Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

REPUBLIC OF THE PHILIPPINES)

CITY OF MUNTINLUPA ) S.S.

AFFIDAVIT-COMPLAINT

I,________________ of legal age, Filipino, married with business address


at _____________________ depose and state that:

1. I am the Manager and duly authorized representative


_________________________-- for brevity, a corporation duly organized and
existing under0 the Philippine laws, with principal address at
________________________. Attached herewith the Secretary Certificate
marked as Annex A;

2. After having duly sworn to in accordance with law, I do hereby


accuse ___________________, former Store Treasurer of ___________ Branch
of legal age with residential address Niño St., Purok Lumba-lumba, Cadiz City where
she can be served with legal processes of the crime of ESTAFA BY MEANS OF ABUSE
OF CONFIDENCE under the Revised Penal Code;

3. Respondent- ____________ was a former employee by Citistores


Inc. Her last position was Store Treasurer and was assigned at
_____________________ until terminated on September 4, 2019.

4. Respondent as Store Treasurer was responsible for securing and


proper documentation of the store’s financial assets (cash funds, cash sales, gift
certificates). It is a position of trust and confidence as the function of handling cash
and other financial assets of the company are entrusted to the Store Treasurer as
part of the Job Description. Attached herewith the JD marked as Annex B

5. On February 14,2020, I was informed by the Auditor that a total


amount of FIFTEEN THOUSAND EIGHT HUNDRED SIXTY SIX PESOS and
83/100 pertains to Petty Cash Fund of the store is still unliquidated;

6. As per record of the store the above mentioned amount are still for
replenishment. However, upon verification with the Finance-Treasury thru Ms. Fe
Zoleta, the said amount was already replenished thru issuance of the three checks
under the name of the Respondent. Attached herewith the Internal Audit Report of
Juvimar P. Bulan, Audit Manager dated February 19, 2020 marked as Annex C.

7. These, three checks were transmitted to the Centro Department Store-


Cadiz branch last July 12, 19, and 29, 2019 respectively and were all enchased on
July 29, 2019 by Hazel Bantillo. See details below.

Check Check Check Check Date Date Replenishment


Number Date Payee Amount Check Check for Petty Cash
sent to Encashed Vouchers dated
Store
2 7/22/2019 P4,858.00 7/26/2019 7/29/2019 June-16-29,2019
7/12-2019 7,279.34 7/19/2019 7/29/2019 June 6-14,2019
7/05/2019 3,729.49 7/12/2019 7/29/2019 May 21-30, 2019
TOTAL 15,866.83
2

8. As per Bank Policy, only the payee can encashed the check issued to
her. Attached herewith the Bank Certificate that the abovementioned checks amounting
to FIFTEEN THOUSAND EIGHT HUNDRED SIXTY SIX PESOS and 83/100 were
encashed and deducted from _________Account marked as Annex D.

9. We sent her demand letters and even asked help from the Brgy.
Officials where she resides to settle the amount yet she refused to settle the amount.

10. Respondent’s acts of falsifying the reports to conceal that she


received the check, encashed, misappropriating for personal use and by refusing and
failing to pay the same has deprived _____________of the use and enjoyment of
said amount to its damage and prejudice.

____________
Affiant

SUBSCRIBED AND SWORN to before me this ______ day of December 2009


at ___________ City.

___________________________
Assistant City Prosecutor

CERTIFICATION

I HEREBY CERTIFY that I have personally examined the affiant-complainant


and that I am satisfied that he voluntarily executed and understood his Complaint-
Affidavit.

___________________________
Assistant City Prosecutor

You might also like