Promissory Note

For value received, WE jointly and severally promise to pay Carmen Carunungan for
order the sum of Five Hundred Thousand Pesos (P500,000.00), with interest thereon at 10% per
annum, on or before March 1, 2018, without the necessity of demand.

To secure payment, we attach herewith ____ Bank Check No. __________ in the
amount of P550,000.00, postdated March 1, 2018, and payable to Carmen Carunungan.

Manila, March 1, 2017.

(Sgd.) Carmina Corominas (Sgd.) Celeste Corominas

Republic of the Philippines )
Metropolitan Manila ) s.s
City of ___________ )

JOINT JUDICIAL AFFIDAVIT OF CARMINA COROMINAS and CELESTE COROMINAS

WE, CARMINA COROMINAS and CELESTE COROMINAS, of legal age and residents of
___________________, after having been duly sworn, hereby depose and state:

PRELIMINARY STATEMENT

We are being examined by Atty. “A” with address at __________________. The

examination is being held at _________________ in the presence of ABC. WE are answering the
questions fully conscious that WE do so under oath and may face criminal liability for false
testimony.

Questions and Answers

Q1. Please state your name and other personal circumstances.

A1. WE are CARMINA COROMINAS and CELESTE COROMINAS both of legal age, single and
residents of _________________________.

Q2. Why are you executing this Judicial Affidavit?

A2. We are executing this Judicial Affidavit to support our defenses in the criminal case of estafa
filed against us.

Q3. Why were you charged with such case?

A3. We were charged with estafa because we issued a check in favor of Carmen Carunungan
which eventually bounced for insufficient funds.

Q4. In answer to Q2, you mentioned that you are executing this Judicial Affidavit to support
your defenses in the criminal case of Estafa filed against you. Why do you believe you are not
guilty?
A4. We are not guilty because of the following reasons:

i. The check was issued only as a form of security;

ii. Even if issued as payment, it was for a pre-existing

debt, and

iii. It was only upon the Carmen Carunungan’s insistence that We issued the check.

Q5. Is there anything else you want to add to the above?

A5. No more sir.

AFFIANTS FURTHER SAYETH NAUGHT.

Manila, November ____, 2018.

CARMINA COROMINAS CELESTE COROMINAS

Affiant Affiant

Witnesses:

__________________________
ABC

ATTESTATION

I, Atty. “A” with office address at ____________ do hereby attest as follows:

1. I personally conducted the examination of Carmina Corominas and Celeste

Corominas in question and answer form.

2. I faithfully recorded the questions asked Carmina Corominas and Celeste Corominas
and the corresponding answers they gave, and

3. Neither I nor any other person then present coached Carmina Corominas and Celeste
Corominas regarding their answers.
 IN WITNESS WHEREOF, I hereunto affixed my signature this ___ day of November 2018
at ________________.

Atty. “A”
Address
IBP OR No. place and date of issuance
PTR OR No. place and date of payment
MCLE Exemption _________________
Date of issue ___________________
Valid until _____________________

JURAT

SUBSCRIBED AND SWORN TO BEFORE ME this ____ day of November 2018 at

________________, affiants Carmina Corominas, Celeste Corominas exhibiting to me their
competent evidence of identity, consisting of a Driver’s License No. _______________ expiring
on _________, and a Driver’s License No. ___________ expiring on ___________, respectively,
and affiant Atty. “A”, with Voter’s ID issued by the Commission on Elections on ____________.

WITNESS MY HAND AND SEAL.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2018;
DACION EN PAGO

KNOW ALL MEN BY THESE PRESENTS:

This instrument, executed by CARMINA COROMINAS, of legal age and a resident of

____________________, and CELESTE COROMINAS, of legal age and a resident of
____________________, hereafter referred to as the DEBTORS, and CARMEN CARUNUNGAN,
of legal age, and a resident of _______________, hereafter to be referred to as the

CREDITOR,

WITNESSETH:

WHEREAS, the DEBTORS are indebted to the CREDITOR in the amount of FIVE
HUNDRED FIFTY THOUSAND PESOS (P550,000.00);

WHEREAS, the DEBTORS are the owners of a motor vehicle located in

__________________, and more specifically described as follows:

Make: Honda CRV

Model: 2018
Motor No.: 12345
Chassis No.: 56789
CR No.: _________

WHEREAS, the DEBTORS are willing to give the said motor vehicle to the CREDITOR as
full payment of their aforesaid indebtedness to the latter; and

WHEREAS, the CREDITOR is willing to accept the said motor vehicle as full payment of
the indebtedness of the DEBTORS;

NOW, THEREFORE, premises considered, the DEBTORS have transferred and conveyed,
as they hereby transfer and convey, the aforesaid motor vehicle to the CREDITOR as payment
in full of their indebtedness to her, and the CREDITOR hereby accepts the said vehicle as full
payment of the said indebtedness to her,

IN WITNESS WHEREOF, the parties hereto have signed these presents, at the City of
Manila, on ____________, 2018.

CARMINA COROMINAS CELESTE COROMINAS

Debtor Debtor
 CARMEN CARUNUNGAN
Creditor

WITNESSES:

____________________ ____________________

ACKNOWLEDGMENT

In the City of Manila, this ___ day of ________, 2018, before me personally appeared:
CARMINA COROMINAS, with Philippine Passport No. _______ issued at __________________
on ___________________ and expiring on ___________________;

CELESTE COROMINAS, with Philippine Passport No. ________ issued at

__________________ on ____________________, and expiring on ____________________,
and

CARMEN CARUNUNGAN, with Senior Citizen’s Card No. ____________ Issued at

_______________ on ______________; personally known to me to be the same persons who
executed the foregoing instrument, and they acknowledged to me that the same is their free
and voluntary act and deed.

WITNESS MY HAND AND SEAL.

NOTARY PUBLIC
Until December 31, 2018
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 2018;