AFFIDAVIT FOR PRELIMINARY ATTACHMENT

(Caption and title of case)

AFFIDAVIT

REPUBLIC OF THE PHILIPPINES )

CITY OF ____________________ ) S.S.

____________________, of legal age, single/married, and residing at

________________ after being sworn in accordance with law, depose and say:

1. That I am the plaintiff in the above-entitled case;

2. That a sufficient cause of action exists against the defendant named therein;
3. That this action is one of those specifically mentioned in Sec. 1 of Rule 57 of the
Rules of Court, whereby a writ of preliminary attachment may lawfully issue, namely: (here state
the nature of the suit which should be one of the six causes of action mentioned in Rule 57, Sec.
1);
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 herein sought to be granted, above all legal
counterclaims on the part of the defendant.

(Venue, Date)

___________________
(Plaintiff)

JURAT