ESTAFA

(Caption and Title)

INFORMATION

The undersigned Assistant City Prosecutor, upon sworn complaint originally filed by the
offended party, accuses_______________ of the crime of ESTAFA, committed as follows:

That in or about and during the period comprised between _______________

and_________________ in the city of______________ , province of________________,
Philippines, within the jurisdiction of this court, the said accused, did then and there willfully,
unlawfully and feloniously draw and issue a post-dated check for the sum of ____________ in
favor of______________ in payment of an obligation, against the_______________, a banking
institution duly established and doing business in the City of Manila, Philippines, knowing at the
time he issued said check that he had no funds in said check, and without informing the payee of
such check that he had no funds in the said bank to cover the amount of____________________
called for in said check, and without informing the payee of such check, for which the said
check, upon presentation on ______________________ to said _________________ Bank for
payment, was consequently dishonored and rejected and still dishonored and rejected, to the
damage and prejudice of the said _________________ in the above sum of ________________.

Contrary to law.
(Venue, date)

Assistant City Prosecutor

Witnesses:

BAIL RECOMMENDED:

Certification