THEFT

(Caption and Title)

INFORMATION

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

That on or about_________________ in the city of_____________ , province of

_______________ , Philippines, within the jurisdiction of this court, the said accused did then
and there willfully, unlawfully and feloniously, with intent to gain and without consent of the
owner thereof, take, steal, and carry away the following personal property belonging to one,
________________________ to wit: ________________ , of the total value of
_________________, Philippine currency.

Contrary to law.

(Venue, date)

Assistant City Prosecutor

Witnesses:

BAIL RECOMMENDED:

Certification