Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 3

Republic of the Philippines

11th Judicial Region


REGIONAL TRIAL COURT
Branch ___
Davao City

MARIA ANTONIETA LABO CIVIL CASE NO.


Plaintiff, __________

- versus -
FOR: Collection of Sum of
PABLO DIPAKAU HALAP Money with
Defendant. Damages

JUDICIAL AFFIDAVIT

I, MARIA ANTONIETA LABO, of legal age, single, Filipino, and


a resident of Room 1, Dimakita Bldg., Makawala St., Davao
City, Philippines, having been duly sworn in accordance with
law, hereby depose and state that:

1. I was examined by Atty. Matalas A. Isip of the ISIP Law


Firm located at 0013 Rizal Ave., Davao City,
Philippines;

2. I answered the questions asked of me, fully conscious


that I do so under oath, and that I may face criminal
liability for false testimony or perjury.

The following are the questions asked of me by Atty. Isip,


and my corresponding answers:

Q1. Please state your name and other personal


circumstances for the record.

A1. I am Maria Antonieta Labo, Filipino and residing in


Davao City
Q2. Are you the same Maria Antonieta Labo, the
petitioner in this case?

A2. Yes.

Q3. Do you know a certain Pablo Dipakau Halap?

A3: Yes. He borrowed money from me in the sum of Php


500,000.00

Q4: When did Pablo borrow money from you?

A4: November 20, 2017

Q5: Do you have any proof that Pablo borrowed money


from you on the said date?

A5: Yes. He executed a promissory note dated


November 20, 2017 where he had acknowledged his
indebtedness and where he promised to pay the sum of PHP
500,0000 on January 20, 2018, (ANNEX “A”)

Q6: Did Pablo pay his indebtedness on January 20,


2018?

A6: He failed to pay,

Q7: How did you settle this matter?

A7: Repeated demands both written and verbal were


sent to demand payment of the indebtedness. (ANNEX “B”
to “B1”)

Q8: Did he answer your demand?

A8: He failed and refused to comply with the obligation.


IN WITNESS WHEREOF, I have hereunto set my
hand this 7th day of May 2018 at Davao City.

Maria Antonieta Labo


Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary


public in and for Davao City this 7th day of May 2018.
Affiant personally came and appeared with Driver’s License
ID issued by the LTO on March 5, 2017 at Davao City
bearing his photograph and signature, known to me as the
same person who personally signed the foregoing
instrument before me and avowed under penalty of law to
the whole truth of the contents of said instrument.

ATTY. MATALAS A. ISIP


Doc. No._____ NOTARY PUBLIC
Page No._____ PTR No. 1234567 3 Jan 17 DC
Book No._____ IBP No. 7654321 3 Jan 17 DC
Series of 20___ IBP Roll No. 12345
MCLE Compliance No. V –
0001234 15 April 2016

You might also like