III.7.A

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    III.7.A-1

    REPUBLIC OF THE PHILIPPINES

    NATIONAL CAPITAL JUDICIAL REGION

    REGIONAL TRIAL COURT OF MANILA

    MANILA, BRANCH 2

    JUAN CRUZ,

    Plaintiff,

    Civil Case No. 07-123456

    --- versus ----

    FOR: SUM OF MONEY AND

    DAMAGESJOHN REYES,

    Defendant.

    x----------------------x

    COMPLAINT

    COMES NOW the plaintiff, through the undersigned counsel,

    respectfully states that:

    1. Plaintiff Juan Cruz is a Filipino citizen, 27 years old, married toCarla Cruz and residing at 8 Marwood St., Taft, Manila, where he may be

    served with orders and other processes of this Honorable Court ;

    2. Defendant John Reyes is a Filipino citizen, 27 years old, single,and residing at 10 Bridgestone Park, Taft, Manila, where he may be servedwith summons and other processes of this Honorable Court ;

    3. On February 28, 2012, defendant went to the residenceof the plaintiff at 8 Marwood St., Taft, Manila to borrow money amounting

    to P650,000.00.

    4. Upon receipt of said amount, defendant executed a promissorynote in favor of the plaintiff payable within 30 days from the date of thepromissory note (attached as Annex A ) which reads as follows:

    Manila, Philippines

    February 28, 2012

    I, promise to pay Juan Cruz the sum of

    P650,000.00 or order within 30 days from this date.

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    John Reyes

    5. The 30-day period had elapsed and despite demands made orallyand in writing (attached as Annexed B) by the plaintiff, defendant

    refused and failed to pay the amount in the promissory note.

    6. Due to the unwarranted refusal of the defendant to pay his validobligations to plaintiff, the latter suffered social humiliation, wounded

    feelings, sleepless nights and serious anxiety, defendant should be ordered

    to pay plaintiff moral damages in the sum of P30,000.00 and ; to show

    example to the public of his wrongful act, defendant should pay plaintiffthe sum of P20,000.00 as exemplary damages;

    7. Due to the unjust refusal of defendant to comply with thedemands, plaintiff was compelled to file the instant action engaging the

    services of counsel in the amount of P20,000.00.

    PRAYER

    WHEREFORE, the plaintiff respectfully prays for judgment in his favor

    through a decision directing defendant to pay him SIX HUNDRED FIFTY

    THOUSAND PESOS (P650,000.00), with legal interest, as ACTUAL DAMAGES;

    THIRTY THOUSAND PESOS (P30,000.00) as MORAL DAMAGES; TWENTY

    THOUSAND PESOS (P20,000.00) as EXEMPLARY DAMAGES and TWENTY

    THOUSAND PESOS (P 20,000.00) as Attorneys Fees.

    Other just and equitable reliefs are also prayed for.

    Manila, Philippines, March 25, 2012.

    Ira Santos

    Counsel for Plaintiff

    2nd

    Floor, RC Bldg, Taft Manila

    PTR No. 123456/Manila/January 10, 2009IBP No. 123456/Manila/January 20, 2009

    Roll of Attorneys No. 123456

    MCLE Compliance No. 123456 1/3/2012

    Tel No. 123456

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    VERIFICATION WITH CERTIFICATION OF

    NON-FORUM SHOPPING

    I, Juan Cruz, subscribing under oath, hereby depose and state, that:

    1. I am the plaintiff in the above-entitled case, and I have caused thepreparation of the said complaint;

    2. I have read the foregoing Complaint and the allegations thereinare true and correct based on my personal knowledge;

    3. I attest to the authenticity of the annexes thereto;4. I have not commenced any other action or proceeding involving

    the same issues in the Supreme Court, Court of Appeals, or different

    divisions thereof, or any other tribunal or agency;

    5. No such action or proceeding is pending in the Supreme Court,the Court of Appeals, or different Divisions thereof, or any other tribunal

    or agency;

    6. If I should learn thereafter that a similar action or proceeding hashas been filed or is pending before the Supreme Court, the Court of

    Appeals, or different Divisions thereof, or any other tribunal or agency, I

    hereby undertake to notify this Honorable Court within five (5) days from

    such notice.

    Juan Cruz

    Plaintiff

    SUBSCRIBED and SWORN to before me this 25th

    day of March 2012,

    in Taft, Manila. The affiant exhibiting to me his SSS No. N26-01-004190

    issued by Social Security System, on May 12, 2001 and Drivers License No.

    12345678 issued on November 30, 2010 at Taft, Manila.

    Atty. Don De Leon

    Notary Public for Manila#45 Burgos St., Taft, Manila

    Roll of Attorneys No. 12345

    PTR No. 123456 01/10/08

    IBP No. 56789123 01/28/02

    MCLE Compliance No. 1-002746

    Doc. No. 1

    Page No. 2

    Book No. 3

    Series of 2012