REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

Quezon City
Branch __

________________________,
Complainant,

- versus - Civil Case No. ___________

For: Support
________________________,
Defendant.
x-------------------------------------------x

EX-PARTE MOTION TO
PROSECUTE AS PAUPER LITIGANT

COMES NOW, the complainant, through the undersigned public

attorney and unto this Honorable Court, most respectfully avers:

1. That at present, complainant has no means of livelihood

and is prosecuting the instant case to enforce her right of support
against defendant. Thus, she cannot afford to pay the required docket
fee and other lawful fees to be incurred in the prosecution of this
case;

2. Thus, complainant respectfully moves that she be allowed

to prosecute as pauper litigant and be exempted from the payment of
the required docket fees and other lawful fees.

3. In support thereof, complainant respectfully attaches

herewith the following:

Annex Title
A Certification from the Public Attorneys Office
attesting to fact of indigency of complainant
B Interview sheet/ Client profile
C Affidavit of Indigency
D and Affidavits of two (2) disinterested persons attesting to
D-1 fact of indigency of complainant
E Barangay Certificate attesting indigency
F Certification from the City Assessors Office stating
complainant has no properties in her name
G Certification from the City Treasurers Office stating
complainant has no properties in her name
 WHEREFORE, complainant respectfully prays that the Honorable
Court grant her the right to prosecute as pauper litigant and be
exempted from the payment of the required docket fees and other
lawful fees based on the above reasons.

Such other relief as may be deemed just and equitable under

the premises are likewise prayed for.

Quezon City, __ March, 2017.

Counsel for the Complainant

By:
<Name of Counsel>
Roll of Attorney No. ________
IBP No. ________________
PTR No. _________________
MCLE Compliance No. V-______________

NOTICE OF HEARING

HONORABLE CLERK OF COURT

Regional Trial Court
Quezon City

GREETINGS:

Please submit the foregoing motion for the consideration and

approval of the Honorable Court immediately upon receipt hereof.

<Name of Counsel>