Tuesday, May 21, 2019

AFFIDAVIT OF ECONOMIC STATUS SAMPLE


Republic of the Philippines )
City of ___                         ) Sc.


AFFIDAVIT OF ECONOMIC STATUS

I, AAA, of legal age, Filipino citizen and with residence address at 143 Brgy IloveYou, Manila, after having been sworn to in accordance with law, do hereby depose and state, that:


1.     I am applying for Violet Card at XXX Medical Center, Manila, to support my medication and in connection therewith, I am required to submit a sworn statement of my economic status, hence this affidavit;

2.     I am solo parent with one minor child still studying;

3.     I am not getting any financial support from the father of my minor child;

4.     I am unemployed and our sole source of income is my sari-sari store located in our residence at 143 Brgy IloveYou, Manila;

5.     I am earning Two Hundred Pesos (P200.00) daily income from my sari-sari-store, of which we are getting our daily expenses, and payment for utility bills and rental fee;

6.     I am executing this affidavit to attest to the truth of the foregoing facts and for purposes of applying for issuance of Violet Card issued by XXX  Medical Center.

AND FURTHER AFFIANT SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereby signed this Affidavit on this ____day of ______________20__ in the City of ________________ on ______________.


AAA
Affiant
Signed in the Presence of:

______________________________                  _____________________________

REPUBLIC OF THE PHILIPPINES )
CITY OF _______________________) Sc.

JURAT

SUBSCRIBED AND SWORN to before me this___________________________ in the City of _____________, affiant exhibiting to me his/her government issued identification card No. __________________________________, issued on _________________, issued at ______________.  

NOTARY PUBLIC
Doc. No. :_______
Book No. :_______
Page No. :_______
Series of :2019.

Wednesday, September 12, 2018

Legal Implications of Cyberbullying


This is part of my presentation during the seminar on "Personal Awareness Through Collective Encounter (PACE) II Program last March 1, 2018 at Trinity University of Asia.




































Monday, September 3, 2018

Affidavit of Discrepancy in Name








REPUBLIC OF THE PHILIPPINES)
__________________________  ) Sc.


AFFIDAVIT OF DISCREPANCY IN NAME

I, WWW WWW, of legal age, single, and with address at 808 Maganda St., May Lahi, Manila under oath, state that:

1.              My name is WWW XXX as stated and registered in my birth certificate issued by the Philippine Statistics Authority.  A copy of my birth certificate is hereto attached as ANNEX “A” and made an integral part of this Affidavit;

2.              In my Certificate of Live Birth as recorded in the Office of the Civil Registrar of May Lahi, Manila, Philippines, my surname was erroneously written as "XYX" instead of my true and correct surname of "XXX";

3.              My true surname name is "XXX", as appearing in all my pertinent records including scholastic records and all identification cards, including my Philippine passport.  Copy of my Philippine passport is hereto attached as Annex “B” and made an integral part of this Affidavit;

4.              WWW XXX and WWW XYX refer to one and the same person, the herein Affiant; and

5.              I am executing this Affidavit of Discrepancy to attest to the truth of the foregoing facts and to explain the discrepancy in my Certificate of Live Birth.


IN WITNESS WHEREOF, I hereunto affix my signature this _________________ at __________________________.


WWW XXX
Affiant

Signed in the presence of:

_______________________________               ______________________________


JURAT

SUBSCRIBED AND SWORN to before me this _______________ at _____________, Affiant exhibiting to me his/her Competent Identification Card: ______________________, issued on _________________ at ________________.


NOTARY PUBLIC

Doc No. _______;
Page No. ______;
Book No. ______;
Series of 2019.


Sunday, August 13, 2017

Secretary's Certificate

Republic of the Philippines
City of Makati                         Sc.


SECRETARY’S CERTIFICATE

     I, MMM M MMM of legal age, Filipino, single and with office address at G/F United Kingdom Tower, Venus Road, Makati City,  after having been duly sworn  in accordance with law, do hereby depose and say that:

1.    I am the Corporate Secretary of the XYZ CORPORATION, a domestic company duly-registered with Securities and Exchange Commission (SEC), with corporate business address at G/F United Kingdom Tower, Venus Road, Makati City;

2.    At the Special Board meeting held on October 19, 2014 where majority of the Stockholders are present and at which a quorum was existing and acting throughout, the members of the Board present approved the following recommendations:

a.   RESOLVED, as it is hereby RESOLVED, that the following are the newly elected Board of Directors: 1.MMM M MMM, 2. JJJ J JJJ and 3. HHH H HHH and likewise elected as Corporate Secretary, Treasurer and Board of Director as replacement of XXX X XXX, respectively.  Said officers shall act as such for the remaining term of the Board of Directors who resigned and replaced” and

b.   RESOLVED FINALLY, that updating of corporate accounts specifically bank accounts of the Corporation will be the tasked of the new Corporate Secretary, MMM M MMM. Official signatories for the checks, deposits and withdrawal shall be MMM M MMM and JJJ J JJJ.

3.    The foregoing approval has not been amended, suspended or revoked and the same is valid and effective until otherwise modified by another act of the board.

Done this 5 November 2014, Makati City.

                                                MMM M MMM
Corporate Secretary






JURAT


SUBSCRIBED AND SWORN to before me this 21st day  of January 2015, personally exhibited to his LTO driving License No. N02-1234-5678 issued on November 28, 2013 in Quezon City.

                                                                                  NOTARY PUBLIC
Doc. No. ___
Page No. ___
Book No. ___
Series of 2014.


TREASURER'S AFFIDAVIT


PDF
Print
E-mail

 


REPUBLIC OF THE PHILIPPINES)
City of San Juan                      )              Sc.

I, AAA A. AAA, of legal age, married and a resident of Unit 101 Maganda Tower, San Juan, after being duly sworn, depose and say:

That I have been elected by the subscribers of the corporation as Treasurer thereof to act as such until my successor has been duly elected and qualified in accordance with the by – laws of the corporation, and that as such Treasurer, I hereby certify under oath that at least 25% of the authorized capital stock of the corporation has been subscribed and at least 25% of the subscription has been paid, and received by me in cash for the benefit and credit of the corporation.

This is also to authorize the Securities and Exchange Commission and Bangko Sentral Ng Pilipinas to examine and verify the deposit in the:

Bank
Branch
Address
BPI
San Juan
G/F Cityland Tower I, San Juan City


in my name as Treasurer in trust for the XYZ INC. in the amount of Five Hundred Thousand Pesos Only (P500,000.00) representing the paid-up capital of the said corporation which is in the process of incorporation.

This authority is valid and inspection of said deposit may be made even after the issuance of the Certificate of Incorporation to the corporation. Should the deposit be transferred to another bank prior to or after incorporation, this will also serve as authority to verify and examine the same. The representative of the Securities and Exchange Commission is also authorized to examine the pertinent books and records of accounts of the corporation as well as all supporting papers to determine the utilization and disbursement of the said paid up capital.

In case the said paid-up capital is not deposited or withdrawn prior to the approval of the articles of incorporation, I, in behalf of the above named corporation, waive our right to a notice and hearing in the revocation of our Certificate of Incorporation.

In witness hereof, I hereunto affix my signature this day of ____________ 2014, _____________, Philippines.


AAA A. AAA
Affiant
Philippine Passport No:EB0912345
Issued on  18 June 2014, Manila


JURAT

SUBSCRIBED AND SWORN TO before me, a Notary Public in the City of San Juan, personally appeared above name with his Philippine Passport No. EB0912345, issued on 18 June 2014, who is personally known to me to be the same person and identified through competent evidence of identity as defined by Rules on Notarial Practice, who presented the foregoing instrument and signed the instrument in my presence, and who took an oath before me as to such instrument. Witness my hand and seal this on _________________.

                                               
NOTARY PUBLIC 

Doc. No.: ______
Page No.: ______
Book No.: ______
Series of 2017.






Saturday, August 5, 2017

JUDICIAL PARTITION

                        REPUBLIC OF THE PHILIPPINES
NATIONAL CAPITAL JUDICIAL REGION
REGIONAL TRIAL COURT
QUEZON CITY
BRANCH______


BBB CORPORATION
Represented by AAA A AAA,
     Petitioner,


                   -versus-                                   Special Proceeding No.
                                                                     LRA Case No. _______
                                                                     For: JUDICIAL PARTITION
                                                                             REAL PROPERTY

THE ESTATE OF THE LATE XXX X
XXX and  the  HEIRS  of   Sps.
XXX X XXX  and HHH H HHH,
Respondents.
x---------------------------------------------------------x

 

PETITION



          COMES NOW, the Petitioner by Counsel and unto this Honorable Court respectfully states:

1.      Petitioner is a domestic corporation, duly registered with Securities and Exchange Commission, with office address at Unit 101 Roseland Building, Banahaw Avenue, Quezon City, where it may be serve with court’s orders, notices, decisions, summons and other court’s processes while Defendants are with legal capacity and with residence address at 123 Kalayaan Avenue, Quezon City, where they may be serve with summons, orders, notices, notices and other court’s processes;

2.      Defendants are the registered owners of a parcel of land located in Quezon City, covered by TCT No. 45678 of the Registry of Deeds for Quezon City, containing an area of 800 square meters, more or less, copy of which is hereto attached as Annex “A”;

3.      The said property of the defendants was mortgaged to the herein Petitioner sometime in July 2005 to secure the mortgage obligation of XXX X XXX, with the petitioner in the amount of One Million Pesos (P1,000,000.00), copy of the Real Estate Mortgage is hereto attached as Annex “B”  and made integral part hereof;

4.      Upon default in the payment of the mortgage obligation by the mortgagors XXX X XXX to herein petitioner, the same property was foreclosed and a sheriff Certificate of Sale was issued on July 16, 2012 in favor of the petitioner as shown in the Entry No. 201255-23-345 inscribed at the back of TCT No. 45678 Registry of Deeds for Quezon City;

5.      The petitioner was able to register the highest bid for the said property in the amount of P1,900,000.00;

6.      On 19 October 2013, the petitioner consolidated the ownership of the said property in its favor by executing an affidavit of consolidation as per Entry No. 2345-678 dated 13 November 2013 shown at the back of TCT No. 45678;

7.      On February 16, 2014, the petitioner requested the defendants to voluntarily execute a Deed of Partition over the said property covered by TCT No. 45678 but despite of which, the latter failed and refused to do so, copy of which is hereto attached as Annex “C” and made integral part hereof;

8.      Forced to litigate, the petitioner was constrained to engaged the services of a counsel for a fee of P50,000.00 by way of attorney’s fees and expenses per court appearance in the amount of P4,000.00 for which the defendants should be held liable and the same must be paid to the Petitioner;

PRAYER

          WHEREFORE, premises considered, it is most respectfully prayed of the Honorable Court that after due hearing, a decision be rendered in favor of the petitioner and against herein defendants, as follows:

1.      Ordering the defendants to execute a Deed of Partition over TCT No. 45678 of the Registry of Deeds for Quezon City, dividing the property covered thereof into two equal shares, one-half (½ ) thereof goes to the Petitioner and the other half goes to the Defendants. In case of unjust refusal of the respondents, the Branch Clerk of Court of this Honorable Court be authorized to execute the said Deed of Partition of Real Property;

2.      Ordering the Respondents to pay the sum of P50,000.00 by way of attorney’s fees and the expenses incurred in the filing of this suit and its prosecution;

3.      To pay the cost of the suit.

          Such other reliefs and remedies deemed just and equitable under the premises are likewise prayed for.

Manila for Quezon City, October 19, 2014.



By:


ATTY. HHH H HHH
(office address)
 IBP No. _______/__________/Manila
PTR No. ______/_________/Manila
Roll No. ________
MCLE Compliance Certificate No. _________________

  


















REPUBLIC OF THE PHILIPPINES}
QUEZON CITY                                   }  S.S.


VERIFICATION WITH CERTIFICATION OF NON-FORUM SHOPPING



I, AAA A AAA, of legal age, married with office and corporate address at _______________________________, after having been duly sworn to in accordance with law hereby deposes and states that:

1.                             I am the duly authorized representative of BBB Corporation, as evidenced in the Secretary’s Certificate dated ____________. (Annex “D”);

2.                             I caused the preparation of  the foregoing Petition, read and understood the contents thereof, and hereby attests that the same are true and correct of his own knowledge and from available authentic documents in the possession of the Corporation;

3.                             I certify that Plaintiff has not commenced any action involving the same issues before the Supreme Court, Court of Appeals, or other quasi-judicial body, that to the best of his knowledge no such action is pending before said court, tribunal or agency, and that should he learns thereafter of the pendency of any such similar action, he undertakes to report the same to this Court in five (5) days from notice.


                                                                             AAA A AAA
                                                                                Affiant

JURAT

          SUBSCRIBED AND SWORN to before me this____day of ____________ 2014, affiant exhibited to me his LTO Driving License No. NOP-04-2345678 issued on 11/12/2013 at Quezon City, Philippines.

                                                                   NOTARY PUBLIC


Doc.  No.: ______;
Page No.: ______;
Book No.: ______;

Series of ________.