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Republic of the Philippines

REGIONAL TRIAL COURT


Second Judicial Region
Carig, Tuguegarao City, Cagayan

______________________________
Complainant NPS DOC. NO___________

-versus- For:

_____________________________
Respondent
x----------------------------------------x

CASH BOND

WHEREAS, a complaint has been filed by the City Prosecutor’s Office,


Tuguegarao City charging _______________________ who has been charged for the
crime of “______________________” and has been admitted to post bail in the amount
of _____________________________________ as bail bond recommended by Inquest
Prosecutor ________________________.

NOW, THEREFORE, I, ATTY. NICHOLO RUDOLF A. SUPNET, being the


bondsman, do hereby undertake that respondent ________________________ will
appear and answer the charge above-mentioned in whatever court it may be tried,
and that he will appear for judgement and render himself to the execution thereof,
or that if he fail to perform any of these conditions, I will pay to the Republic of the
Philippines the amount of _______________________________ with Official Receipt
No.____________________ issued by the Office of the Clerk of Court, Regional Trial
Court, Tuguegarao City on _______________.

“It is further stipulated that pursuant to Sec. 19 Article IV of the Constitution


and Letter of Instruction No. 40 of the President of the Philippines, dated November
1972, that I, (respondent) hereby agree that in case I jump bail or fail to appear for
trial without any legal cause, despite due notice, my absence will be deemed an
express waiver of my right to be present which will warrant the Court to proceed
with the case as if I was present.

IN WITNESS WHEREOF, we have hereunto affix our signatures the ____ day
of ________ 2022 at Tuguegarao City, Cagayan.

______________________ ATTY. NICHOLO RUDOLF A. SUPNET


Respondent Bondsman
CP No. IBP LIFETIME No. 11542
CP No. 09169463428

SUBSCRIBED AND SWORN TO BEFORE ME this ________day of


_____________ 2022 at Tuguegarao City

ATTY. AURA CLARISSA B. TABAG-QUERUBIN


Clerk of Court VI
AFFIDAVIT OF JUSTIFICATION

I, ATTY. NICHOLO RUDOLF A SUPNET, after having been duly sworn to in


accordance with law hereby depose and state that:

1. I am a resident of Tuguegarao City, Cagayan;


2. The entire amount justified by me is the amount of the bail demanded

Affiant further sayeth none.

ATTY. NICHOLO RUDOLF A. SUPNET


Bondsman
IBP LIFETIME No. 11542
CP No. 09169463428

SUBSCRIBED AND SWORN TO BEFORE ME this ________day of


_____________ 2022 at Tuguegarao City

ATTY. AURA CLARISSA B. TABAG-QUERUBIN


Clerk of Court VI

Approved:

JEZARENE C. AQUINO
Executive Judge

Date:

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