JUDICIAL AFFIDAVIT OF

(Rule on Judicial Affidavit, A.M. NO. 12-8-8-12, September 4, 2012)

I, (NAME) , of legal age, single, Filipino and a resident of Brgy. Iloilo City,
Philippines, after being duly sworn in accordance with law, do hereby depose and say:

That I am executing this judicial counter affidavit conscious that in answering the
questions asked, I am under oath and I was made to swear to tell the truth and nothing
but the truth, and that I may face criminal liability for false testimony or perjury, if my
statement is untrue:

A. PURPOSE OF THE TESTIMONY:

The testimony of this witness is offered to corroborate the counter judicial affidavit of
and Falsification of Document.

B. CONDUCT OF TESTIMONIAL EXAMINATION:

The testimony of the witness was taken by in question and answer form using the
English language known and understood by the witness at the

C. TESTIMONY OF WITNESS:
Q1. Why are you here in the office of A
A1. I am here to offer my statements to corroborate the statements
made by and Falsification of Document.

Q2. How do you know the complainant,

A2. I know a as the owner of the Bungalow Project for whom I prepared blueprints
for.

Q3. So you are saying that Mr. is your client? Can you walk me through how the
blueprint was approved by the client
A3. Yes. Well, intially I was asked to prepare plans for only 165 sqm. However, when
we did the initial site visit insisted that we increase the size of the area.

Q4. By your statement “we”can you identify who was with you?
A4. I was with

Q5. When you completed the plans, what happened then?

A5.

Q6. Do you have a copy of the blueprints that were approved?

A6. Yes, I do.

Q7. Who approved the plan?

A7.

Q8. Mr. Witness, you handed to me the blueprints for the bungalow house constructed
for . I will attach this as Exhibit 1 in your judicial affidavit
A8. Yes, I do.

Q9. Do you have anything else to say?

A9. None for the moment.