Marc F.

Gelacio
Legal Forms (Wednesday 7:30-9:30pm)

ORDINARY JURAT

SUBSCRIBED AND SWORN to before me, in the city/municipality of __________________,

this ___________ day of _________________, 20___________ by ___________________
with Residence Certificate No. ________________ issued at ___________________ on
______________, 20_____.

                                                                                                      

                                         NOTARY PUBLIC

                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________ 

JURAT INVOLVING THREE OR MORE AFFIANTS

SUBSCRIBED AND SWORN to before me, this _____________, by the following,

who exhibited to me their respective Community Tax Certificates as follows:

Name / C.T.C. No. / Date / Place Issued

1. _____________ ____________ _____________
2. _____________ ____________ _____________
3. _____________ _____________ ____________

                                         NOTARY PUBLIC

                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________ 
ACKNOWLEDGENT INVOLVING TWO OR MORE PERSONS

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ______) SS.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________,

personally appeared _____________ with Community Tax Certificate No. _____________ issued on
_____________ at _____________ (and Tax Identification No. (T.I.N.) _____________), and
_____________ with Community Tax Certificate No. _____________ issued on _____________
at _____________ (and Tax Identification No. (T.I.N.) _____________), both known to me and to
me known to be the same persons who executed the foregoing instrument which they acknowledged to me
to be their free and voluntary act and deed, consisting of only ______ (____) page/s, including this page
in which this Acknowledgement is written, duly signed by them and their instrumental witnesses on each
and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

                                         NOTARY PUBLIC

                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________ 
ACKNOWLEDGEMENT CONSISTING OF TWO OR MORE PAGES

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _______________)  SS
MUNICIPALITY OF ___________)

ACKNOWLEDGMENT

          BEFORE ME, this ________day of ___________, 20___ in the Municipality of

_____________, Province of ____________, Philippines, personally appeared
_____________________, with Residence Certificates A No. ___________ and B No.
____________ issued at ______________, on _________________, 20_____, respectively, and
BIR Tax Identification No. __________________, known to me to be the same person who executed
the foregoing instrument, and he acknowledged to me that the same is his free act and deed.

                 This instrument, consisting of ________ pages, including the page on which this
acknowledgment is written, has been signed on the left margin of each and every page thereof by
____________________ and his witnesses, and sealed with my notarial seal.

                 IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal, the day,
year, and place above written.

                                         NOTARY PUBLIC

                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________ 
 AFFIDAVIT OF LOSS OF DRIVER’S LICENSE

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _______________)  SS
MUNICIPALITY OF ___________)

AFFIDAVIT OF LOSS

I, ___________________, of legal age, Filipino, (single/married/widow) and a resident of

_______________________________, after having been duly sworn to in accordance with law, depose
and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land Transportation laws, rules and regulations,
and was issued a corresponding (Non) Professional Driver's License with number _____________
which is valid until _____________;

2. Sometime on ____________, said driver's license was misplaced and got lost;

3. Efforts were exerted to locate said driver's license, but in spite of diligent search, it could not be found and
the same is now beyond recovery;

4. Said Driver's License has not been confiscated by the LTO, Police or other Traffic Enforcers for any traffic
violation;

5. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support my
application for the issuance of a new (Non) Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in

Makati City, Metro Manila, Philippines.

____________________
Affiant

SSS ID No. _____________

 SUBCRIBED AND SWORN TO before me this ___________________ in

_________________, Philippines, affiant exhibiting to me his/her competent evidence of identity by
way of __________________ issued at ______________ on __________________.

NOTARY PUBLIC
                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________ 
AFFIDAVIT OF LEGITIMATION

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _______________)  SS
MUNICIPALITY OF ___________)

JOINT AFFIDAVIT OF LEGITIMATION

WE, ___________________ and ___________________, both of legal age, husband and wife,
respectively, and presently residing at ________________________________________________
after having been duly sworn to in accordance with law, depose and state:

1. That we are the biological parents of _______________ who was born on ____________
in____________ as evidenced by the attached copy of the child’s Birth Certificate, marked as Annex “A”;

2. That at the time of his/her birth, we, the biological parents were not yet married;

3. That at the time of the conception of our child, there was no legal impediment for us to contract marriage;

4. That we were married on _____________ in __________________, as evidenced by the attached

Marriage Certificate, marked as Annex “B”;

5. That by virtue of our subsequent marriage, the said child is now legitimated by operation of law; and

6. That we are executing this Affidavit to attest to the foregoing facts, for purposes of complying with the
requirements in applying for the legitimation by subsequent marriage of our son/daughter,
_____________________ and for all legal intents and purposes.

IN WITNESS WHEREOF, we have hereunto set our hands this ___________________ in

_______________, _____________.

____________________________ _____________________________

(Father; Signature over Printed Name) (Mother; Signature over Printed Name)

SUBCRIBED AND SWORN TO before me this ___________________ in _________________,

________________, affiants exhibiting to me their valid proofs of identification attached here as
photocopies.

NOTARY PUBLIC
                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                           Book ___________________________;
                                        Series of 20___________

AFFIDAVIT OF TWO DISINTERESTED PARTIES

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _______________)  SS
MUNICIPALITY OF ___________)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, _____________________________, of legal age, Filipino, single/married/widow/er and

presently residing at ____________________________, and ___________________________, of
legal age, Filipino, single/married/widow/er and presently residing at ___________________________,
both after being duly sworn to in accordance with law, depose and state that:

1. We personally know _________________________ of

_______________________________, being acquaintance for a long period of time;

2. We declare, confirm and affirm that he/she was born at ____________________, Province of
____________________, Philippines, on the _________ day of ___________ 20____;

3. He/she has been using the said birth date in all his/her documents and transactions;

4. We are not related by affinity or consanguinity to the above mentioned person; and

5. We are executing this affidavit to confirm and affirm the foregoing facts and for whatever legal purpose it
may serve.

IN WITNESS WHEREOF, WE have hereunto set our hands this ____ day of ____________, 20__ at
_______________________________.

___________________________ ____________________________
AFIANT AFIANT
Government ID No.________ Government ID No._________
Issued on_______________ Issued on________________
Issued at_______________ Issued at________________

SUBSCRIBED AND SWORN to before me in ___________________ this ____day of

_______________, ________ by affiants, who have satisfactorily proven to me their identities through
their identification documents written below their name and signature, that they are the same persons who
personally signed before me the foregoing Joint Affidavit of Two Disinterested Persons and acknowledged that
they executed the same.

NOTARY PUBLIC
                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                           Book ___________________________;
                                        Series of 20___________

LEGAL OF DESISTANCE IN A CRIMINAL CASE FOR THE CRIME OF BP 22

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _______________)  SS
MUNICIPALITY OF ___________)

AFFIDAVIT OF DESISTANCE

I, ___________________, of legal age, Filipino and a resident of _______________, after

having been duly sworn in accordance with law, hereby depose and say:

1. That I am the private complainant in the Criminal Cases Nos.____________to____________

entitled "People of the Philippines vs._____________"; for Violation of Batas Pambansa Bilang 22
pending before the Municipal Trial Court, Branch______, ____________City, Philippines.

2. In this regard, the accused _________________________has already paid in full the amount
represented by the checks subject of the above-mentioned cases, to with:
Criminal Case No. ________, Check No. ________, Amount ________.

3. That in view of the payment in full by the accused, I would like to manifest that I am no longer interested
in the prosecution of the aforementioned criminal cases and I am respectfully requesting the Honorable
Public Prosecutor to move for the dismissal of the aforementioned cases against the accused.

IN WITNESS WHEREOF, I have hereunto set my hand this_____________ at___________, Philippines.

____________________

Affiant

NOTARY PUBLIC
                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________
 AFFIDAVIT OF ADVERSE CLAIM OVER A CERTAIN PARCEL OF LAND

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _______________)  SS
MUNICIPALITY OF ___________)

AFFIDAVIT OF ADVERSE CLAIM

         I, ______________, of legal age, Filipino, single and a resident of ___________________, after
having been duly sworn to in accordance with law, depose and state:

1. That on _____________, I have entered into a Deed of Conditional Sale which was acknowledged on
the same date before Notary Public ______________ and entered in his Notarial Register as Doc. No.
__, Page __, Book __, Series of ____. A copy of the said  Deed is hereto attached as ANNEX “A” and made
an integral part of this Affidavit;

2. That in the said Deed of Conditional Sale, I was the VENDEE of a certain parcel of land covered by
Transfer Certificate of Title No. _______________________ , more particularly described as follows:

(Technical Description of Property)

3. That because I still have a balance on the purchase price in the amount of ____________ which is
payable within _________ from the date of signing thereof, it was stipulated in the aforementioned Deed
that title and ownership over the subject property will only be transferred upon full payment of the same;

4. That the VENDOR in the said Deed of Conditional Sale agreed that upon its execution, said Deed shall be
annotated in the Title with the Office of the Register of Deeds of ______________;

5. However, since the said Deed of Conditional Sale per se could not be annotated on the Title with
the Office of the Register of Deeds, I am therefore executing this Affidavit for the purpose of attesting to the
truthfulness of the foregoing allegations and in support of my request for the annotation of an adverse
claim over the parcel of land covered by the Transfer Certificate of Title No. ____________.

     IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _________ in________,
Philippines.

___________________
Affiant
 SUBCRIBED AND SWORN TO before me this ___ day of _______ in ______ , Philippines,
affiant exhibiting to me her ________ issued in ______on ________and valid
until ______________ .

NOTARY PUBLIC
                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________
 AFFIDAVIT OF DAMAGE TO VEHICLE DUE TO AN ACCIDENT

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _______________)  SS
MUNICIPALITY OF ___________)

AFFIDAVIT OF DAMAGE TO VEHICLE

I, ___________ , of legal age, Filipino, single/married, and a resident of _________, Philippines,
after being sworn to in accordance with law, depose and state:

1. That I am a duly licensed driver with Driver's License No. _________ which is valid until
___________.

2. That on _________ at around ________ , after getting out from my job at __________________ ,
I noticed many visible surface scratches on the front bumper of my ________ at the driver’s side near the
fender, at the parking area of said plaza.

3. The said vehicle is owned and registered in my name and is more particularly described as follows:

Model: ___________________________

Color: ____________________________

Plate number: _______________________

Certificate of Registration No.: ____________

LTO Official Receipt: __________________

4.     That the security guard on duty declared to having not noticed or heard any incident causing the said
damage to my vehicle while it was in the parking lot. Neither was there a CCTV recording in the area
which can determine who caused the damage, as such, I do not foreclose the possibility that it was another
vehicle who caused said damage.

5.    That I am executing this Affidavit to attest to the truth of the forgoing and in support of the claim with the
insurer for the repair of the damage caused to my vehicle.

IN WITNESS WHEREOF, I have hereunto set my hand this __th day of _______ in_________, Philippines.

___________________
Affiant
 SUBCRIBED AND SWORN TO before me this ___ day of _______ in ______ , Philippines,
affiant exhibiting to me her ________ issued in ______on ________and valid
until ______________ .

NOTARY PUBLIC
                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________
AFFIDAVIT OF SERVICE OF COPY OF PLEADING

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _______________)  SS
MUNICIPALITY OF ___________)

AFFIDAVIT OF SERVICE

I, _____________, of legal age, (single / married / widow), and a resident of

_____________, Philippines, after having been duly sworn in accordance with law, hereby depose and say:
That I am a Secretary / Legal Aide of the law office of Atty. _____________ with office address at
_____________, Philippines;
 

That in my aforementioned capacity, I had personally served a copy of the _____________ in the
case entitled "_____________," docketed as _____________ Case no. _____________ (by personal
service) to the office of _____________'s Counsel of Record, ATTY. _____________, with address at
_____________ (by registered mail with return card under Registry Receipt No. _________).

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at

_____________, Philippines

___________________
Affiant

SUBCRIBED AND SWORN TO before me this ___ day of _______ in ______ , Philippines,
affiant exhibiting to me her ________ issued in ______on ________and valid
until ______________ .

NOTARY PUBLIC
                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________
AFFIDAVIT OF SELF-ADJUDICATION OF ESTATE OF DECEASED PERSON

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF _______________)  SS
MUNICIPALITY OF ___________)

AFFIDAVIT OF SELF-ADJUDICATION

I, ________________________________, after having been sworn to in accordance with law,

hereby depose and state that:

1. I Am of legal age, Filipino, single/ married, and a resident of ______________________________;

2. To the exclusion of all others, am the only legitimate heir of ____________________ (name of
deceased depositor);

3. Hereby certify that the deceased, ______________________, has no other bank deposit in the
Philippines;

4. Am claiming from the Philippine Deposit Insurance Corporation (PDIC) the deposit insurance due on
Savings/ Time/ Current Deposit Account No/s. ________________ maintained with
________________________________________ under the name of the deceased
______________________________________________;

5. Acknowledge receipt of the insurance proceeds, in cash (if the amount is P5,000 & below) or in check
made payable to me, and hold PDIC free and harmless from any and all actions that may arise from the
release of the insured deposit to me;

6. By virtue of this Affidavit, shall be held liable to any person that may be prejudiced by my representations,
in addition to other liabilities, civil or criminal, that may arise therefrom; hereby releasing and
discharging PDIC from any and all further obligations in connection with this claim;

7. Undertake to refund PDIC the amount paid to me including interest thereon and indemnify PDIC, the
bank and/or third parties for any loss or damages occasioned by such payment. I am executing this
affidavit to attest to the truth of the foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of

____________________ at _________________________________.

_____________________________

Affiant
 SUBSCRIBED AND SWORN to before me in the Municipality/City of __________________ this
____ day of __________________ by the affiant, who has satisfactorily proven his/her identity to me
through his/her _______________________________________ issued on _________________
in _________________, that he/she is the same person who personally signed the foregoing affidavit
before me and acknowledged that he/she executed the same.

NOTARY PUBLIC
                                          My commission expires Dec. 31, 20__
                                           Not. Reg. No.______________________;
                                            Page No._________________________;
                                          Book ___________________________;
                                        Series of 20___________