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Complaint Affidavit

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REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT


SIXTH JUDICIAL REGION
BACOLOD CITY, BRANCH IX

NENA ROSE Z. BUGRONG


Plaintif 

– versus – CIVIL CASE


NO. !"#$$%%
FOR: Collection o a Sum o
Money

ROSHAN LANES TAGALIBOD


Deendant
&'''''''''''''''&

CO(PLAINT

PLAINT
PLAINTIF
IFF,
F, thu
thu the
the unde
unde!!i"
i"ne
ned
d coun
coun!e
!el,
l, unto
unto thi!
thi!
#onoa$le Cout e!%ectully alle"e!:

&' The Plantif i! o le"al a"e, Fili%ino, !in"le and (ith


e!idence at )&& *a$u+ian Steet, "y'
"y' San ihen, acolod
City-

.' That
That the deen
deendadant
nt ROS#AN
ROS#AN LAN/S TA0ALI
A0ALIOD
OD i!
li+e(i!e o le"al a"e, Fili%ino, !in"le and (ith a e!idence at
l+ 1, lot 1, an""a Ce"a!co, Puo+ Pahanocoy, "y' Sum2
a", acolod City, (hee !he could $e !e3ed (ith !ummon!
and othe %oce!!e! o the cout-

4' That on 5une .&, .6&4, the deendant o$tained a loan


om the %laintif in the !um o Fity Thou!and Pe!o! and Fity
Centa3o! 7P16,666'168 to $e ully %aid on it! due date (hich
i! on 5une .&, .6&9 a! e3idenced $y a %omi!!oy note dated
 5une .&, .6&4, a %hotoco%y o (hich i! heeto attached a!
Anne ;A<-

9' That deendant (a! a$le to %ay only the amount o 
P&,666'16 om the %inci%al amount de!%ite the la%!e o the
%eiod to %ay the loan, deendant ailed to %ay he the total
o$li
o$li"a
"ati
tion
on the
thee$
e$y
y entitl
entitlin
in"
" the
the %lai
%lainti
ntif
f to $e %aid
%aid o the

&
un%aid %inci%al in addition to the a"eed 46= %e annuity
$y (ay o intee!t and 46= %e annum $y (ay o %enalty,
%hotoco%y o !tatement o account i! heeto attached a!
Anne ;< and made an inte"al %at heeo-

1' That !aid loan no( lon" o3edue de!%ite o e%eated


demand! and !he ailed and eu!ed to %ay the !ame a!
e3idenced $y the Demand Lette! !end $y the Plaintif,
%hotoco%y o (hich i! heeto attached a! Anne ;C< and
made an inte"al %at heeo-

>' The e%eated demand! (ee made o the deendant


to %ay he o$li"ation! $ut !he ailed to %ay'

?#/R/FOR/, Plaintif e!%ectully %ay! o @ud"ment in


it! a3o thou"h a deci!ion diectin" the deendant:

a' To %ay Plaintif the !um o Foty Se3en Thou!and Fi3e


#unded Pe!o! 7P9,666'66 (ith intee!t at 46= and 46= a!
%enalty om 5une .&, .6&9 until the ull amount i! %aid-

$' AttoneyB! Fee! at &6= o the %inci%al amount-

c' the co!t o the !uit

Othe @u!t and euita$le elie! ae al!o %ayed o'

acolod City, Ne"o! Occidental, Fe$uay .1, .6&1

ATTY. CARLO FRANCES E. CABALLERO


Coun!el o the %laintif 
NOC ld"', 0atu!lao St', acolod City
AttoneyB! Roll No' 614.
IP No' .91.126&E64E&12acolod
PTR No' 1414.2 6&E64E&12acolod
MCL/ Com%liance No' I266&.491 G No3em$e &H, .6&9

.
VERIFICATION AND CERTIFICATION OF NON)FORU(
SHOPPING

I, N/NA ROS/ ' J0RON0, o le"al a"e, ate ha3in" $een


duly !(on in accodance (ith la(, de%o!e and !tate that:

&' I am a %laintif in the oe"oin" Com%laint o Sum o 


Money-

.' I cau!ed the %e%aation o the Com%laint, (hich I ha3e


ully ead and unde!tand-

4' I ha3e ead the content! theeo and the act! !tated
theein ae tue and coect o my %e!onal +no(led"e
andEo on the $a!i! o co%ie! o document! and ecod! in
my %o!!e!!ion-

9' I ha3e not commenced any othe action o %oceedin"


in3ol3in" the !ame i!!ue! in the Su%eme Cout, the Cout
o A%%eal!, o any othe ti$unal o a"ency-

1' To the $e!t o my +no(led"e and $elie, no !uch action o


%oceedin" i! %endin" in the Su%eme Cout, the Cout o 
A%%eal!, o any othe ti$unal o a"ency-

>' I I !hould theeate lean that a !imila action o


%oceedin" ha! $een Kled o i! %endin" $eoe the
Su%eme Cout, the Cout o A%%eal!, o any othe ti$unal
o a"ency, I undeta+e to e%ot that act (ithin K3e 718
day! theeom to thi! #onoa$le Cout'

NENA ROSE Z.BUGRONG


Aant

SUBSCRIBED AND S*ORN to $eoe me thi!


th
.1  day o Fe$uay .6&1 at acolod City, aant ehi$itin"
to me hi! Community Ta CetiKcate No' &.491>HH i!!ued on
 5anuay 4, .6&1 at acolod City'

ATTY. CARLO FRANCES E. CABALLERO

 NOBC Bldg., Gatuslao St., Bacolod City

Attorney’s Roll No. 09853

4
!B" No. #55$0%&03&%5$Bacolod

"'R No. 5353$ 0%&03&%5$Bacolod

(C)* Co+liance No. !-$00%3#5  No/e+er %1, 0%#

Doc' No' ..
Pa"e No' 4.

oo+ No' 6&


Seie! o .6&1

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