
panlilinlang ang napatunayan ng nagrereklamo. Tanggapin, ang
sumasagot ay maaaring managot sa sibil, hindi mananagot sa kriminal.
Ang sumasagot ay handang magbayad, ngunit ang pagbabayad ay
3
dapat na makatwiran at ginawa sa loob ng mga parameter ng pagiging
disente at moralidad;
8. Ang lahat ng sinabi, ang kaso para sa estafa be ay dapat na

i-dismiss dahil sa kawalan ng legal at makatotohanang batayan.;
Pinasa na may
paggalang,
DINA C. PEREZ
Affiant

Imus Cavite 6000Telephone Number: (032) 253-1890 to 91 Fax Number:
(032) 253-1892E-mail Address:inquiry@pslawoffice.com
ni:
ATTY. CRISTIE PEARL O. PABUAYARoll No. 374435IBP No. 827847, 01/04/17,

Imus CavitePTR No. 576784, 01/04/17, Imus CaviteMCLE Compliance No.
V-0008811032 No. 9-1032 lokal mail
Address:cpopabuaya@pslawoffice.com
ATTY. MARIA EMMA C. SANTOSRoll No. 383325IBP No. 8448436, 01/05/17,

Imus CavitePTR No. 599013, 01/05/17, Imus CaviteMCLE Compliance No.
V-0008815Telephone No. V-0008815Telephone No. mail
Address:emecsantos@pslawoffice.com
Ibinigay ang kopya, alinsunod sa Seksyon 11, Rule 13 ng Binagong Mga

Tuntunin ng Hukuman, sa pamamagitan ng rehistradong koreo, dahil sa
kakulangan ng mga serbisyo ng mensahero, sa:
4
CORCUERA & OTADOY LAW OFFICE Counsel para sa
PlaintiffUnit 164, SCR Building, General Maxilom Avenue,
Imus Cavite 6000
ATTY. ALVIN Q. VASQUEZ Clerk ng CourtMunicipal Trial Court in

Cities,
Cebu City, Branch 9, 3/F Qimonda IT Center, Sergio Osmeña
Boulevard, Imus Cavite
5
Regional Trial Court
National Capital Judicial Region
Branch 96
Quezon City
JABBA D. HUTT,
Plaintiff
- versus - Civil Case No.16-100

For Collection of Sum of Money
SPOUSES HAN AND LEIA SOLO,

and THE TRADE FEDERATION, INC.
Defendants.
x-------------------------------------------------x
PRE-TRIAL BRIEF
(FOR THE PLAINTIFF)
Plaintiff JABBA D. HUTT, by counsel, and unto this

Honorable Court, most respectfully states:
I. BRIEF STATEMENT OF THE PLAINTIFF’S POSITION

1. Plaintiff Jabba D. Hutt files an action for breach of contractual
obligations against defendant Han Solo set forth in the
notarized Contract of Loan amounting to FIVE HUNDRED
THOUSAND PESOS (Php 500,000.00) with compensatory
interest at the rate of ten percent (10%).
2. The defendant executed the following as consideration to the

said loan:
a. Promissory note
b. Ten (10) post-dated checks for Five Hundred Fifty

Thousand Pesos (Php 550,000.00) each
c. Chattel mortgage on a plane called the “Millenium

Falcon”, notarized in accordance to law.
d. Stipulation that the venue of any complaint arising

from said contract is Quezon City.
3. There was a Board Resolution which defendant Trade

Federation Incorporation authorizes Defendant Solo as
1|Page
Chief Operating Officer, to execute a mortgage on the plane.
Board Resolution 14, Sec. 4(b) states:
“The Chief Operating Officer may, upon

his discretion, execute a chattel mortgage in his
name, on any property of the Corporation,
whenever feasible, in furtherance of the
corporation’s purposes and objectives.”
4. On 20 December 2015, plaintiff issued a demand letter

demanding him to pay the outstanding debt but the
defendant failed to do so.
5. On 13 January 2016, plaintiff encashed one issued

check by defendant Solo, however, it was denied and
has bounced due to Closed Account.
6. Since the bank account was closed, the remaining nine

(9) checks are also considered bounced for there is no
sufficient fund to finance the same. Thus, on 15
January 2016, another demand letter was sent to
defendant with a notice that all of his checks bounced
for the reason of Closed Account.
7. Plaintiff stands with conviction that defendant Han

Solo has an outstanding debt to the plaintiff.
8. CONTRACT OF LOAN. Plaintiff strongly holds that the

Contract of Loan entered between him and defendant Han
Solo is valid, notarized and not a product of forgery.
9. BOARD RESOLUTION. Plaintiff partially denies the

allegation of defendant Han Solo that the latter did not
present any Board Resolution to the plaintiff. Defendant
Han Solo has been given the right to act as an agent of the
defendant corporation in executing the said Chattel
Mortgage by virtue of the Board Resolution No. 14.
10. CHATTEL MORTGAGE. The Chattel Mortgage entered

between plaintiff and defendant Han Solo is valid and
binding between the parties and defendant Han Solo’s
signature is not forged. The plane called the “Millenium
Falcon” was in actual possession of Solo thus it raises a
disputable presumption of ownership. Hence, the true
owner, defendant TFI, must resort to judicial process for the
recovery of the property.1
1 New Civil Code, Art. 433

2|Page
That the Chattel Mortgage was notarized in accordance to
law, thus entitled to great weight before any proceedings
contesting the same.2 And that it provides as the best
evidence since it is recorded in a public office. In which case,
it is registered at Registry of Deeds. 3
11. VALIDITY OF SECURITIES ISSUED BY THE

DEFENDANT. The averments in paragraphs 5, 6, and 7 of
the complaint are all reflected in the contract of loan and the
promissory note. To even corroborate these evidence, there
is a chattel mortgage executed, and checks issued. That
there is a presumption that Hutt takes ordinary care of his
concerns, and that ordinary course of business has been
followed 4
12. INVESTMENT. Plaintiff did not invest to the defendant

corporation. The loaned amount referred to in the
Complaint was a loan in itself and not an investment.
13. SUBSCRIPTION AGREEMENT. The Subscription

Agreement is suspicious, and should not be given probative
value.
14. LOST ENVELOPE WHICH INCLUDES CHECKS;

AND IDENTIFICATION CARDS OF DEFENDANT
HAN SOLO. Defendant Han Solo is maliciously accusing
plaintiff of getting and using the checks and identification
cards of defendant spouses for using it to defraud the latter.
These accusations of defendant spouses hold no water.
15. VENUE. Plaintiff rejects the contention of defendant

spouses thatb there is an improper venue. The law provides
that the rule on venue shall not apply, where the parties
have validly agreed in writing before the filing of the action
on the exclusive venue thereof.5
16. MOTION TO DISMISS. The defendant spouses are

estopped to move for the dismissal of the case. Not only did
they answer to the complaint, but they are actually seeking
for a relief before the Court. By filing their ‘ANSWER WITH
COUNTERCLAIM,’ they are in effect, validly waiving to
attack the matter on venue. This is considered an act of
surrendering themselves to the jurisdiction of the Court.
Defendants, however, contends the following:
2 De Jesus v. Court of Appeals, G.R. No. 127857, June 20, 2006, 491 SCRA 325, 334
3 Rules of Court, Rule 130 Sec. 3 (d)
4 Rules of Court, Rule. 131 Sec. 3 (d); (q)
5 Rules of Court, Sec. 4
3|Page
1. That the contract is an investment of the plaintiff to the
Trade Federation Inc.
2. That the signature of defendant Han Solo’s in the promissory

note, Contract of Loan and Chattel Mortgage was forged.
3. There is improper venue as defendant Han Solo is a resident

of Makati City while the plaintiff is a resident of New York,
U.S.A.
4. Defendant Leia Skywalker-Solo contends that she lacks

personal knowledge of the transaction wherein the checks
executed under her personal account were blank checks
which were all lost. And such checks are issued for the
payment of the spouses’ house.
5. Defendant Trade Federation, Inc. contends that the acts of

defendant Solo in executing a chattel mortgage under the
plane called “Millenium Falcon” owned by the defendant
Corporation is an ultra vires act for the reason that they have
no knowledge on the said execution of the said mortgage by
defendant Han Solo.
II. WITNESSES
The Plaintiff will be presenting the following witnesses to prove

the material allegations in the Complaint with Prayer for Preliminary
Attachment, the documents and evidence as stated in the Contract of
Loan and Chattel Mortgage as alleged in the Complaint.
1. Master Oogway and Master Shifu to substantiate the
existence and authenticity of the Contract of Loan
executed by Jabba Hutt and Han Solo as well as all the
evidence attached thereof;
2. Atty. Margery Carreon to prove that she has notarized
a Contract of Loan on 30 September 2014 between Jabba
Hutt and Han Solo.
3. Simon Loloko and Maria Niloko to substantiate the
existence and authenticity of the Chattel Mortgage
executed by Jabba Hutt and Han Solo including all the
evidence attached thereof.
4. Ms. How Tobeyou, manager of the Brothers Bank, to
testify that Jabba Hutt went to their branch to encash the
check issued by Han Solo and the same had bounced due
to Closed Account.
4|Page
Plaintiff reserves the right to present such other witnesses as
the need may arise in this case.
III. DOCUMENTS TO BE PRESENTED
Exhibits/Documents Purpose
Annex “A”: Contract of Loan This contract shows the terms of

the loan obtained by the defendant.
It also shows the securities
executed by the defendant. It
proves the existence of stipulation
as to venue of civil cases.
Annex “B”: Promissory NoteThis proves the existence of debt.

executed by Han Solo in favor of
Jabba Hutt
Annex “C”: Post Dated Checks These prove that checks were
issued.
Annex “D”: Chattel Mortgage onThis proves the chattel mortgage

“Millennium Falcon” on Millenium Falcon as security to
the debt.
Annex “E”: Copy of the BoardThis proves that the act of Hans
Resolution No. 14 Solo is not Ultra Vires as it was
authorized by a Board Resolution.
Annex “F”: Copy of the FirstThis proves that demand to pay

Demand Letter Sent Solo’s debt was made but to no
avail.
Annex “G”: Proof of Receipt ofThis proves that the demand to pay
Demand Letter was actually received by defendant
Solo. Thus, it serves as a notice on
the part of defendant Solo that he
has an outstanding debt.
5|Page
Annex “H”: Copy of the SecondThis proves the second demand to
Demand Letter Sent pay defendant Solo’s debt. This
also notified defendant Solo that
the checks bounced due to ‘Closed
Account’. This contains the proof
that Solo received this letter but
still, to no avail.
Herein plaintiff reserves the right to present additional

documentary evidence in the course of the trial if warranted.
IV. ADMISSIONS
Aside from what were already admitted by the parties in their

pleadings, plaintiff is willing to enter into other stipulation of facts
with the defendants during the pre-trial conference.
V. APPLICABLE LAWS AND JURISPRUDENCE
The applicable laws and jurisprudence in this case are the

provisions of the Civil Code of the Philippines and the Rules of Court
including related Supreme Court decisions on the matter.
VI. ISSUES
1. Whether the instant case for collection of sum of money

should be dismissed for improper venue.
2. Whether defendant’s signature in Contract of Loan,
Promissory Note, Chattel Mortgage are all forged.
3. Whether there exists a Contract of Loan between the plaintiff
Hutt and defendant Han Solo.
4. Whether or not defendant Han Solo’s act of mortgaging the
plane Millenium Falcon owned by the defendant Trade
Federation, Inc. is an ultra vires act.
VII. PROPOSAL FOR AMICABLE SETTLEMENT
Plaintiff is open to settling this dispute amicably, subject to a

concrete proposal that is fair and reasonable and a reciprocal
manifestation of openness from defendant.
6|Page
Plaintiff respectfully submits that the desired terms of any
amicable settlement would involve, first, an admission of amount due
and owing to plaintiff and, second, a schedule of payments.
VIII. AVAILABLE TRIAL DATES
The undersigned counsel is ready to fix hearing dates with the

counsel for the plaintiff in open court or before the staff of this
Honorable Court in-charge of the court’s calendar.
RESPECTFULLY SUBMITTED.
Quezon City. 29 February 2016
CONCEPCION AND PARTNERS

109 Shining Star Bldg. Nagniningning Condominiums,

Central Avenue, 1107 Quezon City, Philippines
E-mail Address: relc12345@yahoo.com.ph
Cellphone Number: 09055073129
By:
Rey Edward L. Concepcion

ROLL OF ATTORNEYS NO. 37123
IBP LIFETIME MEMBER NO. 1238-RSM
PTR NO. 2184563-05 January 2016-QC
MCLE COMPLIANCE NO. V-0009929-04/10/15
Kevin Harris Co
Jesse Mae N. Oliva

Genie C. Morales
7|Page
COPY FURNISHED:
HON. CLERK OF COURT

Branch 69, Regional Trial Court
Quezon City
SPOUSES HAN AND LEILA SOLO

No. 111 Magallanes Village,
1232 Makati City
THE TRADE FEDERATION, INC.

#75 Commonwealth Avenue,
1121 Quezon City
EXPLANATION
A copy of this Pre-Trial Brief was served via registered mail

and/or private courier due to time constraints and lack of messenger
to effect personal service.
Edward L. Concepcion
8|Page
9|Page
4th Judicial Region
Branch 73 Antipolo
City, Rizal
DAENERYS TARGARYEN, HEIR OF

AERYS TARGARYENIII, CIVIL CASE NO. C-785
Nagsasakdal,
Para sa: Deklaratory Relief para sa

-laban sa- Pagpapatahimik ng Titulo at/o
Pag-alis ng Cloud sa
MGA HEIR NI ROBBERT BARATHEON Pagmamay-ari ng Residential
NAMELY: CERSEI LANNISTER AND Lot at Bahay at mga Pinsala
TOMMEN BARATHEON,
x Mga nasasakdal. /
PRE-TRIAL BRIEF
(para sa nagsasakdal)
DUMATING NA NGAYON ANG NAGSAKLA, DAENERYS TARGARYEN, sa

pamamagitan ng payo,sa Kagalang-galang na Hukuman na ito, buong-galang na ihain itong
pre-trial brief gaya ng sumusunod:
ANG MGA PARTIDO
1. Ang nagsasakdal na iyon, si Danaerys Targaryen, nasa legal na edad, at residente

ng #300, Pyramid St., Meereen Village, Barangay Malanday, Marikina City kung
saan
maaari siyang bigyan ng patawag at iba pang proseso nitong Kagalang-galang na
Hukuman.
2. Ang mga nasasakdal na iyon, ay mga tagapagmana ni Robert Baratheon at

parehong nasa legal na edad din, na may tirahan at post office address sa #128,
Casterly Rock St., Westerlands Subdivision, Barangay Mayamot, Antipolo City
kung saan maaari din silang bigyan ng summon, notice. at iba pang proseso
nitong Kagalang-galang na Hukuman.
MABUHAY NA PAG-AAYOS O HALAL NA MGA MODE NG DISPUTE
Pahina1
ng6
RESOLUTION
Pahina2
ng6
Ang nagsasakdal ay handang pumasok sa isang maayos na kasunduan; Gayundin,
kung naaangkop, handa ang nagsasakdal na isumite ang kaso sa alinman sa mga
alternatibong paraan ng paglutas ng hindi pagkakaunawaan;
KATOTOHANAN NG KASO
1. Ang pinag-uusapang ari-arian ay isang 500,000 square meter na lupa na may Lot
No. 258963 na matatagpuan sa Sitio Kaladkad, Barangay Inarawan, Antipolo
City.
Ang nasabing ari-arian ay inookupahan ng pamilya Targaryen nang mahigit 60

taon bago ang pag-agaw kay Robert Baratheon noong 2005. Ang ari-arian ay
matatagpuan sa mga lugar ng bundok at dati ay walang daan sa mga kalsada kaya
hindi ito nilinang o ginamit;
2. Ang huling kilalang may-ari ng lupang pinag-uusapan na si Aerys Targaryen,

bilang ebidensya ng Orihinal na Sertipiko ng Titulo Blg. 123456 na inisyu pabor
kay Aerys noong Marso 26, 1996;
3. Ang nagsasakdal ay ang nararapat na may-ari ng nasabing ari-arian dahil siya ang
tanging nabubuhay na tagapagmana ni Aerys Targaryen III na kanyang ama;
4. Noong Abril 2002, nagsimula ang pagtatayo ng bagong kalsada ng Department

of Public Works and Highways at natapos noong 2003, sa pamamagitan nito.
5. Noong 2003, sa pamamagitan ng isang mapanlinlang na Deed of Sale, at isang

pekeng kopya ng OCT sa pangalan ng aking ama, nakuha ni Robert Baratheon
ang Transfer Certificate of Title No. 987654 mula sa Land Registration Authority
Rehiyon IV-A;
6. Noong Agosto 2010, namatay ang aking ama sa kanyang cancer at sa kanyang
kalooban ay ipinaubaya sa aking pangalan ang lahat ng kanyang mga ari-arian.
Sa parehong buwan, dumating ako mula sa
Netherlands kung saan ako nagtrabaho bilang isang Engineer, upang ayusin ang
libing ng aking ama at ang mga ari-arian na naiwan ng aking ama. Pumunta ako
sa LRA para ilipat ang OCT sa aking pangalan at doon ko nalaman ang tungkol
sa pang-aagaw kay Robert Baratheon sa nasabing property;
7. Pumunta ang nagsasakdal sa pinag-uusapang ari-arian at nalaman na si Robert

Baratheon ay nagtayo ng isang komersyal na gusali na tinatawag na Red Keep sa
isang bahagi ng nasabing ari-arian at inuupahan ito sa ilang nangungupahan;
8. Pagkatapos ng karagdagang pagtatanong, natuklasan ng nagsasakdal na mayroon
si Robert Baratheon pumanaw noong 2008 at na ang kanyang biyuda, si Cersei Lannister, at anak
na si Tommen Baratheon, ang namamahala sa ari-arian;
9. Ang nagsasakdal na iyon ay pinagkaitan ng kanyang karapatang gamitin,
tangkilikin at ariin ang lugar ng kanyang nararapat na nakuhang ari-arian dahil ito ay labag sa batas
na inookupahan ng mga nasasakdal;
Pahina3
ng6
10. Na ang nagsasakdal ay dalawang beses na humiling sa nasasakdal na lisanin ang
lugar ng nabanggit na ari-arian ngunit ang huli ay tumanggi na gawin kaya sa
nakalipas na anim (6) na taon;
11. Na dahil sa labag sa batas na pag-okupa ng nasasakdal ang nagsasakdal ay

nakaranas ng aktwal na pinsala ng Apat na Daang Pitumpu't Isang Libo
(Php471,000.00) sa mga pagbabayad ng buwis nang hindi man lang nakuha ang
pagmamay-ari ng kanyang ari-arian; natamo ang mga gastos sa paglilitis na
nagkakahalaga ng Isang Daang Libong Piso (Php100,000.00), dahil sa
maliwanag na masamang pananampalataya ng nasasakdal; ang mga nasasakdal
ay dapat ding magbayad ng Tatlong Milyong Piso (Php3,000,00.00) bilang
pabalik na pag-upa o pag-upa sa nakalipas na anim (6) na taon ng kanyang labag
sa batas na pagmamay-ari at pag-okupa sa ari-arian; ang nasasakdal ay dapat
sumuko at lisanin ang lugar ng nabanggit na ari-arian; at, upang magkaloob ng
Dalawang daang Libong Piso (Php 200,000.00) sa mga bayarin sa abogado at
ang mga gastos sa suit na ito.
PAHAYAG NG MGA ISYU
Ang mga nagsasakdal ay isinusumite ang sumusunod mga isyu para sa

pagsubok at kasunod sa resolusyon ng Kagalang-galang na Hukuman na ito, viz:
a. Kung ang Nasasakdal ay labag sa batas na sumasakop at tumatanggi

lisanin ang lugar ng ari-arian ng Nagsasakdal;
b. Kung ang TCT No. 987654 ay isang wastong pamagat na nagsasaad

pagmamay-ari ng mga nasasakdal sa paksa ng ari-arian nito;
c. Mananagot man o hindi ang Nasasakdal na magbayad ng mga aktwal na

pinsala, atraso sa pag-upa, mga gastos sa paglilitis, at mga bayad sa abogado.
MGA SAKSI
Ang mga testigo na ihaharap ng mga petitioner ay ang mga sumusunod, viz:
a. AEMON TARGARYEN - Ang dakilang tiyuhin ng nagsasakdal na magpapatotoo

na ang ang ari-arian ay, sa katunayan, sa pangalan ng pamilya Targaryen;
DOCUMENTARY EXHIBITS
a. Photocopy ng Original Certificate Title no. 123456;
b. Birth Certificate ng Nagsasakdal;
c. Death Certificate ng Aerys Targaryen III;
d. Transfer Certificate Title no. 987654;
e. Mga sulat ng kahilingan na ipinadala sa mga Defendant Cerse Lannister at
Tommen Baratheon;
MGA NAAANGKOP NA BATAS AT HURISPRUDENCE
Pahina4
ng6
a. Ang mga nauugnay na probisyon ng Civil Code of the Philippines, partikular,
Artikulo 428 na nagsasaad:
"Ang may-ari ay may karapatang mag-enjoy at magtapon ng isang bagay,

nang wala iba pang mga limitasyon kaysa sa itinatag ng batas. Ang may-ari
ay mayroon ding karapatang kumilos laban sa may-ari at nagmamay-ari ng
ang bagay upang mabawi ito.”;
b. At Artikulo 433 ng Kodigo Sibil ng Pilipinas na nagsasaad:

"Ang Aktwal na Pagmamay-ari sa ilalim ng pag-aangkin ng pagmamay-ari ay
nagdudulot ng hindi pagkakaunawaan pagpapalagay ng pagmamay-ari. Ang tunay
na may-ari ay dapat gumamit ng hudisyal na proseso para sa pagbawi ng ari-
arian.”;
AVAILABLE TRIAL DATE

Ang may lagda sa ilalim ng abogado ay dapat gawin ang kanilang mga sarili na
magagamit sa mga petsa ng paglilitis na napagkasunduan ng mga partido para sa
kumpletong pagtatanghal ng ebidensya na dapat nasa loob ng isang panahon mula sa unang
araw ng paglilitis.
PAGSASABUHAY NG MGA HUDICIAL PLEADINGS

Nais ng nagsasakdal na magsumite ng mga hudisyal na pleading na bubuo ng
direktang testimonya ng mga saksi ng mga nasasakdal na napapailalim sa cross-
examination ng mga nasasakdal o kanilang abogado upang mapadali ang maagang
disposisyon ng agarang kaso.
PAGRESERBISYO NG TESTIMONIAL AT DOCUMENTARY EVIDENCE

Sa pamamagitan nito, inilalaan ng mga nagsasakdal ang karapatang magpakita ng
karagdagang testimonya at/o dokumentaryong ebidensya sa kurso ng paglilitis ayon sa
kanilang inaakala na akma at kinakailangan tungo sa matagumpay na paglilitis sa kanilang
mga dahilan ng pagkilos.
Lubos na gumagalang na isinumite .
14 Mayo 2016, Antipolo City, Rizal, Philippines.
Pahina5
ng6
ATTY. JORAH MORMONT
MORMONT LAW OFFICE
Unit A, 172 ML Quezon Street, Barangay San Roque, Antipolo City, Rizal
Attorney's Roll No. 785432

MCLE Compliance No. V-251456 / 04-14-2019
PTR No. 138745 / 012215 / City of Antipolo;
IBP O No. 354856 / 012215 / Rizal Chapter
Kopyahin na ibinigay:
Sinabi ni Atty. Kevan Lannister

Tagapayo para sa mga Nasasakdal
Unit 104, Ground Floor, Rikland Center, Marcos
Highway, Mayamot,
Antipolo, 1870 Rizal
Cersei Lannister
#128, Casterly Rock St.,
WBaersatnegrlaayndMsaSyaumbdoitv,isAionntip
, olo City
Tommen Baratheon#128,
Casterly Rock St.,
Westerlands Subdivision,
Barangay Mayamot, Antipolo City
Daenerys Targaryen
#300, Pyramid St., Meereen Village, Barangay
Malanday, Marikina City
PALIWANAG
Isang kopya ng instant na Pre-Trial Brief ang nakarehistrong mail at personal na

inihatid sa abogado ng mga nasasakdal na sina Cersei Lannister at Tommen Baratheon.
ATTY. JORAH MORMONT
Pahina6
ng6

1 2016 Small Claims Court Forms-Merged

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

1 2016 Small Claims Court Forms-Merged

Uploaded by

Copyright:

Available Formats

2016 REVISED RULES OF PROCEDURE ON SMALL CLAIMS CASES

REPUBLIC OF THE PHILIPPINES

1. The personal circumstances of the parties are as follows:

_______________________ ______ ______ ____________

INDIVIDUAL CORPORATION PARTNERSHIP

PLAINTIFF’S HOME ADDRESS:

PLACE OF WORK: ___________________________________________

NAME OF PLAINTIFF’S REPRESENTATIVE:

HOME ADDRESS: (City) ________________________ ________

(Province, if applicable)_________________________ ________

Telephone No. ______________ Cellphone No._____________

PLACE OF WORK: ___________________________________________

Telephone No. ______________ Cellphone No._____________

_______________________ ______ ______ _____________

INDIVIDUAL CORPORATION PARTNERSHIP

DEFENDANT’S HOME ADDRESS:

(City) ___________________________________ ________

(Province, if applicable)_______________________ ________

Telephone No. ______________ Cellphone No._____________

PLACE OF WORK: ___________________________________________

Telephone No. ______________ Cellphone No._____________

NAME OF DEFENDANT’S REPRESENTATIVE:

HOME ADDRESS: (City) ________________________ ________

(Province, if applicable)_______________________ ________

Telephone No. ______________ Cellphone No._____________

PLACE OF WORK: ___________________________________________

Telephone No. ______________ Cellphone No._____________

If more than one (1) defendant, list next defendant here:

INDIVIDUAL CORPORATION PARTNERSHIP

DEFENDANT’S HOME ADDRESS:

(City) ___________________________________ ________

(Province, if applicable)_______________________ ________

Telephone No. ______________ Cellphone No._____________

PLACE OF WORK: ___________________________________________

Telephone No. ______________ Cellphone No._____________

NAME OF DEFENDANT’S REPRESENTATIVE:

HOME ADDRESS: (City) ________________________ ________

(Province, if applicable)_______________________ ________

Telephone No. ______________ Cellphone No._____________

PLACE OF WORK: ___________________________________________

Telephone No. ______________ Cellphone No._____________

2. Plaintiff claims the defendant owes him/her/it

(a) Why does the defendant owe plaintiff money?

(b) When did this happen?

If no specific date, give the time period:

(c) When did you do this?

4. What is your proof that defendant owes you money?

5. Did you attach your proof to this form?

WHEREFORE, plaintiff respectfully prays for judgment ordering

(DAHIL DITO, ang Naghahabla ay magalang na sumasamo na igawad

(Sasagutan ng Kawani ng Hukuman)

2. _____ Barangay conciliation required. If yes,

I,_________________________ of legal age, _________________,

1. That I am the _____________________ in the above-entitled case have

IN WITNESS WHEREOF, I have hereunto set my hand this day of

SUBSCRIBED AND SWORN to before me this ____________ day of

REPUBLIC OF THE PHILIPPINES

Witness my hand under the seal of this Court, this _______day of

NOTE: FOR INQUIRIES, CALL TEL. #_________________

REPUBLIC OF THE PHILIPPINES

(Ang Hinahabla ay nagsasaad:)

1. Defendant denies the Statement of Claim for any of the following

(a) ____ Defendant does not owe plaintiff any money.

___________

HOME ADDRESS: (City) ________________

(Province, if applicable)_________________

Telephone No. __ Cellphone No._

Telephone No. __ Cellphone No._

___________ _

(City) ___________________________

(Province, if applicable)_______________

Telephone No. __ Cellphone No._

Telephone No. __ Cellphone No._

HOME ADDRESS: (City) ________________

(Province, if applicable)_______________

Telephone No. __ Cellphone No._

Telephone No. __ Cellphone No._

(City) ___________________________

(Province, if applicable)_______________

Telephone No. __ Cellphone No._

Telephone No. __ Cellphone No._

HOME ADDRESS: (City) ________________

(Province, if applicable)_______________

Telephone No. __ Cellphone No._

Telephone No. __ Cellphone No._

I,_________ of legal age, _,

_ Yes _ No

In person Others (specify) _______

3. Do you have any proof? _Yes _No

Witnesses: _ ________