___________________

The Honorable City Prosecutor

Talisay City Prosecutor’s Office
Talisay City, Cebu

Dear Prosecutor:

I would like to file a complaint for ___________________ of the Revised Penal

Code, and/or any other charge which your good office may deem
appropriate, against ___________________ of ___________________. The facts and
circumstances are narrated in the affidavits hereto attached.

Thank you in anticipation of your favorable action.

Very truly yours,

___________________