You are on page 1of 2

LEGAL FORMS

MODULE I

Lesson 3
AFFIDAVIT OF COMPLAINT

 What is it?
It is a sworn statement filed by someone who wishes to file a case, usually before
the courts but also before other tribunals. It becomes the basis for the case, providing
basic information about the facts of the matter and outlining the nature of the case.
This document becomes part of the record of the case once it is given due course in
the court or tribunal where it was filed.

 Sample Form

Republic of the Philippines )


____________, ________ ) s.s.
x- - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF COMPLAINT

The UNDERSIGNED, __________________________, accuses _________, of


_____________, committed as follows, to wit:

That on or about _________, at about _____________ in the _________________,


______________, Philippines, the said accused did then and there willfully, unlawfully,
feloniously, and by means of _____________, committed _____________, upon the
undersigned directly by overt acts to wit: (state the details how the crime was committed).

The undersigned executed this affidavit to attest the truthfulness of the foregoing facts
and to support the filing of Criminal Cases against
_______________________________ for violations of ________________________.
___________, this _____ day of __________, ____.

_____________________
Offended Party

SUBSCRIBED AND SWORN to before me this ___ day of _______ at


_______________. I HEREBY CERTIFY that I have personally examined the herein
offended party and I am satisfied that they voluntarily executed and understood their given
affidavit.

________________________
Judge

WITNESSES:
__________________________

__________________________
LEGAL FORMS
MODULE I

Lesson 4
AFFIDAVIT OF WITNESS

 What is it?
As the name suggests, this affidavit is executed by a person who witnessed a
certain act, event or incident. It is often used to corroborate another affidavit, such as
an affidavit of complaint, and is similarly submitted in court as evidence for a case.

 Sample Form

Republic of the Philippines )


____________, ________ ) s.s.
x- - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF WITNESS

I, ________________________, age, civil status, resident of


__________________________, _________, after having sworn in accordance with law,
do hereby depose and state THAT:

01. I was present and personally saw that accused, __________, committed the
crime of ___________________________ against the victim _______________;

02. (State other circumstances and the relation either to the victim or accused or
both);

03. (State the details of the acts committed by the accused against the victim.);

04. (State the acts done by the witness and the reason thereof);

I executed this affidavit to attest the truthfulness of the foregoing facts and to
support the filing of Criminal Cases against _______________________________ for
violations of ________________________.

AFFIANTS SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereunto affixed my signature this ___day of


____________ at ____________, _______________.

_______________________________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of _______ at


_______________. I HEREBY CERTIFY that I have personally examined the herein
affiants and I am satisfied that they voluntarily executed and understood their given
affidavit.

_____________________
Notary Public

You might also like