Академический Документы
Профессиональный Документы
Культура Документы
CITY OF PASIG } SS
AFFIDAVIT OF LOSS
I, P01 DEXTER A SANTOS, Filipino citizen, of legal age, policeman and presently
assigned at Eastern Police District Headquarters, District Special Project Unit (EPD,DSPU) located
at Meralco Avenue, Pasig City, after having duly sworn in accordance with law hereby states that:
That on August 29, 2008, I inadvertently loss my black wallet while on board a public utility
vehicle (FX Taxi) flying the route of Megamall to Pasig City market;
That I exerted effort to find the said wallet but prove futile;
SUBSCRIBED AND SWORN to before me this ___ day of September 2008, in the City of
Pasig. I further certify that I personally examined the affiant and I am satisfied that he voluntarily
executed and understood the foregoing.
___________________________
(Administering Officer)
PEDRO SANTOS
Defendant.
x----------------------------------------x
COMPLAINT
____________________
(Offended Party)
______________________
(Administering Officer)
WITNESSES:
______________________ _____________________
PEDRO SANTOS
Defendant.
x----------------------------------------x
COMES NOW, the defendant in the above-titled case, by his undersigned counsel
and respectfully states:
That the defendant is presently in custody of the law for the alleged commission of a
capital offense and is being detailed at ___________;
That no bail has been recommended for his temporary release, on the assumption
that the evidence of guilt is strong;
That the burden of showing that evidence of guilt is strong is on the prosecution,
and unless this fact is satisfactorily shown, the defendant may be granted bail at the
court’s discretion.
WHEREFORE, upon prior notice and hearing, it is respectfully prayed that the
defendant be admitted to bail in such amount as this Honorable Court may fix.
________________________
(Attorney for Defendant)
________________________
(Address)
That defendant was served with summons and a copy of the complaint on
September 2, 2007 and consequently, has only up to September 17, 2007 within which to
file an Answer;
That the undersigned counsel has started to prepare the Answer but, unfortunately
due to pressure of work in attending to other equally important cases, he will need
additional time, of 15 days from September 17, 2007, to complete and file the same;
That, his motion is being filed solely for the foregoing reason and not for purposes
of delay.
________________________
(Attorney for Defendant)
________________________
(Address)
PEDRO SANTOS
Defendant.
x----------------------------------------x
SUBPOENA
To: ____________________
____________________
You are hereby commanded to appear before the Regional Trial Court
_______________ on the _____day of ________, 2007 at _____ o’clock, then and there
to testify in the action of ______________ against ______________ (here set out the
number of the Case)
Witness the Honorable _____________ judge of said court, this ____ day ____,
2007.
__________________________
(Chief of Office)
PEDRO SANTOS
Defendant.
x----------------------------------------x
COMES NOW the Defendant, by the undersigned counsel, unto this Honorable
Court respectfully states:
That counsel for defendant is afflicted with chicken pox an is now under the medical
care of Dr. Quack. A copy of the physician’s certificate under is hereto attached.
WHEREFORE, it is respectfully prayed that the hearing set on July 7, 2004 be reset
to another day preferably on the first week of August 2004 or at the convenience of this
Honorable Court.
________________________
(Attorney for Defendant)
________________________
(Address)
1. That as a result of a motor vehicle accident which occurred on March 13, 2007
in Manila, when I was hit by a car driven by X and owned by Y, filed a criminal complaint
against both X and Y in the Municipal Trial Court of Manila for Reckless Imprudence
Resulting to Slight Physical Injuries;
2. That after verifying the facts, I realized the said X was not altogether reckless in
driving said vehicle as he was merely trying to avoid bumping a child who suddenly
appeared and run towards the vehicle;
3. That in order to settle the case amicably and since the owner Y had offered to
pay all the medical expenses I incurred and the losses suffered in the total amount of
P__________ which I hereby acknowledge, I am withdrawing my complaint in criminal
case filed in the Municipal Trial Court of Manila ( Crim Case No._____);
4. That by virtue thereof, I am waiving all my rights to file any criminal cases
against both X and Y.
____________________
(Affiant)
SUBSCRIBED AND SWORN to before me, in the City of Pasig, this _____day of
____________, 2007, the affiant exhibiting to me his Driver’s License No. N25-02-003-180
issued by Land Transportation Office on March 4, 2000, and Community Tax Certificate
No. 12345678 issued on __________ , at____________.
Name: _____________________________
Notary Public for (Municipality/City)
Office Address of Notary Public _________
Appointment No._________ Until {date/year}