Judicial Affidavit Sample

REPUBLIC OF THE PHILIPPINES
<number> JUDICIAL REGION

REGIONALTRIAL COURT
Branch <number>
<City, province>
In the Matter <case>
JUAN DELA CRUZ

Petitioner,
<Case Number>
(type of case)
JUAN TAMAD
Respondent,
x-----------------------------------------------x
JUDICIAL AFFIDAVIT
(of Witness JUAN DELA CRUZ)
I, JUAN DELA CRUZ, of legal age, Filipino, single, with

address at <answer>, by way of answer to the questions propounded
to me by my counsel, <atty name>., at his office at <atty office
address>, and fully conscious that I do so under oath and may face
criminal liability for false testimony and perjury, do hereby depose
and state that:
OFFER OF TESTIMONY:
The testimony of the witness is being offered to establish the

following:
1. To prove the circumstances surrounding the

<circumstance sought to be proven>
2. To prove that the Respondent <fact sought to be

established>
3. To prove that the Petitioner should be <relief sought>

4. To prove that there are compelling reasons for this
Honorable Court to adjudge <relief sought>
5. To prove such other matters alleged in the Petition; and
6. To identify his Judicial Affidavit and the documents

attached thereto.
1
1. Q: Are you the same JUAN DELA CRUZ, the petitioner in
this case?
A: Yes, sir.
2. Q: Why did you file this petition?
A: I filed this petition because I <relief>

3. Q: Is JUAN TAMAD, the same respondent in this case?
Yes, sir.
A:
4. Q: What is your proof, if any, that <fact sought to be
proved>
A:
<documentary evidence>
5. Q: If you are shown a copy of <documentary evidence>,
will you be able to identify it?
A: Yes, Sir.
6. Q: I am showing to you a <documentary evidence> marked
as “A” of the Petition and this Judicial Affidavit, can
you please go over this document and tell us what is the
relation of this document to the <documentary
evidence> you mentioned a while ago?
A:
This is the same document, sir.
7. Q: You mentioned that JUAN DELA CRUZ is the same
respondent in this case, how did you meet <person>?
A: I met JUAN TAMAD at <circumstances>
NO FURTHER QUESTIONS.
IN WITNESS WHEREOF, I have hereunto set my hand this ___

day of __________________ 2015 at _____________ City, Philippines.
JUAN DELACRUZ
Affiant
THIS AFFIDAVIT was personally subscribed and sworn to by the

affiant before me this ___________________, in ______________ City.
Affiant, who is personally known to me, avowed under penalty of
2
law to the whole truth of the contents of the foregoing Affidavit, and
the following competent evidence of identity: _______________ No.
_______________ with expiry date on __________________.
NOTARY PUBLIC
Doc No. ______ ;

Page No.______;
Book No. ______;
Series of 2015.
Copy furnished:
<NAME OF COUNSEL FOR RESPONDENT/FIRM>

Counsel for Respondent
<Address>
Counsel’s Attestation
as Required under A.M. No. 12-8-8-SC
I, ATTY. <Counsel for Petitioner>, Filipino, of legal age and

with office address at <address>, after being sworn in accordance
with law, do hereby depose and state that:
1. I am the counsel for the petitioner in the above-captioned

case.
3
2. I hereby certify that I faithfully recorded or caused to be
recorded the above questions asked and the corresponding
answers that the above-named witness gave; and that I did
not nor did any person then present to coach the witness
regarding the answers he gave.
IN WITNESS WHEREOF, I have set my hand this

__________________ 2015, in the City of ___________, Philippines.
<ATTY. Counsel for Petitioner>
THIS AFFIDAVIT was personally subscribed and sworn to by the

affiant before me this ___________________, in ______________ City.
Affiant, who is personally known to me, avowed under penalty of
law to the whole truth of the contents of the foregoing Affidavit, and
the following competent evidence of identity: Driver’s License Card
No. D04-91-043124, with expiry date on October 2, 2017.
NOTARY PUBLIC
Doc No. ______ ;

Page No.______;
Book No. ______;
Series of 2015.
EXPLANATION
The filing and service of the foregoing were done through

registered mail and private courier, and not personally, as mandated
under Rule 13, Sec. 11 of the Revised Rules of Court, as amended,
personal service and filing not being practicable due to lack of
material time and messengerial personnel.
<ATTY. Counsel for Petitioner>

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REPUBLIC OF THE PHILIPPINES

<number> JUDICIAL REGION

In the Matter <case>

JUAN DELA CRUZ

I, JUAN DELA CRUZ, of legal age, Filipino, single, with

The testimony of the witness is being offered to establish the

1. To prove the circumstances surrounding the

2. To prove that the Respondent <fact sought to be

3. To prove that the Petitioner should be <relief sought>

5. To prove such other matters alleged in the Petition; and

6. To identify his Judicial Affidavit and the documents

A: I filed this petition because I <relief>

A: I met JUAN TAMAD at <circumstances>

IN WITNESS WHEREOF, I have hereunto set my hand this ___

THIS AFFIDAVIT was personally subscribed and sworn to by the

Doc No. ______ ;

<NAME OF COUNSEL FOR RESPONDENT/FIRM>

I, ATTY. <Counsel for Petitioner>, Filipino, of legal age and

1. I am the counsel for the petitioner in the above-captioned

IN WITNESS WHEREOF, I have set my hand this

<ATTY. Counsel for Petitioner>

THIS AFFIDAVIT was personally subscribed and sworn to by the

Doc No. ______ ;

The filing and service of the foregoing were done through

<ATTY. Counsel for Petitioner>

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