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REPUBLIC OF THE PHILIPPINES)

Pasay City ) SS.

ABC DEF
Plaintiff, Criminal Case No. _____
For Estafa and B.P 22

vs.

GHI JKL
Respondent

COMPLAINT AFFIDAVIT

I, ABC DEF, of legal age, and resident of No. 1, Lourdes St., Pasay City, after having been
sworn to in accordance with law depose that:

1. I am filing formal complaints/criminal charges against GHI JKL (herein referred also
as the respondent) a resident of No. 12 Lourdes St., Bangkal, Pasay City.

RECOMMENDED CRIME FOR PROSECUTION

2. Violation of B.P. 22 and Estafa under Article 514 (d) of the Revised Penal Code and
other appropriate charges under the circumstances, which were committed as follows:

VENUE AND JURISDICTION

3. The crime was committed in Pasay City.

ULTIMATE FACTS COMMON TO ALL THE CHARGES

1. I first met the GHI JKL in 2019 when the respondent manifested his intention of
obtaining a loan from me.

2. We have come to an agreement that the respondent will obtain a loan from me
amounting to One Million Pesos (Php 1,000,000.00).

3. The manner of payment we agreed upon is that the respondent will pay One Hundred
Thousand Pesos (Php 100,000.00) a month on monthly installment through postdated
checks.

4. The respondent issued 10 (10) checks totaling to One Million Pesos (Php
1,000,000.00). Upon presentment, they were returned and marked as unfunded.
5. Through a lawyer, I have sent the respondent a Demand letter dated October 31, 2019
and it was personally received by the respondent on November 03, 2019.

6. Despite receipt of the Demand Letter by the respondent, the respondent still did not
make good his checks blatantly violating BP 22.

7. I have also made other written and verbal demands personally but to no avail. The
respondent just kept promising and delaying things.

8. Because of the foregoing, I have no choice but to proceed and file this case against the
respondent.

9. This statement is based on our present personal profile and from actual occurrence of
the events, specifically true and correct to the best of my knowledge and ability.

ABC DEJ
Affiant

SUBSCRIBED AND SWORN to before me this 18th day of December 2020, Pasay City,
Philippines. I hereby certify that I have personally examined the affiants and that I am fully
satisfied and convinced that they executed voluntarily and understood the contents thereof.

LMN OPQ
Administering Officer

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