REPUBLIC OF THE PHILIPPINES)

CITY OF ___________ ) S.S.

AFFIDAVIT FOR PRELIMINARY ATTACHMENT

I, _________________________________, Filipino, of legal age, __________, residing at

_________________________________, after being sworn to in accordance with law, deposes
and say:
1. That I am the plaintiff above-entitled case;
2. That a sufficient cause of actions exists against the defendant named therein;
3. That this action is one of those specifically mentioned in Sec. 1 of Rule 2 of the
Rules of Court, whereby a writ of preliminary attachment may lawfully issue,
namely: “in an action against a party who has removed or deposed of his property, or
is about to do so, with intent to defraud his creditors;”
4. That there is no sufficient security for the claim sought to be enforced by the
present action;
5. That the amount due to the plaintiff in the above-entitled case is as much as the
sum for which an order of attachment is proper.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________, 20____, in
___________, ___________, Philippines

_________________________________

Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ___________, 20____, in

___________, ___________, Philippines, affiant having exhibited to me his License No.
___________ issued until ___________, 20____.

Doc. No. : ________;

Page No. : ________;

Book No. : ________;

Series of 20____.