Judicial Affidavit Civil Cases
Judicial Affidavit Civil Cases
Judicial Affidavit Civil Cases
[Region]
REGIONAL TRIAL COURT
[City], [Branch No.]
[NAME] __________,
Plaintiff,
Civil Case No. ___________
- versus - For:
[NAME] __________,
Defendant.
x ----------------------------------- x
PURPOSE
PRELIMINARY STATEMENT
I am answering his questions fully conscious that I do so under oath and may face
criminal liability for false testimony and perjury.
AFFIDAVIT PROPER
Q1:
A:
Q2:
A:
Q3:
A:
Q4:
A:
Q5:
A:
[SIGNATURE]
[NAME]
Notary Public
Until [DATE]
PTR No. ______________
Issued at [PLACE]______________
On [DATE] ___________________
The undersigned ATTY.______________________, of legal age, and with law office address
at_______________________________________, under oath, deposes and states that:
1. He/She is the Legal Counsel for the _______________in the above-entitled case;
2. He/She faithfully recorded or caused to be recorded the questions asked and the
corresponding answers given by the the above-named witness;
3. Neither he/she nor any other person then present or assisting him coached the
witness regarding the latter's answers; and
[SIGNATURE]
[NAME OF COUNSEL]
Counsel for _____________
[ADDRESS]
IBP Lifetime No. ________; [CITY] _____________
PTR No. ____________; [DATE], [CITY]
Roll of Attorney No. _______________________
MCLE Compliance No. ___________________
PROOF OF SERVICE
AFFIDAVIT
I, [Name] _____ , of legal age and having been duly sworn, depose and state that:
Note: if no person is found in his office, or if his office is not known, or he has no
office, then service is made by leaving a copy, between the hours of eight in the morning
and six in the evening, at the party’s or counsel’s residence, if known, with a person of
sufficient age and discretion then residing therein.
[Signature]
[Name] _________________
Affiant
EXPLANATION
The foregoing Judicial Affidavit and its attachment were served on [Name of
Counsel] ________________ by registered mail instead of personal service as counsel for
Respondent for the reason that [state reason] ___________________.
[Signature]
[Name] _________________
AFFIDAVIT
Nature of Pleading/Paper
[STATE PLEADING/PAPER SENT]
________________________
[Signature]
[Name] _________________
Affiant
[Signature]
[Name] _________________
Notary Public
Until [Date]__________________
PTR No. [Number] ____________
Issued at [Place]______________
On [Date] ___________________
Doc. No.
Page No.
Book No.
Series of 20 _____.