(Complaint in Civil Cases Cases) Legal Forms

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(ANSWER) LEGAL FORMS

COMPLAINT IN CIVIL CASES

REPUBLIC OF THE PHILIPPINES


REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
CITY OF MANILA BRANCH 45

MR. X,
Plaintiff,

- versus - CIVIL CASE NO. 12345


For: COLLECTION OF SUM OF MONEY
Mr. Y,
Defendant,
x---------------------------------------------x

COMPLAINT

Plaintiff, by undersigned counsel and to the Honorable Court, respectfully states:

1) That plaintiff Mr. X, is of legal age, single and resident Sampaloc City of Manila and defendant MR. Y
is also of legal age and also a resident of Sampaloc City of Manila;

2) That May 1, 2022, defendant obtained a loan from the plaintiff in the amount of ONE HUNDRED
THOUSAND PESOS (PHP.100,000.00) for which he executed and delivered a promissory note, copy of which is
hereby attached as Annex “A”; and
(copy of the promissory note)

3) That the said loan shall be payable 30 days after execution of the contract; and

4) That despite the lapse of the aforesaid period and the repeated demand of the plaintiff herein defendant
still has not paid the amount herein stated.

PRAYER
WHEREFORE, it is respectfully prayed unto the Honorable Court that judgment be rendered in favour of
the plaintiff and against the defendant in which the defendant shall be ordered the payment for the amount of ONE
HUNDRED THOUSAND PESOS (PHP.100,000.00).

Plaintiff further prays for such other reliefs as may be just and equitable in the premises.

City of Manila, June 5, 2022.

VERIFICATION AND CERTIFICATION OF NON – FORUM SHOPPING

REPUBLIC OF THE PHILIPPINES )


CITY OF MANILA ) S.S.

1) I am the PLAINTIFF in the above – entitled case;


2) The facts stated in the above complaint are true and correct to the best of my knowledge and / or based
on authentic records.
3) I hereby certify that have not commenced any action or filed any claim involving the same issues in any
court, tribunal, or quasi – judicial agency, and to the best of my knowledge, no such other action or claim is pending
in them; and

By: Caffeinated Wisdom


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(ANSWER) LEGAL FORMS

4) If I should learn that the same or similar action or claim has been filed or is pending after its filing, I
shall report that fact within five (5) days to the court or where the complaint or initiatory pleading has been filed.

5th of June, 2022, City of Manila.

(sgd.) Mr. X
AFFIANT

SUBSCRIBED AND SWORN TO BEFORE ME, this 5th day of June, 2022, in the City of Manila by Mr.
X with LTO LICENSE NO. 12344, ISSUED ON: May 25, 2019 in LTO City of Manila and with EXPIRY DATE
ON: December 5, 2022.

(Sgd.) ATTY. JUAN DELA CRUZ


Notary Public for Manila
Appointment No. 123
Until December 31, 2022
Roll No. 123456; 5/20/05
IBP No. 13456/ January 1, 2019/ City of Manila
PTR No. 213456/ January 1, 2022/ City of Manila
MCLE NO. I – 0001223; 9/09/2021
MCLE NO. II – 0002345; 9/09/2021

DOC. NO. 34
PAGE NO. 23
BOOK NO. III
SERIES OF 2022

PROOF OF SERVICE:
MR. Y
Sampaloc City of Manila;

PROOF OF SERVICE

EXLANATION
Mailed due to the distance.

AFFIDAVITS

By: Caffeinated Wisdom


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