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    Small Claims Template

    Uploaded by

    Rjay Soriano
    This document is a statement of claim filed in a civil case. It provides information about the plaintiff, including their name, gender, age, civil status, and nature of business. It also lists the plaintiff's home address, place of work, contact numbers, and representative's information if applicable. The defendant's information is not included. This document serves to identify the plaintiff and provide their basic details for a civil case.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Small Claims Template

    Uploaded by

    Rjay Soriano
    40 views2 pages
    This document is a statement of claim filed in a civil case. It provides information about the plaintiff, including their name, gender, age, civil status, and nature of business. It also lists the plaintiff's home address, place of work, contact numbers, and representative's information if applicable. The defendant's information is not included. This document serves to identify the plaintiff and provide their basic details for a civil case.

    Original Description:

    Small Claims Template (word)

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    This document is a statement of claim filed in a civil case. It provides information about the plaintiff, including their name, gender, age, civil status, and nature of business. It also lists the plaintiff's home address, place of work, contact numbers, and representative's information if applicable. The defendant's information is not included. This document serves to identify the plaintiff and provide their basic details for a civil case.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    40 views2 pages

    Small Claims Template

    Uploaded by

    Rjay Soriano
    This document is a statement of claim filed in a civil case. It provides information about the plaintiff, including their name, gender, age, civil status, and nature of business. It also lists the plaintiff's home address, place of work, contact numbers, and representative's information if applicable. The defendant's information is not included. This document serves to identify the plaintiff and provide their basic details for a civil case.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    REPUBLIC OF THE PHILIPPINES

    _________________________________
    _________________________________

    ___________________________________, CIVIL CASE No. _________________


    Plaintiff
    For: _____________________________
    -versus-

    ___________________________________,
    Defendant

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

    STATEMENT OF CLAIM
    (HABLA NG PAGSINGIL)

    1. The personal circumstances of the parties are as follows:


    (Ang bawat panig ay ang mga sumusunod)

    ______________________________ ________ ________ _____________________


    NAME OF PLAINTIFF/S SEX AGE CIVIL STATUS
    (Pangalan ng Naghahabla) (Kasarian) (Edad) (Katayuang Sibil)

    (Put a check on any of the following)


    (Pumili sa mga sumusunod at lagyan ng tsek)

    INDIVIDUAL CORPORATION PARTNERSHIP


    (Tao/Indibidwal) (Korporasyon) (Bakasan)

    COOPERATIVE SOLE PROPRIETORSHIP


    (Kooperatiba) (Solong Pagmamay-ari)

    NATURE OF BUSINESS:
    (Uri ng Negosyo)

    BANKING LENDING
    (Bangko) (Pagpapautang)

    OTHERS/PLEASE INDICATE _____________________


    (Iba pang uri ng negosyo)
    PLAINTIFF’S HOME ADDRESS:
    (Pahatirang Sulat sa Bahay ng Naghahabla)

    City ____________________________________________ ____________


    (Lungsod) Zip Code

    Province, if applicable ___________________________ ____________


    (Lalawigan, kung meron) Zip Code

    Telephone No. ___________________ Cellphone No. _________________


    (Telepono Blg.) (Selpon Blg.)

    PLACE OF WORK: __________________________________


    (Lugar ng Pinagtatrabahuan)

    Telephone No. ___________________ Cellphone No. _________________


    (Telepono Blg.) (Selpon Blg.)

    NAME OF PLAINTIFF’S REPRESENTATIVE:


    (Pangalan ng Kinatawanan)
    _______________________________________
    if applicable (must be a non-lawyer)
    kung meron (dapat hindi abogado)

    REPRESENTATIVE’S HOME ADDRESS

    City ____________________________________________ ____________


    (Lungsod) Zip Code

    Province, if applicable ___________________________ ____________


    (Lalawigan, kung meron) Zip Code

    Telephone No. ___________________ Cellphone No. _________________


    (Telepono Blg.) (Selpon Blg.)

    PLACE OF WORK: __________________________________


    (Lugar ng Pinagtatrabahuan)

    Telephone No. ___________________ Cellphone No. _________________


    (Telepono Blg.) (Selpon Blg.)

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