Académique Documents
Professionnel Documents
Culture Documents
COMPLAINT
1. Both the Plaintiff and the Defendant are of legal age, and
residents of Caibiran, Biliran;
MAKE: HONDA
MODEL: CIVIC
BODY TYPE: 4 DOOR SEDAN
ENGINE NO.: 123456
CHASSES NO.: 123456
PLATE NO.: ABC1234
COLOR: BLACK
MODEL YEAR: 2019
OWNER: CHRISTIAN ALFRED G. CORPIN
9. The said property has not been detained or taken for a tax
assessment or a fine pursuant to law or seized under a writ of
execution or preliminary attachment, or otherwise placed under
custodial legis, or if so seized, that is exempt from such seizure
or custody.
Page 2 of 4
Tel. No. (053) 500 1234
By:
2. That I read and understood its contents which are true and
correct of my own personal knowledge and/or based on authentic
records;
Page 3 of 4
CHRISTIAN ALFRED G. CORPIN
Affiant
Driver’s License
H1234567
I certify that have personally examined the herein affiant and that
I am fully satisfied that he executed and understood the contents of his
Complaint Affidavit, having explained the contents of the same in a
dialect which is known and understood by him, and that the same is
his voluntary free act and deed.
Doc. No.:______,
Page No.:______,
Book No.:______, NOTARY PUBLIC:
Series of 2019 Commission Serial No.:____
Until December 31, _______
Roll of Attorney __________
IBP No.:___/Date/Place of issue
PTR No.: __/Date/place of issue
Page 4 of 4