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 on 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 defraud ____________________as follows: The
said accused under false and fraudulent representation which he made to said ______________
to the effect that he would secure for her son,____________________ , employment
as________________ if she would deliver to him the amount of ______________ to cover the
costs o f__________________ and by means of other similar deceit, which representations he
well knew were false and fraudulent and were only made to induce the
aforementioned__________________ to give and deliver as in fact the said ____________gave
and delivered the said amount of ________________ , and once in possession of said amount,
willfully, unlawfully, and feloniously misappropriated, misapplied, and converted the said
amount of__________________ to his own personal use and benefit, to the damage and
prejudice of the said________________ in the said amount of_________________ , Philippine
currency.

Contrary to law.

(Venue, date)
Assistant City Prosecutor

Witnesses:

BAIL RECOMMENDED:

Certification