Legal Forms
Legal Forms
c
cc !
That sometime in the morning of __date of issue__, at __place of issue__, Philippines, the said
__Respondent__ issued in my favor a __Name of Bank__ Check No. _____________ in the
amount of P_____________ as supposed payment for the loan accommodation of
P_____________, which I have extended to (him/her);
That the said check is drawn against the account of the said __Respondent__ at __Name of
Bank__ with Account No. _____________;
That at the time the said __Respondent__ issued the delivered the said check to me, (he/she)
made the assurance and representation that the said check is a good check and would be covered
by sufficient funds when presented for payment;
However, when the above-mentioned check was deposited, the same was dishonored and
returned by the bank on the ground that the same was drawn against a "CLOSED ACCOUNT".A
true and faithful machine reproduction of the said check is hereto attached as Annex "____";
As such, I immediately notified said __Respondent__ of the dishonor and return of the said
check and demanded from (him/her) that (he/she) make good the said check within
_____________ (____) days from receipt thereof. A true and faithful machine reproduction of
my demand letter to (him/her) is hereto attached as Annex "____"
When said __Respondent__ failed to heed my demands, I endorsed the said check to my legal
counsel who immediately sent a formal demand letter through registered mail with return card on
_____________, which was received by the said __Respondent__ on _____________.As of date
however, __Respondent__ has unjustifiably ignored all these demands to pay the said account
and/or to redeem the said returned check. A true and faithful machine reproduction of my
demand letter to (him/her) is hereto attached as Annex ____"
Administering Officer
c
" " #
" " #
"
Contrary to law.
COMPLAINANT
(JURAT)
Witnesses:
___________________
___________________
c $
#
%
#
%
"
Contrary to law.
COMPLAINANT
(JURAT)
Witnesses:
________________
____________________
c &
c "'
'#"
c "'
'#"
"
Contrary to law.
COMPLAINANT
(JURAT)
Witnesses:
________________
__________________
c
"
c(
Contrary to law.
PROSECUTOR
Witnesses:
____________________
____________________
c )
* "
"
c(
Contrary to law.
PROSECUTOR
Witnesses:
____________________
____________________
c )
+,
-
+,
-
"
c(
Contrary to law.
PROSECUTOR
Witnesses:
____________________
____________________