I.

CONFIDENTIAL CLIENT INFORMATION SHEET

Please fill out the following as accurately as possible.

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Today’s Date
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Name: Last Name First Name Middle Name

Sex: __ Male __ Female

Status: __ Single __ Married __Widower/ Widow__ Annulled __ Legally Separated

Address: ____________________________________________________________
Lot/ Block/ House Number Street Subdivision
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Barangay City/Municipality Province Zip Code

Date of Birth: ____________________________________

Phone Number: __________________________________

By signing below, I hereby certify and attest to the fact that all information
represented and given by me are true and correct.

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Signature of Client over Printed Name Date
 Republic of the Philippines
FOURTH JUDICIAL REGION
REGIONAL TRIAL COURT
LUCENA CITY
BRANCH 55

Plaintiff,

- versus - CIVIL CASE NO.

FOR: ABATEMENT OF NUISANCE
AND DAMAGES

Defendants.

II. STATEMENT OF FACTS AND HISTORY OF THE CASE

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 III. LEGAL ISSUES

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 IV. DOCUMENTS/ EXHIBITS PRESENTED

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 V. WITNESSES AND TESTIMONIES

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 VI. JURISPRUDENCE/ LAWS

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 VII. BILLINGS AND SCHEDULE OF PAYMENTS

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 VIII. SCHEDULE OF HEARINGS
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