7/30/2019 COMP-AFF [FALSIFICATION OF COMMERCIAL
DOCUMENTS]---PETILLA (REVISED).doc
1/2
Republic of the Philippines )City of Tacloban ) s.s.
COMPLAINT-AFFIDAVIT
I, MARICEL DOTADO PETILLA, of legal age, single, Filipino and a
resident of
Brgy. Libertad, Palo, Leyte, Philippines, after having been duly
sworn to inaccordance with law, hereby depose and state:
1. That I personally knowJUWELL ENGHOY MALDA (MALDA for
brevity),36 years old, and a resident of Brgy. Naga-Naga, Tacloban
City as we used to belive-in partners for a period of more or less
one (1) month (from October toNovember 2012);
2. That on November 5, 2012 or thereabout, I discovered that my
UCPBPassbook with Serial No. 3491658 was no longer inside the vault
protected withpassword which only MALDA and I knew after I gave him
access to the same. A trueand faithful copy of the UCPB Passbook is
hereto attached as Annex A and made
an integral part hereof;3. That I immediately went to UCPB
Gomez, Tacloban City branch to inquire
about the status and condition of my account with them. The bank
statementrevealed three (3) withdrawals of large amount of money
which I was never awareof, to wit:
i. October 22, 2012 = P85,000.00ii. October 30, 2012 =
P32,000.00iii. October 30, 2012 =P83,000.00
A true and faithful copy of the bank statement or Account
History Inquiry ishereto attached as Annex B and made an integral
part hereof;
4. That I requested a copy of the withdrawal slips relating to
the withdrawalsand found out that my signature was forged and/or
falsified as the signatureappearing on the documents was not
mine;
5. That MALDA willfully, unlawfully, and feloniously falsified
the saidcommercial documents by counterfeiting or imitating my
signature as hisname and signature clearly appeared on the
withdrawal slips as my allegedauthorized representative in
withdrawing and/or receiving documents on my behalfnotwithstanding
the fact that I gave him no authority to do such, at all. A
certifiedtrue copy of the three (3) withdrawal slips are hereto
attached as Annexes C andseries and made an integral part
hereof;
6. That on the following day or on November 6, 2012, I
confronted MALDAabout the matter and he confirmed not only about
his unauthorized and falsifiedwithdrawals of amount from my UCPB
account but also the lost wallet and jewelrieswhich he himself
pawned as evidenced by the receipts which are currently in
hispossession. After which, he surrendered the UCPB Passbook when
asked of itswhereabouts and begged for an apology;
7. That after the said confrontation, MALDA ran off and is now
nowhere to befound;
8. That because of imitating or counterfeiting my signature, I
am thereforeexecuting this complaint-affidavit freely and
voluntarily to file a case for the crimeof FALSIFICATION OF
COMMERCIAL DOCUMENT under Article 172, par.(1) in relation
to Article 171, par.(1) of the Revised Penal Code of the
Philippines and/or theappropriate criminal case against JUWELL
MALDA, who is of legal age with lastknown address at Brgy.
Naga-Naga, Tacloban City.
IN WITNESS WHEREOF, I have hereunto set my hand this
________________ atTacloban City, Philippines.
