Sample of Affidavit of Complaint

Republic of the Philippines )
____________, ________ ) s.s.
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AFFIDAVIT OF COMPLAINT
The UNDERSIGNED, __________________________, accuses _________, of
_____________, committed as follows, to wit:
That on or about _________, at about _____________ in the
_________________, ______________, Philippines, the said accused did then and
there willfully, unlawfully, feloniously, and by means of _____________, committed
_____________, upon the undersigned directly by overt acts to wit: (state the details
how the crime was committed).
The undersigned executed this affidavit to attest the truthfulness of the foregoing
facts
and
to
support
the
filing
of
Criminal
Cases
against
_______________________________ for violations of ________________________.
___________, this _____ day of __________, ____.
____________________________
Offended Party
SUBSCRIBED AND SWORN to before me this ___ day of _______ at
_______________. I HEREBY CERTIFY that I have personally examined the herein
offended party and I am satisfied that they voluntarily executed and understood their
given affidavit.
_________________________
Judge
WITNESSES:
__________________________
__________________________