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REPUBLIC OF THE PHILLIPINESREGIONAL TRIAL COURT

BRANCH 24MAASIN CITY

Mr. X

PlaintifCa! N".# 12$

%&!r'% FOR# COLLECTION OF SUM OFMONEY (TIH APPLICATIONFOR (RIT OF PRELIMINARY

ATTACHMENT

Mr. Y

)!*!n+ant

X%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%,

COMPLAINT

COMES NO(- t! /laintif- tr"'0 t! 'n+!ri0n!+

"'n!l- an+ 'nt" ti H"n"ral! C"'rt- 3"t r!/!t*'lla&!r tat#

1. T! /laintif i "* l!0al a0!- Fili/in" Citi5!n- 6it /"tala++r! at Canl'/a"- T"3a O//'- S"'t!rn L!t!7

2. T! +!*!n+ant i "* l!0al a0!- Fili/in" iti5!n- 6it /"tala++r! at Baran0a P'n"n0- T"3a O//'- S"'t!rn L!t!6!r! ! 3a ! !r&!+ 6it '33"n an+ "t!r "'rt/r"!! ti H"n"ral! C"'rt7

CAUSE OF ACTION

$. S"3!ti3! in A/ril 281$- t! +!*!n+ant "tain!+ *r"3 t!/laintif an a3"'nt "* P$88-888.88 t" /'ra! /i0 *"r i/i00!r 'in! a !&i+!n!+ a 9Tr't R!!i/t: 6i i!r!t" atta!+ a Ann!; 9A:7

4. T! +!*!n+ant /r"3i!+ t" r!t'rn t! l"an!+ a3"'nt "*P$88-888.88 /l'

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an+ "ntin'"'l r!*'in0 t" /a i "li0ati"n. C"/ "* t!+!3an+ l!tt!r i !r!t" atta!+ a 9Ann!;!+ B:7

>. A a r!'lt "* t! 'n?'ti@al! r!*'al "* t! +!*!n+ant t"/a i l"an!+ a3"'nt- t! /laintif 'f!r!+ l!!/n!ni0t- !ri"' an;i!t in 6i ! "'l+ ! a6ar+!+ t!a3"'nt "* P18-888.88 a 3"ral +a3a0!- an+ t" !t an!;a3/l! t" t! /'li- /laintif "'l+ ! a6ar+!+ !;!3/lar+a3a0! in t! a3"'nt "* P18-888.887

. In &i!6 "* t! +!*!n+ant r!*'al t" /a- /laintif 6a"ntrain!+ t" '! in "'rt an+ a a r!'lt in'rr!+ liti0ati"n!;/!n! in t! a3"'nt "* P48-888.88 an+ an att"rn!

*!! in t! '3 !'al t" 18= "* t! "li0ati"n.

APPLICATION FOR PRELIMINARY ATTACHMENT

Plaintif r!/l!a+ t! *"r!0"in0 all!0ati"n- an+ *'rt!r

all!0! tat#

D. )!*!n+ant i 0'ilt "* *ra'+ in in'rrin0 an+ in t!/!r*"r3an! "* i "li0ati"n t" /laintif in tat it a//!ar

tat t! +!*!n+ant 6" r!/r!!nt!+ i3!l* a a r!+il!'in!3an an+ a/al! "* /ain0 i "li0ati"n- 6!n in*at an+ in tr't- ! i n"t- an+ t! *ra'+'l!nt !3!!"3in0 3"r! !&i+!nt 6!n +!/it! +!3an+- ! *ail!+an+ r!*'!+ t" !ttl! 6it"'t ?'ti@al! 0r"'n+ i ?'t an++!3an+al! "li0ati"n7

. F"r t! a3"'nt +'! t" t! /laintif in t! a"&!%!ntitl!+ a!6i i P$88-888.88 !;l'+in0 int!r!t- l!0al *!!- an+"t!r ar0! a "* t" +at!- an "r+!r "* atta3!nt i !in0"'0t a"&! all l!0al "'nt!rlai3 a0aint t! +!*!n+ant7

In '//"rt "* t! *"r!0"in0 all!0ati"n- t! /laintifa atta!+ !r!t" i a+a&it.

PRAYERS

(!r!*"r!- /r!3i! "ni+!r!+- it i 3"t r!/!t*'ll/ra!+ 'nt" ti H"n"ral! C"'rt tat- a*t!r !arin0-

?'+03!nt ! r!n+!r!+ a *"ll"6#

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1. An "r+!r "* atta3!nt ! i33!+iat!l i'!+ ti! H"n"ral! C"'rt r!'!tin0 t! S!rif t" atta/r"/!rti! "* t! +!*!n+ant 6i ar! n"t !;a3/t*r"3 !;!'ti"n "r " 3' t!r!"* a 3a !'i!nt t" ati* /laintif +!3an+7 an+ a*t!r!arin07

2. '+0!3!nt ! r!n+!r!+ "r+!rin0 t! +!*!n+ant t"/a t! /laintif t! a3"'nt "* P$88-888.88r!/r!!ntin0 i l"an !;l'+in0 t! int!r!t an+ l!0al*!! an+ "t!r +a3a0! a "* t" +at!7

$. Or+!rin0 t! +!*!n+ant t" /a t! /laintif t!

a3"'nt "* P18-888.88 a 3"ral +a3a0!-P18-888.88 a !;!3/lar +a3a0!- P48-888.88 aliti0ati"n !;/!n!- an+ att"rn! *!! !'al t" 18="* t! "li0ati"n.

Ot!r r!li!* 6i ar! ?'t an+ !'ital! ar! li!6i!/ra!+ *"r.

T"3a O//'- S"'t!rn L!t!- S!/t. 4- 2814.

ARIEL B. LUNZAGA

Counsel for the Plaintiff

Roll No. 12345

IBP No. 123456/01.07.15/MC

PTR No. 7!10/01.07.15/MC

MC"# Co$%lian&e No. I' ( 76543) Ma* 2!+ 2014

R#P,B"IC - T# PI"IPPIN#

M,NICIP"IT - T-M -PP, s.s.

VERIFICATION AND CERTIFICATION OF

NON-FORUM SHOPPING

I+ Mr. + ili%ino+ of leal ae+ $arrie+ an a resient of Punon+To$as -%%us+ outhern "e*te+ Phili%%ines+ after ein ul* s8orn to in

a&&oran&e 8ith la8+ o here* states that9

1. I a$ the Plaintiff in this %resent &ase)

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2. I ha:e rea its &ontents an affir$ that the* are true an &orre&t to the

est of $* o8n %ersonal ;no8lee)

3. I attest to the authenti&it* of the anneITN# >#R#-+ I ha:e hereunto set $* han this 17tha*

of e%te$er+ 2014+ at To$as -%%us+ Phili%%ines.

MR. X

ffiant

SUBSCRIBED AND SWORN to efore $e this 1th a* of

e%te$er 2014 in To$as -%%us+ outhern "e*te+ Phili%%ines+ affiant

ha:in e