(Affidavit of Denial of Criminal Cases)

REPUBLIC OF THE PHILIPPINES)

City of ____________________ )  S.S.
x---------------------------------------------------x

AFFIDAVIT OF DENIAL

            I, _____________, Filipino, of legal age, (single / married / widow), and as

resident of _____________, Philippines, having been duly sworn in accordance with
law, hereby depose and state:
 

That I am NOT the same person as one _____________ a.k.a. _____________

who was charged under I.S. No. _____________ / Criminal Case No. _____________
before the _____________ for the crime of _____________;

That I have never been the subject of any criminal complaint, charge or
proceeding before any prosecutor or court;

As such, I am executing this Affidavit to certify or attest to the truth of the

foregoing facts and for purpose of denying that I am the _____________ who is the
subject of the aforementioned case and for whatever legal purpose that this Affidavit
may serve.

           IN WITNESS WHEREOF, we have set our hands this _____________, in the
City of _____________, Philippines.

   AFFIANT

 (JURAT)
REPUBLIC OF THE PHILIPPINES)
City of b ____________________)  S.S.
x - -  - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF DESISTANCE

“I, JUVIE-LYN YAMBAO PUNONGBAYAN, 17 years of age, a resident of No. 5 Uranus

Street, Congressional Avenue Subdivision, Quezon City, duly assisted by private legal counsel
and my parents, after having duly sworn in accordance with law, depose and say:
“1. That I am the Complainant in the rape case filed against Mayor Bayani `Arthur’ Alonte of
Biñan, Laguna, with the RTC-Branch 25 of Biñan, Laguna;
“2. That the case has been pending for some time, on preliminary issues, specifically, (a)
change of venue, filed with the Supreme Court; (b) propriety of the appeal to the Court of
Appeals, and after its denial by said court, brought to the Office of the President, on the veracity
of the findings of the Five-Man Investigating Panel of the State Prosecutor’s Office, and the
Secretary of Justice, and (c) a hold-departure order filed with the Biñan Court;
“3. That the legal process moves ever so slowly, and meanwhile, I have already lost two (2)
semesters of my college residence. And when the actual trial is held after all the preliminary
issues are finally resolved, I anticipate a still indefinite suspension of my schooling to attend the
hearings;
“4. That during the entire period since I filed the case, my family has lived a most abnormal
life: my father and mother had to give up their jobs; my younger brother, who is in fourth grade,
had to stop his schooling, like myself;
“5. That I do not blame anyone for the long, judicial process, I simply wish to stop and live
elsewhere with my family, where we can start life anew, and live normally once again;
“6. That I pray that I be allowed to withdraw my complaint for rape and the other charge for
child abuse wherein the Five-Man Investigating Panel of the Office of the State Prosecutor
found a prima facie case although the information has not been filed, and that I will not at any
time revive this, and related cases or file new cases, whether, criminal, civil, and/or
administrative, here or anywhere in the Philippines;
“7. That I likewise realize that the execution of this Affidavit will put to doubt my credibility as
a witness-complainant;
“8. That this is my final decision reached without fear or favor, premised on a corresponding
commitment that there will be no reprisals in whatever form, against members of the police force
or any other official of officer, my relatives and friends who extended assistance to me in
whatever way, in my search for justice.
"WHEREOF, I affix my signature this 25 day of June, 1997, in Quezon City.
"(Sgd) JUVIE-LYN Y. PUNONGBAYAN
Complainant
"Assisted by:
(Sgd) ATTY. REMEDIOS C. BALBIN
Private Prosecutor
"In the presence of:
(Sgd) PABLO PUNONGBAYAN
Father
(Sgd) JULIE Y. PUNONGBAYAN
Mother
"SUBSCRIBED AND SWORN to before me this 25 day of June, 1997, in Quezon City.
"(Sgd) Illegible
Administering Officer"i[2]
(Affidavit of Desistance  Theft)

REPUBLIC OF THE PHILIPPINES)

City of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF DESISTANCE

  I, _____________, of legal ages, Filipino, (single / married / widow), and a

resident of _____________, Philippines, after having been duly sworn in accordance
with law, hereby depose and say:

  That I am the private complainant in the criminal case entitled "_____________"

for Theft docketed as _____________ before _____________ Trial Court, Branch
_______, _____________ City, Philippines;

  That I found out that the said accused at the time of the incident was not in his
right mind and did not know that what he was doing was wrongful and criminal
considering that he was suffering from SCHIZOPHRENIA, PARANOID TYPE IN
ACUTE EXACERBATION as certified to by Dr. _____________ of _____________;

That the items taken by the accused, consisting of _____________ and

_____________ were immediately recovered from him and their values had been
voluntarily reimbursed by the relatives of the said Accused;

In view of the foregoing, I finally manifest that I now completely and absolutely
exonerate the accused _____________ from any liability in connection with the above-
mentioned criminal case and that I am no longer interested, and I hereby desist, in
prosecuting the said criminal case;

That I execute this Affidavit of Desistance so that the above-mentioned criminal case
be immediately dismissed and considered finally closed and the bond posted by the
herein accused be released to him;

As such, I am respectfully praying that the aforementioned case against the Accused
_____________ be dismissed and finally closed.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________ City, Philippines.

AFFIANT

  

(JURAT)
(Affidavit of Desistance  Violation of BP 22)

REPUBLIC OF THE PHILIPPINES)

City of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF DESISTANCE

  I, _____________, of legal age, Filipino and a resident of Bacolod City, after

having been duly sworn in accordance with law, hereby depose and say:

  1        That I am the private complainant in the Criminal Cases Nos.

_____________ to _____________ entitled "People of the Philippines vs.
_____________" for Violation of Batas Pambansa Bilang 22 pending before the
Municipal Trial Court, Branch _______, _____________ City, Philippines.

2        In this regard, the accused _____________ has already paid in full the
amount represented by the checks subject of the above-mentioned cases, to with:

Criminal Case No.        Check No.           Date        Amount

  3        That in view of the payment in full by the accused, I would like to manifest
that I am no longer interested in the prosecution of the aforementioned criminal cases
and I am respectfully requesting the Honorable Public Prosecutor to move for the
dismissal of the aforementioned cases against the accused.

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

at _____________, Philippines.

                                                                                            

AFFIANT

 (JURAT)
(Affidavit of Discrepancy  Date of Birth)

REPUBLIC OF THE PHILIPPINES)

City of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF DISCREPANCY

             I, _____________, of legal age, (single / married / widow), Filipino and a

resident of _____________, Philippines, having been duly sworn in accordance with
law, hereby depose and state:      

That in my Certificate of Live Birth as recorded in the Office of the Civil Registrar
of _____________ City, Philippines and Secondary Student Permanent Record at
_____________ High School, it is stated that I was born on 21 May  1970 at
_____________, Philippines;

That my relatives, acting on the honest belief that I was born on 21 May 1971,
had used 21 May 1971 as my birth date in all pertinent school records when they
processed my enrollment at _____________ in _____________;

  That when I filled up my voter's registration record required by the Commission

on Election last _____________, I had inadvertently and erroneously written the date of
my birth as 21 May 1971 instead of 21 May 1970;

  That I am executing this Affidavit of Discrepancy to attest to the truth of the

foregoing facts and to explain the discrepancy in my Certificates of Live Birth,
Secondary Student Permanent Record, Transcript of Records and Voter Registration
Form as regards to my date of birth;

  Further, I am declaring that from this date hereon I would be using my true and
correct date of birth of 21 May 1970 in all my papers, records and other documents.

  IN WITNESS WHEREOF, I have hereunto set my hand this _____________, at

_____________,Philippines.

  

 AFFIANT

 (JURAT)
(Affidavit of Discrepancy  Date of Marriage of Parents)

REPUBLIC OF THE PHILIPPINES)

City of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF DISCREPANCY

             I, _____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, Philippines having been duly sworn in accordance with law,
hereby depose and state:      

That I was born to the spouses _____________ and _____________ on

_____________ in _____________, Philippines as evidenced by the Certificate of Live
Birth issued by the City Civil Registrar of the City of _____________;

That however, in the said Certificate of Live Birth, the date of marriage of my
parents was erroneously written as "May 8, 1960" instead of the true and correct date
"May 28, 1960" as evidenced by the Certificate of Marriage of my parents issued by the
City Civil Registrar of the City of _____________, hereto attached as Annex "A";

  That said discrepancy in my Certificate of Live Birth was an error done

inadvertently;

  That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing
facts.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________,Philippines.

AFFIANT

 (JURAT)
(Affidavit of Discrepancy  Middle Name)

REPUBLIC OF THE PHILIPPINES)

City of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF DISCREPANCY

            I, _____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, Philippines, having been duly sworn in accordance with
law, hereby depose and state:      

That in my Certificate of Live Birth as recorded in the Office of the Civil

Registrar of _____________ City, Philippines, my middle name was erroneously
written as "CRUX" instead of my true and correct middle name of "CRUZ";
 
That my true middle name is "CRUZ" as appearing in the same Certificate of
Live as the maiden name of my mother.
 
That in all pertinent documents which I had used, to include that of my
scholastic records (transcript of records), I used my true and correct middle name
of "CRUZ";
 
That I am executing this Affidavit of Discrepancy to attest to the truth of
the foregoing facts and to explain the discrepancy in my Certificates of Live Birth,
as regards my true middle name.

  IN WITNESS WHEREOF, I have hereunto set my hand this _____________, at

_____________, Philippines.

  AFFIANT

(JURAT)
(Affidavit of Supplemental Report for the Office of the Civil Registrar)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
City/Municipality of _____________)x - - - - -- - - - - - - - - - - - - - - - x

AFFIDAVIT OF SUPPLEMENTAL REPORT

  I, _____________, Filipino, of legal age, (single / married / widow), and resident

of _____________, Philippines, having been duly sworn in accordance with law, hereby
depose and state:

That I was born on _____________ at _____________ to the Spouses

_____________ and _____________;

That since I was young, I have always been known and called by the first name
"PEDRO" and that it is the same first name that I have been using in all my documents
and identification papers;

However, it appears from the records of the Office of the Civil Registrar of
_____________ City that I was registered therein without a given first name;

That it is my desire to be registered with the said Office of the Civil Registrar of
_____________ City with the first name "PEDRO";

That the failure to state my first name was purely the inadvertence of my parents
who failed to do so because of their uncertainty at first as to what name would be given
me at the time of the registration of the facts of my birth with the said office;

As such, I execute this Affidavit to certify or attest to the truth of the foregoing
facts and for whatever legal purpose that this Affidavit may serve.

IN WITNESS WHEREOF, I have set our hands this _____________, in the

_____________, Philippines.
      

                                       
                                                AFFIANT

(JURAT)
(Joint Affidavit to Establish Date of Birth)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
City/Municipality of _____________)x - - - - - - - - -- - - - - - - - - - - - x

JOINT AFFIDAVIT

  We, _____________ and _____________, both Filipinos, of legal ages and

residents of _____________, Philippines, having been duly sworn in accordance with
law, hereby depose and state:          

That we both personally know the person of _____________ since his

childhood because formerly, we had lived in the same locality for a long time, and
his family has been a close family friend;
 
That we also know and we hereby declare that the said _____________
was born on _____________ at _____________, Philippines;
 
That we are not related in any way, either by consanguinity or affinity, to
the said _____________;
 
As such, we execute this Joint Affidavit to attest to the truth of the
foregoing facts and for any other legal purpose that this Affidavit may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this _____________,

at _____________, Philippines.

  

AFFIANT                                                    AFFIANT

  (JURAT)
(Affidavit  One and the Same Person)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x--------------------x

J O I N T    A F F I D A V I T

             We, _____________ and _____________, both Filipinos, of legal ages, and
residents of _____________ and _____________, respectively, having been duly
sworn in accordance with law, hereby depose and state:

That we have personally known the person of MARIA CLARA for a

long period of time having been her long time friend;
That we know for a fact that the person by the name of "MARIA CLARA" appearing in
some documents and records or specifically in her Certificate of Live Birth and the name
"MARA CLARA" as appearing in the records of Social Security Systems (SSS), refer to
one and the same person and that her true and correct name is MARIA CLARA;

As such, we execute this Affidavit or attest to the truth of the foregoing facts and
for whatever legal purpose that this Affidavit may serve.

           IN WITNESS WHEREOF, we have set our hands this _____________, at

_____________, Philippines.

AFFIANT                                                        AFFIANT

  (JURAT)
(Affidavit of Discrepancy  Surname Family Name)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF DISCREPANCY

             I, JUAN DELA CRUZ, of legal age, married, Filipino and a resident of
_____________, Philippines having been duly sworn in accordance with law, hereby
depose and state:      

That on _____________, I was issued a Philippine Passport with passport number

_____________ in which my true surname DELA CRUZ was stated;

 That before the expiration of the aforementioned passport on _____________, I

had applied with Philippine Embassy in _____________ for the issuance of a new
passport and on _____________, I was issued a new Philippine passport with
passport no. _____________;

 However, in the said new passport my surname had been erroneously misspelled as
DELA CRUX;

 That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing facts
and to explain the discrepancy in my Philippine Passport with regards my surname.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________, at

_____________, Philippines.

AFFIANT

  (JURAT)
(Affidavit of Damage to Vehicle     Hitting a Post while Backing)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT

             I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being sworn to in accordance with law,
depose and state: 

1. That I am a duly licensed driver with Driver's License No. _____________

covered by DLR No. _____________, which is valid until _____________.

2. That on _____________, at around ________, I was driving a motor vehicle

owned and registered in my name which is more particularly described as follows:
 

 Make:    _____________          Motor No.:       _____________

Series:   _____________          Chassis No.:    _____________
Body Type:   _____________    Plate No.:         _____________
Year Model:     _____________    MVRR No.:     _____________

 3. That while I was slowly backing out of the driveway along _____________
Street, _____________, to park my car at the parking area of _____________, the
aforementioned vehicle suddenly hit the post of the building from where I was backing
out and as a result the said vehicle sustained damage at its _____________;

 4. That I am executing this Affidavit to attest to the truth of the forgoing and in
support of the claim against the insurer for the repair of the damage caused to my
vehicle.

             IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in

_____________, Philippines.

  

                                                                                                            AFFIANT

  

(JURAT)
 (Affidavit in Support of Reckless Imprudence Complaint for Damage to Vehicle)

 REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x - - - - -  - - - - - - - - - - - - - - - x

AFFIDAVIT

             I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being sworn in accordance with law,
depose and state:

  That I am a duly licensed driver with Driver's License No. _____________, which
is valid until the year ________ and that I usually drive a vehicle in bringing my son to
school at _____________, which vehicle is specifically described as a _____________
with Motor No. _____________, Chassis No. _____________ and with Plate No.
_____________ issued by the Land Transportation Office of the City of Bacolod and is
registered in the name of _____________, with Certificate of Registration No.
_____________ issued on _____________ and with MVMRR No. _____________
dated _____________;

That on _____________ at around ________ PM, when I brought my son to

school and when the said vehicle was parked at _____________, another vehicle,
identified as a _____________ with Plate No. _____________ and _____________ in
color, stopped in front of my vehicle to also bring an a student to school;

That after the student who alighted from the said _____________ had entered
the school gate, the driver of the said _____________, recklessly and impudently, tried
to make a U-Turn and hit / bumped my vehicle and that when I instantaneously blew my
horn, the driver of the said _____________ quickly accelerated and feloniously fled
away in the direction going to _____________;

That as a result of the incident, the _____________ I was driving sustained

damage in its _____________.

That the said incident was witnessed by many persons, most of whom are also
parents of students who were likewise bringing their children to school, and has been
duly documented in the Blotter of the Traffic Division of the _____________.

That upon inquiry with the Security Office of the _____________, it was
discovered that the said _____________ has been issued a Car Pass by the school
upon application of a certain _____________, a Grade ________ student of
_____________, with residence at _____________.

That I am executing this Affidavit to attest to the truth of the foregoing and in
support of charges for "RECKLESS IMPRUDENCE" against the driver of the said
_____________ or for whatever other action that may be filed against the driver and/or
registered owner of the said vehicle and in support of claims against the insurer for the
repair of the damage caused to the vehicle I was driving.

           IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in

_____________, Philippines.

                                                                                                             AFFIANT

(JURAT)
(Affidavit of Damage to Vehicle   Cannibalized Vehicle)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT

             I, _____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, Philippines, after being sworn in accordance with law,
depose and state:

That I am the true and registered owner of a certain motor vehicle, more
particularly described as follows:

Make:              _____________
MotorNo.:      _____________
Chassis No.:     _____________
Plate No.:         _____________

That I am a duly licensed driver with Professional Driver's License No.

_______________________, which is valid until ______________.

  That on _____________, at around _________, I parked the said motor vehicle

at _____________.

  That after an _____________ later, when I returned to the said vehicle, I was
surprised as I arrived to find the _____________ of my motor vehicle stolen and my car
vandalized. There were scratches on the front right side of it, with its paintwork
damaged and needs repair.

  That I am executing this Affidavit to attest to the truth of the foregoing and in
support of my claim on the insurance of the said motor vehicle.

           IN WITNESS WHEREOF, I have hereunto set my hand this _____________, the
City of _____________, Philippines.

AFFIANT

(JURAT)
(Affidavit of Loss      Cellphone SIM Card)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

  I, _____________, Filipino, of legal age and a resident of _____________,

Philippines, after being duly sworn in accordance with law, depose and state:

  That I am a regular subscriber / user of a (Smart / Globe / Sun) Mobile SIM Card
with No. _____________;

That in the afternoon of _____________, I forgot my (O2 / Sony-Ericsson /

Motorola / Samsung) cellular phone with the said SIM Card in it inside my car which I
have parked along _____________;

  That when I returned to my car at around ________, I discovered that my cellular

phone was missing together with my said Mobile SIM Card which was inside the said
cellular phone;

  That despite diligent search and efforts to locate said cellular phone, I could not
find the same such that I now believe that said is now lost beyond recovery together
with the aforesaid SIM Card;

  As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and in support of my request / application for the replacement of the said SIM Card.

          IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________,Philippines.

AFFIANT

(JURAT)
(Affidavit of Loss     OR  CR of Motor Vehicle)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being duly sworn in accordance with law,
depose and state:

  That I am the registered owner of a certain motor vehicle, which is more

particularly described as follows:

Make               :           _____________

Series               :          _____________
Type of Body   :           _____________
  Motor No.       :           _____________
Chassis No.      :          _____________
Yr. Model        :           _____________
Color               :           _____________
Plate No.          :           _____________

  That as a registered owner, I was issued a Certificate of Registration (C.R.) and

an Original Receipt (O.R.) for my registration for the year _______ by the Land
Transportation Office of _____________ City, Philippines;
 

That when I was about to register the said motor vehicle for year _________, I
could no longer find said Certificate of Registration and Official Receipt of the said
motor vehicle;
 

That despite diligent search and efforts to locate the said documents, I could no
longer find the same such that I believe that they are now lost beyond recovery;
 

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support my application for the issuance of new Certificate of Registration and
Original Receipt, in lieu of the ones that were lost.

  IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in

the City of _____________, Philippines.

                                              AFFIANT

(JURAT)
Affidavit of Loss    BIR Certificate of Registration)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x
 

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being duly sworn in accordance with law,
depose and state:

That I am the _____________ of _____________, a corporation duly

organized and existing under and by virtue of the laws of the Republic of the
Philippines;

That being registered with the Bureau of Internal Revenue, _____________

has been issued a BIR Certificate of Registration;
 
That sometime in _____________, the original copy of the said BIR
Certificate of Registration could not be found and that despite of diligent search and
efforts, the same could no longer be found such that I now believe that it is now lost
beyond recovery.

  As such, I am executing this Affidavit of Loss to attest to the truth of the

foregoing and for whatever legal purposes that this may serve.

             IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines.

AFFIANT
(Affidavit of Loss    Drivers License)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married / widow), and with

residence at _____________, Philippines, after being duly sworn to in accordance with
law, hereby depose and state:

That I am a duly-licensed driver in accordance with pertinent Land Transportation

laws, rules and regulations, and was issued a corresponding Driver's License with
number _____________ which is valid until _____________;

That sometime last week, said Driver's License was misplaced and got lost;

That despite diligent search and efforts to locate my Driver's License, I could not
find the same such that I now believe that it is now lost beyond recovery;

That said Driver's License has not been confiscated by the LTO, Police or other
Traffic Enforcers for any traffic violation;

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support my application for the issuance of a new Driver's License, in lieu of the
one that was lost.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________,Philippines.

AFFIANT

                                                                                              
                                           (JURAT)
Affidavit of Loss    Drivers License ATM Card etc due to Loss of Wallet

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x
 

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being duly sworn to in accordance with
law, hereby depose and state:

That I am an employee of _____________ at _____________, Philippines and at

the same time a duly-licensed driver;

That on _____________ at around ________, while I was at the _____________

at _____________, I lost my wallet which I usually place in my back pocket;

 
That inside the said wallet are my Driver's License and ATM Card issued by
_____________ Bank, _____________ Branch;

 
That despite diligent search and efforts to locate the said wallet and my Driver's
License and my ATM Card, I could not find them such that I now believe that they are
now lost beyond recovery;

 
That my Driver's License has not been confiscated by the LTO, Police or other
Traffic Enforcers for any traffic violation;

 
As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support my application for the issuance of a new Driver's License and a new
ATM Card, in lieu of the ones that were lost.

  IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines.

 AFFIANT

(JURAT)
(Affidavit of Loss    Firearm)
 

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

  I, _____________, Filipino, of legal age, married and a resident of

_____________, Philippines, after being duly sworn in accordance with law, depose
and state:

  That I am the true and licensed owner of a one (1) unit _____________ firearm
with Serial No. _____________.

That on _____________, after having lunch at home, I was surprised to see our
gate open and when I went to close it, I discovered that my vehicle parked at our garage
was also opened;

I then discovered that my belt bag that I had left in the said vehicle was gone and
with it are the above-mentioned firearm, several rounds of ammunition, the original copy
of my License to carry the said firearm, some identification cards, and other important
documents;

That despite diligent search and efforts to locate said firearm, my belt bag and its
aforementioned contents, I could not find the same such that I now believe that all the
foregoing items were stolen and are now lost beyond recovery.

As such, I am executing this Affidavit of Loss to attest to the truth of the

foregoing.

          IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________,Philippines.

                                          AFFIANT    

                                                                                       

  (JURAT)
(Affidavit of Loss Passbook)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married / widow), and with

residence at _____________, Philippines, after being duly sworn to in accordance with
law, hereby depose and state:

  That I maintain a Savings Account with S/A No. _____________ with

_____________ Bank with a credit balance of _____________ (P_____________);
 

That on or about _____________, the Passbook/Certificate of the above-

mentioned account, which has always been in my possession, was lost and its
whereabouts cannot be ascertained despite due and diligent search made and
undertaken such that I now believe that the same is lost beyond recovery;
 

That I now request the _____________ Bank to issue a new

Passbook/Certificate in lieu of the lost one and I bind myself to surrender the lost
Passbook/Certificate in the event that the same is found and/or located;

  That I bind myself to indemnify _____________ Bank for any loss and damage it
may incur by reason of its issuance or replacement Passbook/Certificate;
 

That each and every fact herein stated is true and I am willing to testify before
any court of justice to substantiate the truth of each and all the said facts.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines.

                                           AFFIANT

                                              (JURAT)
(Affidavit of Loss Passport)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

I, _____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, Philippines, after having been duly sworn in accordance
with law, hereby depose and state:

  That on _____________, I was issued a Philippine Passport by the Department

of Foreign Affairs in _____________;

That recently I had tried to look for the said passport but the came could not be
found;

That despite diligent search and efforts to locate the said passport, I could not
find the same such that I now believe that it is now lost beyond recovery;

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support the application for the issuance of new one in lieu of the one which was
lost.

  IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines.

                                       AFFIANT

                                        (JURAT)
(Affidavit of Loss    Pawnshop Ticket)

 REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x
 

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being duly sworn in accordance with law,
depose and state:

That sometime on _____________, I pawned my

_____________ with Agencia _____________ located at _____________ and for
which I was issued Pawn Tickets / Receipt No. _____________.

That sometime on _____________, my wallet that contains the said Pawn Ticket
was misplaced and got lost.

That despite diligent search and efforts to locate the said wallet and pawn ticket, I
could not find the same such that I now believe that they are now lost beyond recovery.

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
facts.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines.

                                      AFFIANT

                                          (JURAT)
(Affidavit of Loss    School ID)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married), and a resident of

_____________, after being duly sworn in accordance with law, depose and state:

That as a bona-fide student of _____________, I was issued a Student

Identification Card (ID) No. _____________;

That to my surprise, I discovered last _____________ that the said Identification

Card could not be found;

As all efforts to find the same proved unrewarding, it is now safe to conclude that
recovery of the same is an impossibility;

Thus, I execute this affidavit to establish its loss and to support my application for
the issuance of a new Identification Card.

           IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines.

                                                                                      
                                                     AFFIANT

                                       (JURAT)
(Affidavit of Loss   LTO License Plate)

 REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being duly sworn in accordance with law,
depose and state:

That I am the registered owner of a certain motor vehicle, more particularly

described as follows:

Make:              _____________
Motor No.:       _____________
Chassis No.:     _____________
Plate No.:         _____________

That on or about _____________, the front license plate of the said vehicle was lost;

That despite diligent search and efforts to locate the said license plate, I could not
find the same such that I now believe that they are now lost beyond recovery.

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support the application for the issuance of a new one in lieu of the one that was
lost.

    IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________,Philippines.

                                        AFFIANT

                                              (JURAT)
(Affidavit of Loss   Official Receipt OR for Bail Bond)

 
REPUBLIC OF THE PHILIPPINES)
Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, and a resident of _____________,

Philippines, after being duly sworn in accordance with law, depose and state:

That I am defendant in Criminal Case No. _____________ before the

_____________ Trial Court, Branch ______, _____________ City, which is for
_____________;
 
That on _____________ and to secure my provisional liberty in the said
criminal case, I posted a Cash Bail Bond in the amount of _____________
(P_____________) and was issued Official Receipt No. _____________;
 
As the aforementioned criminal case against me was already dismissed, I
looked for the original copy of the said Official Receipt No. _____________ to get
back my cash bail bond;
 
However, despite diligent search and efforts to locate the said original copy
of the said Official Receipt No. _____________, the same could not be found and
must have been misplaced and irretrievably lost, such that I now believe that it is
now lost beyond recovery;
 
As such, I am executing this Affidavit of Loss to attest to the truth of the
foregoing and in support for my request for the release of my P_____________
cash bail bond and for whatever legal purposes that this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines.

                                              AFFIANT

  

                                              (JURAT)
(Affidavit of Loss  DTI Certificate of Registration)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being duly sworn in accordance with law,
depose and state:

That I am an Owner of the business name "_____________" which is

registered with the Department of Trade and Industry (DTI) pursuant to the
provisions of Act 3883, as amended by Act 4147 and RA 863;

That I was issued a Certificate of Business Name Registration on

_____________ with No. _____________ which is valid from _____________ to
_____________;

That recently, when we looked for the original copy of the said DTI Certificate
Business Name Registration, the same could not be found and must have been
misplaced and that despite of diligent search and efforts, the same could no longer
be found such that I now believe that it is now lost beyond recovery;
 
As such, I am executing this Affidavit of Loss to attest to the truth of the
foregoing and for whatever legal purposes that this Affidavit may serve.
 

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________,Philippines.

                                        AFFIANT

  
                                          (JURAT)
  (Affidavit for Change of Body of Motor Vehicle)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x
 

AFFIDAVIT

            I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being sworn to in accordance with law,
depose and state:

           1. That I am the registered owner of a certain motor vehicle that is more
particularly described as follows:

Make:                                 Motor No.:

Type:                                   Chassis No.:

Series:                                  Plate No.:

      2. That the original body type of the said motor vehicle was "_____________";

        3. That to have more use of the said vehicle in my business, I have decided to
change the body type of the said vehicle from "_____________" to "_____________";

4. That the change of body type is not intended for any illegal or unlawful
purpose but solely due to the foregoing reasons;

5. That I am executing this Affidavit to attest to the truth of the foregoing and in
support of the application for the change of body type of the above-described motor
vehicle on its Certificate of Registration.

  IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in

_____________,Philippines.

                                              AFFIANT

 
                                              (JURAT)
(Affidavit for Change of Color of Motor Vehicle)

 REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x
                                           

AFFIDAVIT

            I, _____________, Filipino, of legal age, (single / married / widow), and a

resident of _____________, Philippines, after being sworn to in accordance with law,
depose and state:
 

1. That I am the registered owner of a certain motor vehicle that is more

particularly described as follows:

Make:                     Motor No.:
Type:                      Chassis No
Color:                     Plate No.:
 

2. That the original color of the said motor vehicle was "_____________";

3. That when the paint of the above-described motor vehicle had faded, I had its
color repainted to "_____________" such that the color of the said motor
vehicle was changed from "_____________" to "_____________";
 

4. That said change of color is not intended for any illegal or unlawful purpose but
solely due to the foregoing reasons;
 

5.  That I am executing this Affidavit to attest to the truth of the foregoing and in
support of the application for the change of color of the above-described
motor vehicle on its Certificate of Registration.

AFFIANT

 (JURAT)
(Affidavit of Ownership of Personal Properties    for Contract of Pledge)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
x-----------------------x

AFFIDAVIT OF OWNERSHIP

             I, _____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, Philippines, after having been duly sworn to in accordance
with law, hereby depose and state, that:
 

That I am the true and absolute owner of the following personal properties, to wit:

(Enumerate & Describe Each Property)

 

That I intend to deliver the said personal properties as a collateral to secure the
loan that I am applying for from _____________;

That I hereby warrant title and ownership over the above-mentioned personal
properties and I will defend the possession of the Pledge from eviction;
 

That I execute this Affidavit of Ownership to attest to the truth of the

aforementioned facts and in support of my application for a loan and for any other legal
purposes that this Affidavit could serve.

  IN WITNESS WHEREOF, I have hereunto affixed my signature this _________

at _____________,Philippines.

                                   AFFIANT

                                            (JURAT)
(Adverse Claim for Transferred Rights over Real Property)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
City/Municipality of _____________)
x-----------------------x

AFFIDAVIT OF ADVERSE CLAIM

            I, _____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, after having been sworn to in accordance with law, depose
and say:

That I am one of the heirs of the late _____________.

That a certain _____________ previously entered into a Deed of Conditional

Sale with the (Government Service Insurance System (GSIS) or Pag-IBIG) for the
purchase of a parcel of land (including the improvements thereon) located at
_____________, more particularly described as follows:

                               (Technical Description of Property)

That on _____________, _____________ executed a (Deed of Transfer of

Rights / Assumption of Obligations) in favor of the late _____________, which
document is more particularly identified as Document No. ______, Page No. ______,
Book No. ______, Series of ______ in the Notarial Register of Notary Public
_____________ and a copy of which is attached herein.

That in said (Deed of Transfer of Rights / Assumption of Obligations),

_____________, for valuable consideration received, CEDED, TRANSFERRED AND
CONVEYED to _____________, his heirs, successors and/or assigns, all his rights,
interest and participation in the purchase of the aforedescribed parcel of land.
 

That as such, _____________ has since then relinquished all his rights, interest
and participation over the aforedescribed parcel of land in favor of the late
_____________ and his heirs.

However, it has come to my knowledge that _____________ is presently

claiming to still have an interest over the aforementioned parcel of land and is
attempting to sell or dispose of the same despite the fact that he has already conveyed
all his rights and interests thereon to _____________ and his heirs.
 

That unless an adverse claim is annotated on the aforedescribed Transfer

Certificate of Title, the heirs of _____________ are in danger of being defrauded and
deprived of their just and valid right over the aforedescribed parcel of land and, as such,
I am executing this Affidavit in support of my request for the annotation of an adverse
claim over the parcel of land described herein.

FURTHER AFFIANT SAYETH NAUGHT.

 
 IN WITNESS WHEREOF, I have hereunto set my hand this _____________, in
the City / Municipality of _____________, Philippines.

                                                AFFIANT

                                                (JURAT)
(Affidavit of Service of Copy of Pleading)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
City/Municipality of _____________)
x-----------------------x

AFFIDAVIT OF SERVICE

I, _____________, of legal age, (single / married / widow), and a resident of

_____________, Philippines, after having been duly sworn in accordance with law,
hereby depose and say:

  That I am a Secretary / Legal Aide of the law office of Atty. _____________ with
office address at _____________, Philippines;

That in my aforementioned capacity, I had personally served a copy of the

_____________ in the case entitled "_____________," docketed as _____________
CASE NO. _____________ (by personal service) to the office of _____________'s
Counsel of Record, ATTY. _____________, with address at _____________ (by
registered mail with return card under Registry Receipt No. _________).

  IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines

 
                                               AFFIANT

                                           (JURAT)
(Affidavit of Support   for PhilHealth)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
City/Municipality of _____________)
x-----------------------x

AFFIDAVIT OF SUPPORT

             I, _____________, Filipino, (single / married / widow), of legal age, and a

resident of _____________, Philippines, having been duly sworn in accordance with
law, hereby depose and state:

  That I am presently applying for membership of Philhealth;

That I am declaring my (father/mother), _____________, ______ years old as

one of my legal dependents who is dependent upon me for regular support;

That I am executing this Affidavit for the purpose of receiving benefits from
PhilHealth for the aforementioned dependent;

That I am fully aware that any false statement or misrepresentation as to the

facts mentioned above will be a ground for automatic disapproval of the PHILHEALTH
application.

            IN WITNESS WHEREOF, I have set my hand this _____________ in the City of
_____________, Philippines.

                                                AFFIANT

(JURAT)
(Affidavit of Consent and Support for Travel of a Minor)

 REPUBLIC OF THE PHILIPPINES)

Province of ____________________)  S.S.
City/Municipality of _____________)
x-----------------------x

JOINT AFFIDAVIT OF SUPPORT

We, _____________ and _____________, of legal ages, married, Filipinos, and

residents of _____________, Philippines, with residential telephone no. ____________
and with Tax Identification Nos. (T.I.N.) _____________ and _________, respectively,
after having been duly sworn in accordance with law, hereby depose and state:

            That we are the parents of _____________ who is of legal age and a citizen of
the Republic of the Philippines and a holder of valid Philippine Passport with No.
_____________ and who is going for a trip abroad specifically to _____________ this
_____________;
 

That we are giving our full consent to our said (son/daughter) to travel abroad or
specifically to _____________;

That for this purpose, we have sufficient and adequate financial capacity to
support and defray the said travel and do hereby undertake to finance (his/her)  trip
abroad from the application fees, airline tickets, board and lodging, pocket money and
such other expenses that (he/she) may incur so that (he/she) would neither be a burden
to the state nor at their place of destination at any time during (his/her) trip abroad;

That there is no criminal case pending in court against (him/her) nor has (he/she)
been charged of subversion, rebellion, insurrection or any crime or offense involving
moral turpitude in any court of the Philippines;
 

That further, _____________ will be accompanied or escorted by (his/her)

_____________, _____________ in (his/her) travel abroad;

That we are hereby giving my full consent to the said _____________ to

accompany or escort _____________ in (his/her) travel abroad;

That we are executing this affidavit to declare the truth of the foregoing facts and
for whatever legal purpose it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this _____________

at _____________, Philippines.

                      AFFIANT                               AFFIANT

                                            (JURAT)
Undertaking to Vacate Premises subject of Ejectment Case)

DEED OF UNDERTAKING

 KNOW ALL MEN BY THESE PRESENTS:

  I, _____________, of legal age, (single / married / widow), and a resident of

_____________, Philippines, after being sworn to in accordance with law, depose and
state:

1.   That I and the members of my family are presently occupying a

property comprising a house and lot belonging to _____________ and
located at _____________;
 
2.   That I expressly undertake to completely and fully vacate and
peaceably surrender or redeliver the physical possession of the said
property, including the keys appertaining thereto, to _____________
on or before _____________, without any extension whatsoever;
 
3.   That I further expressly undertake to redeliver the physical possession
of the said property to _____________, as aforesaid, in good, clean,
and sanitary condition, devoid of all occupants, boarders, furnitures,
articles, merchandise, etc., except those belonging to the
_____________;
 
4.   That should I fail to comply with the above-mentioned undertakings,
then _____________, her duly authorized representatives or any
person acting in her behalf, shall have the right to immediately enter
and take possession of the subject property, with full power and
authority to open, enter, repossess, secure, enclose, padlock the
means of entrance and exit, and otherwise take full and complete
physical possession and control of the premises, without need of any
further notice or demand or proceeding in court, holding in trust and
custody all our belongings found therein after an inventory of the same
is made in the presence of a witness, all these acts being hereby
agreed to by me as tantamount to my voluntary vacation of the subject
house and lot without necessity of any further action in court;
 
5.   That the above undertakings shall also be valid and binding on all the
members of my family, heirs, agents, representatives, successors, and
assigns.

             IN WITNESS WHEREOF, I have hereunto affixed my signature this

_____________ at _____________ Philippines.

                           OCCUPANT
(WAIVER Release and Quitclaim    Vehicular Accident)

DEED OF RELEASE, WAIVER AND QUITCLAIM

  We, the spouses _____________ and _____________, both of legal ages,

Filipinos, and residents of _____________, Philippines, hereby DECLARE AND
MANIFEST:

That for and in consideration of the amount of _____________

(P_____________) in cash, in hand received by us to our full and complete satisfaction,
and the payment and settlement by _____________ of the hospital and medical bills
and expenses incurred by the _____________ for injuries sustained, I, WE hereby
absolutely release, completely clear, and forever discharge the said
_____________ and his driver _____________ from any action, cause of action, sum of
money, liability, damages, claims and demands whatsoever, which in law or in equity
I/we have, or which I/we, our heirs, insurer, successors and assigns hereafter may have
upon or by reason of the injuries sustained by me/us, and the damage sustained by our
_____________ motor vehicle with Plate No. ______________ arising from the
accident which happened on _____________ at _____________ involving our said
_____________ registered in the name of the undersigned _____________ and the
_____________ motor vehilce with Plate No. _____________ owned by the said
_____________ with the intention to completely and absolutely waive all our right of
action, causes of action, claims and demands, of whatever nature, arising from, or in
connection with the aforementioned accident.

 I/We further warrant that I/we will institute no further action against the said
_____________ and/or his driver _____________ arising from, by reason of, or in
connection with, the aforementioned vehicular accident. I/We also manifest that the said
payment / settlement made by the said _____________ shall not be taken by us, our
heirs, our insurer or assigns, as a confession and/or admission of liability on the part of
the said _____________ or by his driver _____________ in connection with the
aforementioned accident.

 IN WITNESS WHEREOF, we have hereunto set our hands this _____________
at _____________, Philippines.

AFFIANT                                                        AFFIANT

SIGNED IN THE PRESENCE OF:

__________________            __________________

(ACKNOWLEDGMENT)
(Motion for Extension of Time to File Answer    Responsive Pleading)

(CAPTION)

MOTION FOR EXTENSION OF TIME

            DEFENDANT, by the undersigned counsel, and unto this Honorable Court, most
respectfully states that:

1.      Defendant engaged the services of undersigned counsel only on

_____________;

2.      Defendant was served with Summons and copy of the Complaint on
_____________ and thus has until _____________ within which to submit an
Answer or Responsive Pleading;

3.      However, due to the pressures of equally urgent professional work and
prior commitments, the undersigned counsel will not be able to meet the said
deadline;

4.      As such, undersigned counsel is constrained to request for an additional

period of _____________ from today within which to submit Defendant's
Answer or Responsive Pleading. Moreover, this additional time will also allow
the undersigned to interview the available witness and study this case further;

5.      This Motion is not intended for delay but solely due to the foregoing
reasons.

 P R A Y E R

            WHEREFORE, Defendant most respectfully prays of this Honorable Court that
he be given an additional period of _____________ from today within which to submit
an Answer or other Responsive Pleading.

Other relief just and equitable are likewise prayed for.

_____________, Philippines, __Date__.

(COUNSEL)

  (NOTICE OF HEARING)

(EXPLANATION)

COPY FURNISHED:

OPPOSING COUNSEL
(Motion for Extension of Time to Submit Counter Affidavit)

(CAPTION)

MOTION FOR EXTENSION OF TIME

             RESPONDENT, by the undersigned counsel, and unto this Honorable Office of
the City Prosecutor, most respectfully states that:

1.      Respondent engaged the services of undersigned counsel only on

_____________;

2.      Respondent received the subpoena on _____________ and thus has until
_____________ within which to submit his counter-affidavit;

3.      However, due to the pressures of equally urgent professional work and
prior commitments, the undersigned counsel will not be able to meet the said
deadline;

4.      As such, undersigned counsel is constrained to request for an additional

period of _____________ from today within which to submit Respondent's
counter-affidavit and other supporting evidence. Moreover, this additional time
will also allow the undersigned to interview the available witness and study
this case;

5.      This Motion is not intended for delay but solely due to the foregoing
reasons.

PRAYER

            WHEREFORE, Respondent most respectfully prays of this Honorable City

Prosecutor of _____________ that he be given an additional period of _____________
from today within which to submit his counter-affidavit and other documentary evidence.

MOST RESPECTFULLY SUBMITTED.

Other relief just and equitable are likewise prayed for.

_____________, Philippines, __Date__.

  (COUNSEL)

  

(NOTICE OF HEARING)

(EXPLANATION)

COPY FURNISHED:

OPPOSING COUNSEL
(Contract of Lease     Simple Form)

CONTRACT OF LEASE

 KNOW ALL MEN BY THESE PRESENTS:

  This Contract of Lease made and entered into by and between:

_____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, Philippines, (hereinafter referred to as the
"LESSOR");
 
- and -
 
_____________, of legal age, Filipino, (single / married / widow), and a
resident of _____________, Philippines, (hereinafter referred to as the
"LESSEE");

WITNESSETH That:

            WHEREAS, the LESSOR is the owner of a certain parcel of land situated at
_____________, Philippines, more particularly described as follows:

 
(Technical Description of Property)

  WHEREAS, the LESSOR desires to lease the afore-described property in favor

of the LESSEE and the LESSEE accepts the lease subject to the terms and conditions
herein set forth.

NOW, THEREFORE, for and in consideration of the terms and conditions

mutually agreed upon by the parties, the LESSOR hereby lease unto the LESSEE, his
heirs, successors and assigns, the above-described parcel of land subject to the
following terms and conditions, to wit:

  1.   That the term of this lease shall be for a period of _____________ (_____)
(years/months) to commence upon the signing of this Contract and shall be renewable
for another _____________ (_____) (years/months) at the option of the LESSEE, and
thereafter renewable upon mutual agreement of the parties;

2.   That the monthly rentals on the leased premises above-mentioned shall be
__________________________ (P___________), Philippine Currency for the first
_____________ (_____) (years/months) of this agreement, which shall be increased by
__________________________ (P___________) every _____________ (_____)
(years/months) thereafter. The rentals shall be paid by the LESSEE to the LESSOR on
a monthly basis payable on or before the _______th day of the every month;

  3.   That upon the signing of this Contract, the LESSEE agrees to pay advanced
rentals for _____________ (_______) months;

  4.   That the LESSOR shall pay the real property taxes levied of the leased
premises corresponding to the aforementioned parcel of land while the LESSEE shall
pay the real property taxes levied on the building and other improvements that shall be
introduced by the latter;
  5.   It is expressly agreed by the parties herein that any fixed improvements or
renovations that will be introduced in the subject stall shall become the property of the
LESSOR after the expiration of the term of this Contract.

  IN WITNESS WHEREOF, the parties have hereunto affixed their signatures this
_____________ at _____________, Philippines.

  

LESSOR                                                                      LESSEE

SIGNED IN THE PRESENCE OF:

 
__________________            __________________
 
 
(ACKNOWLEDGMENT)
(Extension of Lease)

AGREEMENT

(Extension of Lease)

            This AGREEMENT is entered into by and between:

_____________, of legal age, Filipino, (single / married / widow),

and a resident of _____________, Philippines, (hereinafter referred to as
the "LESSOR");
 
- and -
_____________, of legal age, Filipino, (single / married / widow),
and a resident of _____________, Philippines, (hereinafter referred to as
the "LESSEE");

WITNESSETH:

            WHEREAS, LESSOR and LESSEE were parties and signatories to a Contract
of Lease executed on _____________ whereby the __Leased Property__ belonging to
the LESSOR was leased by the LESSEE for _____________ (_____) years, up to and
including _____________.

             WHEREAS, LESSOR and LESSEE have mutually agreed to extend the term of
the said lease contract for _____________ (_______) year(s), from _____________ to
_____________.

             NOW, THEREFORE, by mutual agreement, both parties have agreed to extend
the term of the said Contact of Lease for another _____________ (_______) year(s),
from _____________ to _____________, under the same applicable terms,
consideration, and conditions of the original Contract of Lease, a copy of which is hereto
attached and made an integral part of this Agreement.

IN WITNESS WHEREOF, we have hereunto set our hands, this _____________

at _____________, Philippines.

  

LESSOR                                                                      LESSEE

SIGNED IN THE PRESENCE OF:

__________________            __________________

(ACKNOWLEDGMENT)
(Chattel Mortgage Without Separate Promissory Note)

CHATTEL MORTGAGE

 KNOW ALL MEN BY THESE PRESENTS:

            This Chattel Mortgage, made by and between:

  _____________, of legal age, (single / married / widow), and a resident of

_____________, Philippines (hereinafter known as the MORTGAGOR);

- and -
 
_____________, of legal age, (single / married / widow), and a
resident of _____________, Philippines (hereinafter known as the
MORTGAGEE);

WITNESSETH; That:

The MORTGAGOR is indebted unto the MORTGAGEE in the sum of

_____________ (P__________), Philippine Currency, receipt of which is acknowledged
by the MORTGAGOR upon the signing of this instrument, payable to the order of the
MORGAGEE without need of prior demand or notice within a period of _____________
(years/months/weeks/days), at _____________ (P__________) (monthly/weekly/daily)
starting on _____________ and on every _____________ thereafter until fully paid, with
interest thereon at the rate of _____________ (______%) percent per (month/annum).

  NOW, THEREFORE, for and consideration of the afore-mentioned indebtedness,

and to assure the performance of said obligation to pay, the MORTGAGOR hereby
CONVEYS by way of CHATTEL MORTGAGE unto the MORTGAGEE, (his/her) heirs,
successors and assigns, the following personal property now in the possession of said
MORTGAGOR:

  (Description of the Subject Personal Property)

  That it is the condition of this Mortgage that should the MORTGAGOR perform
the obligation to pay the afore-cited indebtedness of _____________ together with
accrued interest thereon, within the agreed term, this Chattel Mortgage shall be
discharged and shall at once become null and void and of no effect whatsoever,
otherwise, it shall subsist and remain in full force and effect and be subject to
foreclosure in the manner and form prescribed by law.

  IN WITNESS WHEREOF, we have have hereunto set their hands, this

_____________ at _____________, Philippines.

MORTGAGOR                                               MORTGAGEE

 With my Marital Conformity:

 MORTGAGOR'S SPOUSE

 
 SIGNED IN THE PRESENCE OF:

__________________            __________________

(ACKNOWLEDGMENT)

AFFIDAVIT OF GOOD FAITH

We, the undersigned MORTGAGOR and MORTGAGEE hereby jointly and

severally swear that we executed the foregoing Chattel Mortgage in order to secure the
indebtedness therein cited and for no other purpose or purposes contrary to law.

MORTGAGOR                                               MORTGAGEE

                                       (JURAT)
(Release of Chattel Mortgage on Motor Vehicle)

RELEASE OF MORTGAGE

 KNOW ALL MEN BY THESE PRESENTS:

  I, _____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, Philippines,

WITNESSETH:

  That I am the Mortgagee in that Deed of Chattel Mortgage executed by

_____________ on _____________ and registered as Doc. No. ______; Page No.
______; Book No. ______; Series of ______, in the Notarial Register of Notary Public
_____________;

  That having this date received the full amount of

__________________________ (P__________), in Philippine Currency, from the
Mortgagor, which is in full and complete settlement of the obligation secured by the said
mortgage, I do hereby forever RELEASE, DISCHARGE, AND CANCEL the
aforementioned Mortgage, covering the motor vehicle that is more particularly described
as follows:

Make:              _____________          Motor No.:       _____________

Series:              _____________          Chassis No.:     _____________

Type of Body:  _____________          Plate No.:         _____________

CR No.:           _____________          MVRR No.:     _____________

  IN WITNESS WHEREOF, I have hereunto set my hand, this _____________ at

_____________, Philippines.

MORTGAGES

SIGNED IN THE PRESENCE OF:

__________________            __________________

                                 (ACKNOWLEDGMENT)
(Release of Mortgage)

RELEASE OF MORTGAGE

 KNOW ALL MEN BY THESE PRESENTS:

             That I, _____________, Filipino, of legal age, (single / married / widow), and a
resident of _____________, Philippines, MORTGAGEE of __Property Mortgaged__ in a
Deed of (Real Estate / Chattel) Mortgage executed by __Name of Mortgagor__ on
_____________ and entered as Doc. No. _______; Page No. _______; Book No.
_______; Series of _______ in the Notarial Register of Notary Public _____________,
hereby RELEASE and completely DISCHARGE the aforementioned mortgage on the
above-mentioned property, the loan secured having been completely paid and settled to
my full satisfaction.

  IN WITNESS WHEREOF, I have hereunto set my hand, this _____________ at

_____________, Philippines.

                                      MORTGAGEE

 SIGNED IN THE PRESENCE OF:

__________________            __________________

(ACKNOWLEDGMENT)
(Real Estate Mortgage Without Separate Promissory Note)

REAL ESTATE MORTGAGE

 KNOW ALL MEN BY THESE PRESENTS:

             This Real Estate Mortgage, made by and between:

  _____________, of legal age, (single / married / widow), and a resident of

_____________, Philippines (hereinafter known as the MORTGAGOR);

- and -
 
_____________, of legal age, (single / married / widow), and a
resident of _____________, Philippines (hereinafter known as the
MORTGAGEE);

WITNESSETH; That:

The MORTGAGOR is indebted unto the MORTGAGEE in the sum of

_____________ (P__________), Philippine Currency, receipt of which is acknowledged
by the MORTGAGOR upon the signing of this instrument, payable to the order of the
MORGAGEE without need of prior demand or notice within a period of _____________
(years/months/weeks/days), at _____________ (P__________) (monthly/weekly/daily)
starting on _____________ and on every _____________ thereafter until fully paid, with
interest thereon at the rate of _____________ (______%) percent per (month/annum).

  NOW, THEREFORE, for and consideration of the afore-mentioned indebtedness,

and to assure the performance of said obligation to pay, the MORTGAGOR does
hereby CONVEY and DELIVER by way of MORTGAGE unto the MORTGAGEE,
(his/her) heirs, successors and assigns, the following parcel of land, together with all the
improvements found and standing thereon, more particularly described as follows:

  (Technical Description of Property)

  That it is the condition of this Mortgage that should the MORTGAGOR perform
the obligation to pay the afore-cited indebtedness of _____________ together with
accrued interest thereon, within the agreed term, this Real Estate Mortgage shall be
discharged and shall at once become null and void and of no effect whatsoever,
otherwise, it shall subsist and remain in full force and effect and be subject to
foreclosure in the manner and form prescribed by law. 

  IN WITNESS WHEREOF, we have have hereunto set their hands, this

_____________ at _____________, Philippines.

  

MORTGAGOR                                               MORTGAGEE

 With my Marital Conformity:

 MORTGAGOR'S SPOUSE

 
 SIGNED IN THE PRESENCE OF:

__________________            __________________

                               (ACKNOWLEDGMENT)
(Acknowledgment of Debt)

DEED OF ACKNOWLEDGMENT OF DEBT

 KNOW ALL MEN BY THESE PRESENTS:

 

I, _____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, after being duly sworn to in accordance with law,
witnesseth and declare:

  That I am indebted in the sum of _____________ (P_____________), Philippine

Currency, to _____________, who is also of legal age, (single / married / widow), and a
resident of _____________.

  That I hereby promise and undertake to pay the said indebtedness unto the said
_____________ within a period of _____________ (_____) (months/years/days) from
today, in the amount of _____________ (P_____________) (monthly/daily) every
_____________ with interest at the rate of _____________ (_____%) per centum per
(month/annum) until fully paid.

           IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in

_____________, Philippines.

                                              AFFIANT

 SIGNED IN THE PRESENCE OF:

__________________            __________________

(ACKNOWLEDGMENT)
 (Promissory Note     Simple Form with Interest)

PROMISSORY NOTE

P_____________

                                                                                               

FOR VALUE RECEIVED, I promise to pay without need of demand to the order
of __Payee__, at his office at _____________, the principal amount of PESOS:
__________________________ (P_____________), on or before _____________. In
addition to the foregoing, I promise to pay monthly interest at the rate of
_____________ (_______%) percent, without need of demand, starting from the month
of _____________ until this note is fully paid.

__Date__, _____________, Philippines.

MAKER
(Promissory Note     Simple Form with Interest  Penalty and Attorneys Fee)

PROMISSORY NOTE

P_____________

                                                                                          

FOR VALUE RECEIVED, I promise to pay without need of demand to the order
of __Payee__, at his office at _____________, the principal amount of PESOS:
__________________________ (P_____________), on or before _____________. In
addition to the foregoing, I promise to pay monthly interest at the rate of
_____________ (_______%) percent, without need of demand, starting from the month
of _____________ until this note is fully paid.

 In case of default in the payment of this note plus interest when it becomes due
and demandable, I agree to pay an additional amount equivalent to _____________
(_______%) percent per month based on the total amount due and demandable as
penalty, compounded monthly until fully paid; and in case it becomes necessary to
collect this note through any Attorney-at-Law, the further sum of _____________
(_______%) percent thereof as and for attorney's fees, exclusive of costs and
judicial/extra-judicial expenses.

__Date__, _____________, Philippines

MAKER
The withdrawal or recantation of the complainant by the administrative charges does
not necessarily result in the dismissal of the administrative case. We have repeatedly
ruled that: chan robles virtual law library

withdrawal of a complaint or subsequent desistance by the complainant in an

administrative case does not necessarily warrant its dismissal. Administrative actions
cannot depend on the will or pleasure of the complainant who may, for reasons of his
own, condone what may be detestable. Neither can the Court be bound by the unilateral
act of the complainant in a matter relating to its disciplinary power. The Court does not
dismiss administrative cases against members of the Bench merely on the basis of
withdrawal of the charges. Desistance cannot divest the Court of its jurisdiction to
investigate and decide the complaint against the respondent. To be sure, public interest
is at stake in the conduct and actuations of officials and employees of the judiciary. And
the program and efforts of this Court in improving the delivery of justice to the people
should not be frustrated and put to naught by private arrangements between the parties.
[

Respondent Judge Paz's actuation constitutes simple misconduct, which for a first
offense is punishable with suspension of one month and one day to six months. [17]
However, respondent Judge Paz had retired compulsorily on 21 September 1998. In lieu
of suspension, respondent Judge Paz should be fined, not P1,000 as recommended by
the Investigating Justice, but P20,000 considering that simple misconduct is a less
serious charge.[18] chan robles virtual law library
WHEREFORE, respondent Judge Benedicto A. Paz is adjudged guilty of SIMPLE
MISCONDUCT and FINED Twenty Thousand Pesos (P20,000) to be deducted from his
retirement benefits. Let the retirement benefits of respondent Judge Benedicto A. Paz be
released immediately, subject to the deduction of the P20,000 fine and the usual
clearances.
i