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Republic of the Philippines

MUNICIPAL TRIAL COURT


Bacolod City
Second Judicial Region

JOHN A. JUAN
Plaintiff, CIVIL CASE NO.___________

- versus – FOR: COLLECTION OF SUM OF MONEY

JAIME B. TUO
Defendant.

JUDICIAL AFFIDAVIT OF
JOHN A. JUAN

I, John A. Juan of legal age, married, and living at Baculud Iguig,, petitioner in this case, state

under oath as follows:

PRELIMINARY STATEMENT

The person examining me is Atty. Kimberley Matammu with address at Carig Sur Tuguegarao

City. The examination is being held at the same address. I am answering her questions fully

conscious that I do so under oath and may face criminal liability for false testimony and perjury.

This affidavit/testimony of petitioner John Juan is being offered to prove that the respondent

Jaime Tuo is indebted to plaintiff the sum of Three Hundred Fifty Thousand Pesos (php

350,000.00), Philippine Currency. The petitioner’s testimony is also offered to prove that

defendant Jaime Tuo unlawfully refused to pay the lawful demand of the plaintiff.

1. Q. Please state your name and other personal circumstances for the record.

A. I am John Juan, 45 years old, farmer and residing in Baculud Iguig, Cagayan

2. Q. Are you the same John Juan, the petitioner in this case?

A. Yes ma’am.

3. Q. Do you know a certain Jaime Tuo?

A: Yes ma’am. He borrowed money from me in the sum of Php 350,000.00


4. Q: When did Jaime borrow money from you?

A: August 07, 2014

5. Q: Do you have any proof that indeed Jaime borrowed money from you on the said date?

A: Yes ma’am. He executed a document in an Ilocano dialect in the presence of Patrick One,
Juan Two, as Barangay Kagawad, Kerry Bells as Barangay Secretary and Kemer Lou as Barangay
Captain where he had acknowledged his indebtedness and where he had promised to pay the me
the sum of php350,0000 on October 07 2014,(Exhibit “A”)

6. Q: Did Jaime pay his indebtedness on October 07, 2014?

A: He failed to pay the said obligation on due date,

7. Q: How did you settle this matter?

A: I approached Atty. Paul Let to formally send letter of demand payment of their indebtedness.
(Exhibit“B”)

8. Q: Did he answer your demand?

A: He failed to comply with such demand.

9. Q: What did you do next?

A: I tried to settle the matter with him to the level of the proper lupon of Baculud Iguig, but he

refused to settle it.

10. Q: Do you have any proof that Jaime indeed refused to settle his indebtedness?

A: Yes ma’am .Certificate to file Action (Exhibit “C”)

IN WITNESS WHEREOF, I have hereunto set my hand this 13th day of December 2014
at Tuguegarao City.

John A. Juan

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for Tuguegarao City
Cagayan this 13th day of December 2014. Affiant personally came and appeared with Voter’s ID
issued by the COMELC on July 13, 2014 at Tuguegarao City bearing his photograph and
signature, known to me as the same person who personally signed the foregoing instrument
before me and avowed under penalty of law to the whole truth of the contents of said instrument.

Atty. KIKAY VILLA


Notary Public
Doc. No. ____ Commission Serial No. 123456
Page No. ____ Notary Public for Tuguegarao City, Cagayan
Book No. ____ Until December 31, 2015
Series of 20__ Office: Montilla st. CArig Sur Tuguegarao City
Roll No. 34567
IBP Lifetime Roll No. 12345-56; 05/05/13 ; Cagayan
PTR No. 123457 04/13/13 ; Cagayan
MCLE Compliance Cert. No. 45678; 04/04/13

I, Kimberley Dela Cruz- Matammu, of legal age, Filipino, with postal address Carig sur
Tuguegarao City after being duly sworn depose and say:

1. I was the one who conducted the examination of witness John Juan at my
aforementioned office in Carig Sur Tuguegarao City;

2. I have faithfully recorded or caused to be recorded the questions I asked and the
corresponding answer that the witness gave;

3. I nor any other person then present or assisting her coached the witness regarding
her answers;

IN WITNESS WHEREOF, I have hereunto set my hand this 13th day of December 2014
at

Tuguegarao City,Cagayan

ATTY.KIMBERLEY DC. MATAMMU


Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for Tuguegarao City
Cagayan this 13th day of December 2014. Affiant personally came and appeared with Voter’s ID
issued by the COMELC on July 13, 2014 at Tuguegarao City bearing his photograph and
signature, known to me as the same person who personally signed the foregoing instrument
before me and avowed under penalty of law to the whole truth of the contents of said instrument.

Atty. KIKAY VILLA


Notary Public
Doc. No. ____ Commission Serial No. 123456
Page No. ____ Notary Public for Tuguegarao City, Cagayan
Book No. ____ Until December 31, 2015
Series of 20__ Office: Montilla st. CArig Sur Tuguegarao City
Roll No. 34567
IBP Lifetime Roll No. 12345-56; 05/05/13 ; Cagayan
PTR No. 123457 04/13/13 ; Cagayan
MCLE Compliance Cert. No. 45678; 04/04/13