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JURAT:

It refers to an act in w/c an individual on a single occasion:


a. Appears in person before the notary public and presents an instrument
b. Is personally known t the NP or identified by the NP through competent evidence identity
c. Signs the instrument in the presence of the NP
d. Takes an oath or affirmation before the NP as to such instrument.
Briefly, it is that part of the affidavit in which the NP certified that the instrument was sworn to before
him.
SAMPLE JURAT:
SUBSCRIBED AND SWORN to before me this day of ________, 2015 the affiant, _____________, is
personally known to me and exhibiting to me his (competent proofs of identity)__________________
issued at ______________ on _______________ and his CTC No. ___________ issued at ____________ on
_________.
NAME OF NP
Notary Public for the Province/City of _____
Address
Appointment No. ___ until December _____
Roll of Attorney No. ______
PTR No. _________
IBP No. __________
MCLE Compliance No. ___________
Doc No._____
Page No. _____
Book No. ______
Series of 20__
ACKNOWLEDGEMENT
Simply, it is the act of one who has executed a deed in going before some competent officer and
declaring it to be his act or deed.
TWO FOLD FUNCION: (1) Authorize the deed to be given in evidence without further proof of its
execution (2) entitle it to be recorded.
SAMPLE ACKNOWLEDGEMENT:
BEFORE ME, this ___ day of __________, 2015 in the City of ______ Philippes, personally appeared
______________, with (competent proofs of identity)__________________ issued at ______________ on
_______________ and his CTC No. ___________ issued at ____________ on _________, 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.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal, the day and
place above written.
NAME OF NP
Notary Public for the Province/City of _____
Address
Appointment No. ___ until December _____
Roll of Attorney No. ______
PTR No. _________
IBP No. __________
MCLE Compliance No. ___________
Doc No._____
Page No. _____
Book No. ______
Series of 20__

AFFIDAVIT
REPUBLIC OF THE PHILIPPINES)
Makati City, Metro Manila

) S.S.
AFFIDAVIT

I, ____________, Filipino, of legal age, and resident of _______________, having been duly sworn in
accordance with law, hereby depose and state that:
1.
2.
3.

Introduce yourself
Purpose of the Affidavit
I am executing this affidavit to attest to the truthfulness of the fact of _______ and for whatever
legal purposes that this statement may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this __th day of ______ 2015 at Makati
City, Metro Manila, Philippines
NAME OF AFFIANT
Affiant
(JURAT)
COMPLAINT AFFIDAVIT CHECKLIST:
1. Identity of affiant and other personal circumstances
2. Statement of venue
3. Factual allegations to show violation or defense
4. Signature of affiant
5. Verification
6. Certification as to personal examination of affiant
7. Supporting documents
COMPLAIN-AFFIDAVIT (PLEADING FORMAT)
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF JUSTICE
OFFICE OF THE PROSECUTOR
Makati City
NAME,
Complainant,
-versus-

I. S. No______
For: (Crime)

NAME,
Respondent.
Xx___________________________xx
COMPLAINT-AFFIDAVIT
I, ____________, Filipino, of legal age, and resident of _______________, having been duly sworn in
accordance with law, hereby depose and state that:
1.
2.
3.
4.
5.

Introduce yourself
Introduce the accused
What happened?
Prior resort to the Barangay conciliation system proved fruitless.
Law/Basis of the Crime

6.

I am executing this affidavit to attest to the truth of the foregoing facts and for the purpose of
filing a criminal complaint for (CRIME) against the accused.
TO THE TRUTH OF THE FOREGOING, I have signed this ComplaintAffidavit on ____________
NAME OF AFFIANT
Affiant
SUBSCRIBED and SWORN TO BEFORE ME, this ___ day of _____ 2015 at Makati City.
NAME OF IP
Investigating Prosecutor
CERTIFICATION

I hereby certify that I have personally examined the Affiant and that I am satisfied that she
voluntarily executed and understood her affidavit.
NAME OF IP
Investigating Prosecutor
INFORMATION
1. Name of the parties
2. Offense as designated by statute
3. Acts/omissions complained of constituting the offense (including qualifying/aggravating
circumstances)
4. Time of the offense
5. Place
6. Signature of Prosecutor
7. Sig of the Offended Party, Peace officer charged with enforcement of the law
8. Verification
9. Certification of Prelim Investigation or inquest.

REPUBLIC OF THE PHILIPPINES


REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
PEOPLE OF THE PHILIPPINES,
Plaintiff,
-versus-

Criminal Case No______


For: (Crime)

NAME,
Accused.
Xx___________________________xx
INFORMATION
The undersigned accuses (NAME OF THE ACCUSED) of the crime of slander, committed as
follows:
That on or about _____, in the City of _____, Philippines and w/in the jurisdiction of this
Honorable Court, the above-mentioned accused (tell the story of what happened), with intent to, _____
blah blah
CONTRARY TO LAW
NAME OF CITY PROSECUTOR

City Prosecutor
CERTIFICATE OF PRELIMINARY INVESTIGATION
I hereby certify that a preliminary investigation in this case was conducted by me in
accordance with law; that I examined the police reports and the testimonies presented; that there is
reasonable ground to believe that the offense charged had been committed and that the accused is
probably guilty thereof; that the accused was informed of the Complaint and of the evidence submitted
against him and was given the opportunity to submit controverting evidence; and that the filing of this
Information is with prior authority and approval of the City Prosecutor.
NAME OF CITY PROSECUTOR
City Prosecutor
SUBSCRIBED and SWORN TO BEFORE ME, this ___ day of _____ 2015 at Makati City.
NAME OF CITY PROSECUTOR
City Prosecutor

WARRANT:
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
PEOPLE OF THE PHILIPPINES,
Plaintiff,
-versus-

Criminal Case No______


For: (Crime)

NAME,
Accused.
Xx___________________________xx
WARRANT OF ARREST
TO ANY OFFICER OF THE LAW:
GREETINGS:
You are hereby ordered to arrest the person of _____ who can be found at _____ who, who
stands charged before me for the crime of ____ under Art 310 of the RPC, and immediately rbing him
before me to be delat with in accordance with law.
City of Makati, (Date)
NAME OF JUDGE
Presiding Judge

COMPLAINT IN CIVIL CASES


1. Cause of action
2. Names and residence of the plaintiff and defendant
3. Ultimate facts

4.
5.
6.

Relief sought or general prayer


If plaintiff is a corp, attach secretary;s cert must be attached
Verification and Certification against Forum Shopping

SAMPLE COMPLAINT FOR SUM OF MONEY


REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
NAME,
Plaintiff,
-versus-

Civil Case No______


For: (Crime)

NAME,
Defendant.
Xx___________________________xx
COMPLAINT
PLAINTIFF, by counsel, respectfully states that:
The Parties
1.
2.

Plaintiff s a Filipino of legal age and a resident of


Defendant s a Filipino of legal age and a resident of
THE FACTS

3.
4.
5.
6.

Defendant borrowed
Despite demands.
Resort to Barangay Concialiation process proved fruitless. Thus a Certification to File Action, a
copy of w/c is attached as ANNEX A was issued
Defendants obligation is due and demandable and plaintiff is entitled to the payment of ___
plus interest

Prayer
WHEREFORE, plaintiff respectfully prays for judgment in his favor through a Decision directing
defendant to pay him _____ with inerest plus ACTUAL damages and attorneys fees.
Plaintiff prays for such other and further reliefs as may be deemed just and equitable in the
premises
Makati City, (Date)
NAME OF COUNSEL
Counsel for Plaintif
Address
Attorneys Roll No.
IBP No. 23655-01/03/08-Makati
PTR No. 23655-01/03/08-Makati
MCLE Compliance No. _______

VERIFICATION AND CERTIFICATION


I, Name of Plaintiff, of legal age, after having beed duly sworn, depose and state that:
I am the Plaintiff in the foregoing Complaint for the Sum of Money
I caused the preparation of the Complaint, w/c I fully read and understood
I have read the contents thereof and the facts stated therein are true and correct of my
personal knowledge and/or on the basis of copies of documents and records in my possession;
I have not commenced any other action or proceeding involving the same issues in any other
tribunal or agency;
To the best of my knowledge and belief, no such action or proceeding is pending any other
tribunal or agency;
If I should thereafter learn that a similar action or proceeding has been filed or is pending, I
undertake to report that fact within five (5) days therefrom to this Honorable Court.
NAME OF AFFIANT
Affiant
(JURAT)
ANSWER (with counter-claim)
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
NAME,
Plaintiff,
-versus-

Civil Case No______


For: (Crime)

NAME,
Defendant.
Xx___________________________xx
ANSWER (with Counterclaim)
DEFENDANT, by counsel, by way of answer to plaintiffs complaint, respectfully states that:
Admission/Denials
1.
2.
3.

He admits the allegations in par. 2


He is without knowledge as to the truth in the allegations in pars
He specifically denies each and every material allegation in par. The truth is that
Special and Affirmative Defenses

4.
5.

The complaint does not state a cause of action


What happened
Counterclaim

6.

Defendant additionally submits that he is entitled to relief arising from the filing of this
malicilous suit, as follows:
6.1 blah

WHEREFORE, Defendat respectfully prays that judgment be rendered in his favor by dismissing
the complaint and granting defendants counterclaim by awarding
Other just and equitable reliefs are prayed for.
Makati City, (Date)
NAME OF COUNSEL
Counsel for Plaintif
Address
Attorneys Roll No.
IBP No. 23655-01/03/08-Makati
PTR No. 23655-01/03/08-Makati
MCLE Compliance No. _______
VERIFICATION AND CERTIFICATION

COPY FURNISHED (THROUGH PERSONAL SERVICE):


xxxxxxxxxxxxxxxxxx
Counsel for Private Respondents
xxxxxxxxxxxxxxxxxx
Padre Faura Street, Manila

PROOF OF SERVICE
I, name, messenger for Atty __, herein counsel for Defendant, hereby certify that I personally
deleivered Defendants answer dated _ to plaintiff with address ____. The answer was received by
plaintiff himself
JURAT

COPY FURNISHED (THROUGH REGISTERED MAIL:


xxxxxxxxxxxxxxxxxx
Counsel for Private Respondents
xxxxxxxxxxxxxxxxxx
Padre Faura Street, Manila

EXPLANATION
Just state why the counsel will be suing registered mail instead of personal service
Signature of Counsel

PRE TRIAL BRIEF


REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
NAME,
Plaintiff,
-versus-

Civil Case No______


For: (Crime)

NAME,
Defendant.
Xx___________________________xx
Pre-Trial Brief
I.

WILLINGNESS TO ENTER INTO AN AMICABLE SETTLEMENT AND POSSIBLE TERMS OF ANY


SUCH SETTLEMENT
Subject to a
Pursuant to Rule 18 of the 1997 Rules of Civil Procedure

II.

BRIEF STATEMENT OF CLAIMS AND DEFENSES


Tell the story

III.

FACTS AND OTHER MATTERS ADMITTED BY THE PARTIES


Defendant admits only those facts stated in his Answer

IV.

ISSUES TO BE TRIED
Defendant submits that the following issues put forward by plaintiff are subject to proof:
Defendant submits that the following issues she put forward are subject to proof:

V.

EVIDENCE
Defendant intends to present the following witnesses

VI.

RESORT TO DISCOVERY

Respectfully Submitted, this 8th day of Month, year, place


NAME OF COUNSEL
Counsel for Plaintif
Address
Attorneys Roll No.
IBP No. 23655-01/03/08-Makati
PTR No. 23655-01/03/08-Makati

MCLE Compliance No. _______


NOTICE OF HEARING
THE BRANCH CLERK OF COURT
Regional Trial Court
Branch__, Place
Please submit the foregoing Motion to the Court for its consideration and approval immediately
upon receipt herefo and kindly include the same in the courts calendar for hearing on _________ at in
the morning/afternoon
Atty. XYZ
Counsel for Defendant

COPY FURNISHED (THROUGH REGISTERED MAIL:


xxxxxxxxxxxxxxxxxx
Counsel for Private Respondents
xxxxxxxxxxxxxxxxxx
Padre Faura Street, Manila

EXPLANATION
Just state why the counsel will be suing registered mail instead of personal service
Signature of Counsel
MEMORANDUM
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
NAME,
Plaintiff,
-versus-

Civil Case No______


For: (Crime)

NAME,
Defendant.
Xx___________________________xx
MEMORANDUM
Plaintiff, thru counsel and unto this Court, respectfully submits this MEMORANDUM in
compliance with the 23 Feb 2009 Order of this Court which was received by plaintiff on 6 march 2009,
requiring the parties to file their respective Memoranda w/in 30 days from receipt or until ____ as for
plaintiff
THE PARTIES

STATEMENT OF THE CASE


This is a (what kind of case)
STATEMENT OF THE FACTS
STATEMENT OF THE ISSUES
ARGUMENTS / DISCUSSION
PRAYER
Other reliefs as may be deemed just and equitable under the premises are likewise prayed for
RESPECTFULLY SUBMITTED.
City of Makati, Date
NAME OF COUNSEL
Counsel for Plaintif
Address
Attorneys Roll No.
IBP No. 23655-01/03/08-Makati
PTR No. 23655-01/03/08-Makati
MCLE Compliance No. _______

COPY FURNISHED (THROUGH REGISTERED MAIL:


xxxxxxxxxxxxxxxxxx
Counsel for Private Respondents
xxxxxxxxxxxxxxxxxx
Padre Faura Street, Manila

EXPLANATION
Just state why the counsel will be suing registered mail instead of personal service
FORMAL OFFER OF EVIDENCE
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
NAME,
Plaintiff,
-versusNAME,
Defendant.
Xx___________________________xx

Civil Case No______


For: (Crime)

FORMAL OFFER OF EVIDENCE


Plaintiff, through Counsel, respectfully offers in evidence the following exhibits:
Wherefore, it is most respectfully prayed that the foregoing exhibits presented during trial of the
instant case be admitted in evidence.
Other reliefs just and equitable are likewise prayed for.
Place, Date
NAME OF COUNSEL
Counsel for Plaintif
Address
Attorneys Roll No.
IBP No. 23655-01/03/08-Makati
PTR No. 23655-01/03/08-Makati
MCLE Compliance No. _______

PROOF OF SERVICE
LEGAL FORMS IN SPECIAL PROCEEDING
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____

IN RE: PETITION FOR GUARDIANSHIP OF _________________


___________, Petitioner,
Xx___________________Xx

SP PROC. No. 0023 ______

PARTIES
JURISDICTIONAL FACTS
Incompetency of the person for whom guardianship is sought
The fact that ward resides in the place where the court has jurisdiction
The names, ages and residences of the relatives of the incompetent, and of the
persons having him in their care
The probable value of the character of his estate
The name of the person for whom letters of guardianship are prayed
PRAYER
WHEREFORE, it is respectfully prayed that, upon due notice and hearing, and upon
the giving of such bond as this Honorable Court may direct, the said
__________________ be appointed guardian of the person and estate of the ward
__________

Quezon City, 15 February 2015


Verification and certification against NON FORUM SHOPPING
JURAT
PROBATE
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____

RE: PROBATE OF THE HOLOGRAPHIC WILL OF _______________,


___________, Petitioner,
Xx___________________Xx

SP PROC. No. 0023 ______

PETITION
PETITIONER, by counsel, respectfully states that:
1. Petitioner is a Filipino citizen and [relationship] of the deceased;
2. On [date] ,[name of testator]. died, having previously executed a holographic will
in his own handwriting and in a language known to him. A copy of the will is
attached as ANNEX A. The handwriting may be attested to as his by his secretary of
long standing, _______.
3. The deceased left [property] located [address] and [personal property]; he had no
debts.
4. The deceaseds only heirs are herein [name of heirs and petitioner], both of
whom are residing at [address].
WHEREFORE, it is respectfully prayed that after due notice and publication this
Honorable Court fix the date for the probate of the holographic will and that letters
of administration be issued in favor of the herein petitioner and thereafter
adjudicate the properties of the deceased in accordance with the said holographic
will.
[CITY]; [DATE]
NAME OF COUNSEL
Counsel for Plaintif
Address
Attorneys Roll No.
IBP No. 23655-01/03/08-Makati
PTR No. 23655-01/03/08-Makati
MCLE Compliance No. _______

[VERIFICATION AND CERTIFICATION]


[JURAT]

PETITION FOR SUMMARY SETTLEMENT ESTATE OF SMALL VALUE


REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT


NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____

___________, Petitioner,

SP PROC. No. 0023 ______


For: Summary Settlement of

Estate
Xx___________________Xx
PETITION FOR SUMMARY SETTLEMENT ESTATE OF SMALL VALUE
PETITIONER, by undersigned counsel, and to this Honorable Court, respectfully
avers:
WHEREFORE, it is respectfully prayed that upon proper notice and hearing the
estate of the decedent be summarily settled and distributed to the abovementioned
heirs.
NAME OF COUNSEL
Counsel for Plaintif
Address
Attorneys Roll No.
IBP No. 23655-01/03/08-Makati
PTR No. 23655-01/03/08-Makati
MCLE Compliance No. _______

[VERIFICATION AND CERTIFICATION]


EXTRAJUDICIAL SETTLEMENT OF ESTATE
EXTRAJUDICIAL SETTLEMENT OF ESTAte
KNOW ALL MEN BY THESE PRESENTS:
This AGREEMENT made and entered into this [ ]nd day of [Address] 201_ by and
among:
[HEIR], of legal age, Filipino, [status], and with residence and postal address at
_________________;
WITNESSETH:
THAT we are the legitimate children and sole heirs of [name of deceased] who died
on [date] in [place of death]; copy of his death certificate is hereto attachedd as
Annex A;
THAT said deceased died without any will or testament and without any outstanding
debts on favor of any person or entity;
THAT said deceased, at the time of his death, left certain property, situated in
[address] and more particularly described as follows, to wit:

[technical description of property;specific metes and bounds of the property with


approximate area thereof, as indicated on the face of the title]
THAT pursuant to Dection 1 of Rule 74 of the Revised Rules of Court of the
Philippines, and we being all of age and with full capacity to contract, we do hereby
adjudicate unto ourselves the properties described above, in equal shares.
IN WITNESS WHEREOF, we have hereinto signed this AGREEMENT, this _nd day of
[Month] 201_ in the ________, Philippines.
THE HEIRS OF ___________
(Signatures of heirs)
SIGNED IN THE PRESENCE OF:
Witness
ACKNOWLEDGEMENT

Petition for Declaration of Absolute Nullity of Void Marriages


REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
NAME,
Petitioner,
-versus-

Civil Case No______


For: (Crime)

NAME,
Respondent.
Xx___________________________xx

PETITION
COMES NOW petitioner, by the undersigned counsel and unto this Honorable Court,
most respectfully alleges
PRAYER
[CITY], [DATE]
[Signature of Counsel]
[Verification and Certification Against Forum Shopping]

Petition for Domestic Adoption of Minor


REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
Spouses MAMA BEAR and PAPA BEAR,
Petitioner,
Civil Case No______
For: (Crime)
Xx___________________________xx

PETITION FOR DOMESTIC ADOPTION OF MINOR


WHEREFORE, it is respectfully prayed that upon due notice and hearing judgment
be entered adjudging that the minor child, BABY BEAR, be freed from all legal
obligations of obedience and maintenance with respect to her natural parents and
that she be declared to all legal intents and purposes, the child of the herein
petitioners, MAMA BEAR and PAPA BEAR and that her surname be changed to that of
the petitioners.
City of Makati, 3rd day of February 2015.
SIG
VERIFICATION
JURAT
CORPORATE REHABILITATION
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
In re Petition for rehabilitation Corporation ,
Petitioner,
Civil Case No______
For: (Crime)
Xx___________________________xx

PETITION
A Certificate attesting, under oath, that (a) the filing of the petition has been duly
authorized; and (b) the directors and stockholders have irrevocably approved and/or
consented to in accordance with existing laws, all actions or matters necessary and
desirable to rehabilitate the debtor including, but not limited to, amendments to the
articles of incorporation and bylaws or articles of partnership; increase or decrease
in the authorized capital stock; issuance of bonded indebtedness; alienation,
transfer, or encumbrance of assets of the debtor; and modification of shareholders'
rights.
WHEREFORE, petitioner prays that after hearing the rehabilitation plan, Annex "C,"
be approved.

Petitioner also prays for such other reliefs as are provided in the Interim Rules of
Procedure on Corporate Rehabilitation (2013)
Sig,
Verification
CHANGE OF NAME
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____
RE: PETITION FOR CHANGE OF NAME,
Petitioner,
Civil Case No______
For: (Crime)
Xx___________________________xx

PETITION FOR CHANGE OF NAME


Petitioner, through counsel, respectfully states that:
Petitioner is of age, Filipino, and a resident of ___________.
[Reasons for change of name]
Petitioner requests that his present name be changed to _____________
WHEREFORE, it is respectfully prayed that, after due notice and publication in
accordance with the Rules of Court, and hearing, this Honorable Court adjudge that
the petitioners name of ____________ be changed to _____________
Venue, date
Sig
Verification certification
HABEAS CORPUS
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____

IN THE MATTER OF THE PETITION FOR HABEAS CORPUS IN FAVOR OF [abducted


persons name]
NAME,
Petitioner,
-versusNAME,
Respondent.
Xx___________________________xx

Civil Case No______


For: (Crime)

PETITION FOR HABEAS CORPUS


Petitioner, by counsel, to this Honorable Court, respectfully states:
THE PARTIES State the personal circumstances of the parties.
STATEMENT OF FACTS
Make sure the matters under Section 3, Rule 102 are set forth.
PRAYER
[Venue; Date]
[Verification and Certification of Non-Forum Shopping]
COPY FURNIESHED TO

ESCHEAT
REPUBLIC OF THE PHILIPPINES
REGIONAL TRIAL COURT
NATIONAL CAPITAL JUDICIAL REGION
MAKATI CITY, BRANCH _____

In the matter of escheat proceedings of the estate of the deceased [Deceased]


Civil Case No______
For: (Crime)
Xx___________________________xx

PETITION FOR ESCHEAT


The City Prosecutor of [CITY] and in behalf of the [CITY], unto this Honorable Court,
respectfully avers that:
. [Deceased], a Filipino citizen, and resident of the [CITY/PROVINCE], died intestate
in the said city on [DATE]
At the time of his death, he left real property in the [CITY/PROVINCE] to wit:
[PROPERTY SUBJECT TO ESCHEAT]
He left no heirs or heirs or persons who by law are entitled to inherit his real
property
WHEREFORE, it is respectfully prayed that, upon due notice and hearing, and after
the payment of his just debts and charges, the estate of the deceased [Deceased]
be declared escheated in favor of the Government in accordance with law.
[PLACE; DATE].
[NAME] City Prosecutor

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