2016 REVISED RULES OF PROCEDURE ON SMALL CLAIMS CASES SAMPLE FORMS
FORM 1-SCC
REPUBLIC OF THE PHILIPPINES _______________ _______________________ _______________ ________ _ _______________ _______________________ _______________ ________ _
_______________ ______________________ ___________, ____, Plaintiff, vs.
Civil CaseNo. ________________
For: _______________________ _______________ ______________________ ___________, ____, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - x STATEMENT OF CLAIM (HABLA NG PAGSINGIL)
1. The personal personal circumstance circumstancess of the parties are as follos: (Ang bawat panig ay ang mga sumusunod) _______________ ______________________ ________ _ N!"# $F P%!&NT&FF'( P%!&NT&FF'( (Pangalan ng Naghahabla)
______ (#) (Kasarian)
______ !*# (Edad)
____________ ____________ C&+&% (T!T (T!T( (Katayuang Sibil)
Put a chec on an/ of the folloin0 (Pumili sa mga sumusunod at lagyan ng tsek) &ND&+&D!% Tao!ndibidwal) C$$P#2!T&+# (Kooperatiba (Kooperatiba
C$2P$2!T&$N (Korporasyon)
P!2TN#2(3&P ("akasan)
($%# P2$P2&#T$2(3&P Solong Pagmamay#ari)
2016 REVISED RULES OF PROCEDURE ON SMALL CLAIMS CASES SAMPLE FORMS
N!T N!T2# $F 4(&N#((: 4(&N#((: $ri ng Negosyo Negosyo 4!N5&N* "angko "angko
%#ND&N* Pagpapautang Pagpapautang
$T3#2('P%#!(# &ND&C!T#________________________ !ba !ba pang uri uri ng negosyo negosyo P%!&NT&FF6( 3$"# !DD2#((: !DD2#((: (Pahatirang Sulat sa "ahay ng Naghahabla ) Naghahabla )
Cit/ ___________________________________ (%ungsod) Pro Provi vinc nce, e, if app appli lica ca8l 8le e__ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ _ (%alawigan& kung meron) Telepho lephone ne No. No. _____ _______ _____ _____ ____ __ (Telepono "lg.)
________ 7ip Code ____ ______ ____ __ 7ip Code
Cellph Cellphone one No._ No.____ _____ _____ _____ ____ __ (Selpon "lg.)
P%!C# $F 9$25: ___________________________________________ (%ugar ng Pinagtatrabahuan) Telepho lephone ne No. No. _____ _______ _____ _____ ____ __ (Telepono "lg.)
Cellph Cellphone one No._ No.____ _____ _____ _____ ____ __ (Selpon "lg.)
N!"# $F P%!&NT&FF6( P%!&NT&FF6( 2#P2#(#NT 2#P2#(#NT! !T&+#: _______________ ______________________ _____________ ______ if applica8le must 8e a non-la/er (Pangalan ng Kinatawan') (kung meron) dapat hindi abogado 3$"# !D !DD2#((: Ci Cit/ t/ ________________________ (Pahatirang Sulat sa "ahay) (%ungsod)
________ 7ip Code
Province, i* appli+able) appli+able) _______________ ______________________ __________ ___ (%alawigan& kung meron)
________ 7ip Code
2016 REVISED RULES OF PROCEDURE ON SMALL CLAIMS CASES SAMPLE FORMS
N!T N!T2# $F 4(&N#((: 4(&N#((: $ri ng Negosyo Negosyo 4!N5&N* "angko "angko
%#ND&N* Pagpapautang Pagpapautang
$T3#2('P%#!(# &ND&C!T#________________________ !ba !ba pang uri uri ng negosyo negosyo P%!&NT&FF6( 3$"# !DD2#((: !DD2#((: (Pahatirang Sulat sa "ahay ng Naghahabla ) Naghahabla )
Cit/ ___________________________________ (%ungsod) Pro Provi vinc nce, e, if app appli lica ca8l 8le e__ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ___ _ (%alawigan& kung meron) Telepho lephone ne No. No. _____ _______ _____ _____ ____ __ (Telepono "lg.)
________ 7ip Code ____ ______ ____ __ 7ip Code
Cellph Cellphone one No._ No.____ _____ _____ _____ ____ __ (Selpon "lg.)
P%!C# $F 9$25: ___________________________________________ (%ugar ng Pinagtatrabahuan) Telepho lephone ne No. No. _____ _______ _____ _____ ____ __ (Telepono "lg.)
Cellph Cellphone one No._ No.____ _____ _____ _____ ____ __ (Selpon "lg.)
N!"# $F P%!&NT&FF6( P%!&NT&FF6( 2#P2#(#NT 2#P2#(#NT! !T&+#: _______________ ______________________ _____________ ______ if applica8le must 8e a non-la/er (Pangalan ng Kinatawan') (kung meron) dapat hindi abogado 3$"# !D !DD2#((: Ci Cit/ t/ ________________________ (Pahatirang Sulat sa "ahay) (%ungsod)
________ 7ip Code
Province, i* appli+able) appli+able) _______________ ______________________ __________ ___ (%alawigan& kung meron)
________ 7ip Code
2016 REVISED RULES OF PROCEDURE ON SMALL CLAIMS CASES SAMPLE FORMS
Telephone Telephone No. ______________ Cellphone No._____________ (Telepono "lg.) (Selpon "lg.) (Selpon "lg.) P%!C# $F 9$25: ___________________________________________ (%ugar ng Pinagtatrabahuan) Telephone Telephone No. ______________ Cellphone No._____________ (Telepono "lg.) (Selpon "lg.) ,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,, , ,,,,,, ,,,,,, ,,,,,,,,,,,,, ,,,,,,,,,,,,, N!"# $F D#F#ND!NT'( D#F#ND!NT'( (#) !*# C&+&% C&+& % (T! ( T!T( T( Pangalan ng ng -inahabla) -inahabla) (Kasarian) (Kasarian) (Edad) (Katayuang (Katayuang Sibil) &ND&+&D! &ND&+& D!% % Tao!ndibidwal)
C$2P$2!T C$2P$ 2!T&$N &$N (Korporasyon)
C$$P#2!T&+# (Kooperatiba (Kooperatiba
P!2TN#2(3&P P!2TN#2(3&P ("akasan)
($%# P2$P2&#T$2(3&P Solong Pagmamay#ari)
D#F#ND!NT6( 3$"# !DD2#((: (Pahatirang Sulat sa "ahay ng -inahabla) Cit/ _____________________________ ___________________________________ ______ (%ungsod)
________ 7ip Code
Province, if applica8le_______________________ applica8le______ _________________ ________ (%alawigan& kung meron) 7ip Code Telephone Telephone No. ______________ Cellphone No._____________ (Telepono "lg.) (Selpon "lg.) P%!C# $F 9$25: ___________________________________________ (%ugar ng Pinagtatrabahuan) Telephone Telephone No. ______________ Cellphone No._____________
(Telepono "lg.)
(Selpon "lg.)
2016 REVISED RULES OF PROCEDURE ON SMALL CLAIMS CASES SAMPLE FORMS
N!"# $F D#F#ND!NT6( 2#P2#(#NT!T&+#: ________________________________ if applica8le must 8e a non-la/er (Pangalan ng Kinatawan') (kung meron) dapat hindi abogado 3$"# !DD2#((: Cit/ ________________________ (Pahatirang Sulat sa "ahay) (%ungsod)
________ 7ip Code
Province, if applica8le_______________________ (%alawigan& kung meron) Telephone No. ______________ (Telepono "lg.)
________ 7ip Code
Cellphone No._____________ (Selpon "lg.)
P%!C# $F 9$25: ___________________________________________ (%ugar ng Pinagtatrabahuan) Telephone No. ______________ (Telepono "lg.)
Cellphone No._____________ (Selpon "lg.)
If more than one (1) defendant, list next defendant here: ( Kun hiit sa isa (1) an Hinaha!la, ilaa" an susunod na hinaha!la rito:)
,,,,,,,,,,,,,,,,,,,,,,, N!"# $F D#F#ND!NT'( Pangalan ng -inahabla) &ND&+&D!% Tao!ndibidwal)
,,,,,, (#) (Kasarian)
,,,,,, !*#
(Edad)
C$2P$2!T&$N (Korporasyon)
C$$P#2!T&+# (Kooperatiba
,,,,,,,,,,,,, C&+&% (T!T,( (Katayuang Sibil) P!2TN#2(3&P ("akasan)
($%# P2$P2&#T$2(3&P Solong Pagmamay#ari)
D#F#ND!NT6( 3$"# !DD2#((: (Pahatirang Sulat sa "ahay ng -inahabla) Cit/ ___________________________________ (%ungsod)
________ 7ip Code
2016 REVISED RULES OF PROCEDURE ON SMALL CLAIMS CASES SAMPLE FORMS
Province, if applica8le_______________________ (%alawigan& kung meron) Telephone No. ______________ (Telepono "lg.)
________ 7ip Code
Cellphone No._____________ (Selpon "lg.)
P%!C# $F 9$25: ___________________________________________ (%ugar ng Pinagtatrabahuan) Telephone No. ______________ (Telepono "lg.)
Cellphone No._____________ (Selpon "lg.)
N!"# $F D#F#ND!NT6( 2#P2#(#NT!T&+#: __________________________________ if applica8le must 8e a non-la/er (Pangalan ng Kinatawan') (kung meron) dapat hindi abogado 3$"# !DD2#((: Cit/ ________________________ (Pahatirang Sulat sa "ahay) (%ungsod) Province, if applica8le_______________________ (%alawigan& kung meron) Telephone No. ______________ (Telepono "lg.)
________ 7ip Code ________ 7ip Code
Cellphone No._____________ (Selpon "lg.)
P%!C# $F 9$25: ___________________________________________ (%ugar ng Pinagtatrabahuan) Telephone No. ______________ Cellphone No._____________ (Telepono "lg.) (Selpon "lg.)
Note: !* you need more spa+e& you +an write at the ba+k o* this /orm. ( #$ala: Kung kailangan mo ng karagdagang patlang& maaari mong isulat sa likod ng /orm na ito.)
.
Plaintiff claims the defendant oes him'her'it P________________________. Ang -inahabla ay umutang sa Naghahabla ng halagang) a 9h/ does the defendant oe plaintiff mone/; "akit ang -inahabla ay nagkautang ng salapi sa Naghahabla0) ____________________________________________________ ___________________________________________________. &f /ou need more space, please use the 8ac pa0e. (Kung kailangan mo ng karagdagang patlang& maaaring gamitin ang likod ng pahinang ito.) 8 9hen did this happen; Kailan ito nangyari0) Date: _______________________ Petsa) &f no specific date, 0ive the time period: (Kung walang tiyak na petsa& ibigay ang tantiyang panahon) Date started: _______________________ Petsa nagsimula) Throu0h: _______________________ (-anggang) c 3o did /ou compute the mone/ oed to /ou; Do not include court costs or fees ___________________________________________________. (Paano mo kinuwenta ang salaping inutang sa iyo0) -indi kasama ang bayad sa pagpapatala sa hukuman.
<.
a Did /ou as the defendant to pa/ /ou 8efore /ou filed this case; Siningil mo ba ang -inahabla bago ka nagsampa ng kasong ito0) =es (1o)
No (-indi)
&f no, explain: ________________________________________________ Kung hindi& ipaliwanag)
8 3o did /ou as the defendant; Paano mo siningil ang -inahabla0) &n person (Sa kanya mismo)
4/ phone (Sa telepono)
&n ritin0 (Sa sulat)
$thers please specif/ ______ (!ba pa) pakisulat kung paano
c 9hen did /ou do this; _________________________________________ (Kailan mo ginawa ito0) >.
9hat is /our proof that defendant oes /ou mone/; ________________________ Ano ang iyong katibayan o pruweba na ang -inahabla ay may utang na salapi sa iyo0)
?.
Did /ou attach /our proof to this form; (!yo bang inilakip ang katibayan o pruweba sa /orm na ito0) =es (1o
@.
No (-indi)
9as this claim referred to the 8aran0a/; (2umaan ba sa barangay ang paniningil na ito0) =es (1o)
No (-indi)
Not Covered (-indi sakop)
(tate reason: _________________________________________________ (!sulat ang dahilan) &f /es, do /ou have a Certificate to File !ction or a Compromise !0reement executed 8efore the 8aran0a/; __________ (Kung oo& meron ka bang Patunay sa Pagsampa ng Kaso o Kasunduan na isinagawa sa barangay0) 6-A. How many small la!ms as"s #a$" yo% &!l"' w!#!n #!s al"n'a) y"a) *)!o) o #!s *)"s"n as"+ !n #!s o%) sa!on an' !n #" "n!)" o%n)y, _____
(Pan ilan %aso na iton isinam&a mo sa loo! n %asala%u"an taon sa %orte na ito at sa !uon !ansa')
A.
4/ the filin0 of this action, plaintiff here8/ aives an/ amount in excess of PBB,BBB.BB, excludin0 interest and costs. (Sa pagsampa ng kasong ito& ang Naghahabla ay isinusuko ang anumang halaga na higit sa P344&444.44& hindi kasama ang tubo at gastos sa pagsampa ng kasong ito.)
P R A E R (PAGSA)
93#2#F$2#, plaintiff respectfull/ pra/s for ud0ment orderin0 defen-dant to pa/ the amount of P ____________, ith interest at the rate of _____ per annum'per month from ___________________ until full/ paid. (2A-!% 2!T1& ang Naghahabla ay magalang na sumasamo na igawad ang kapasiyahang utusan ang -inahabla na magbayad sa Naghahabla ng halagang P,,,,,,,,,,,,,& pati ang tubo na ,,,,,,5 bawat taon buwan simula ,,,,,,,,,,,,,,, hanggang ganap o lubos na mabayaran ito.) __________________________________, ____________, B___.
Please state the reason: _____________________________ ___________. FOR OFFICIAL USE ONL ( Para sa &is"al na amit laman) - To 8e accomplished 8/ the 4ranch Cler of Court-
Sasagutan ng Kawani ng -ukuman) 1. Cause of action Chec Promissor/ Note Contract $ral 9ritten 4aran0a/ !0reement $thers Please specif/: _________________________________.
. _____ 4aran0a/ conciliation reEuired. &f /es, _____ Certificate to File !ction _____ Compromise !0reement attached. _____ 4aran0a/ conciliation not reEuired.
______________________ P%!&NT&FF (Naghahabla)
FORM 1-A-SCC
ERIFICATIONAN/ CERTIFICATIONA0AINST NON-FORUM SHOPPIN0+ SPLITTIN0 A SIN0LE CAUSE OF ACTION AN/ MULTIPLICIT OF SUITS
&,_________________________ of le0al a0e, _________________, name citienship __________________, and a resident of _________________________, civil status residence on oath, state: 1.
That & am the _____________________ in the a8ove-entitled case have caused this _______________________________ to 8e preparedG that & read and understood its contents hich are true and correct of m/ on personal noled0e and'or 8ased on true recordsG
.
That & have not commenced an/ action or proceedin0 involvin0 the same issue or su8ect matter, and specificall/ the same chec's in the (upreme Court, the Court of !ppeals or an/ other tri8unal or a0enc/, particularl/ 8efore the $ffice of the Cit/ Prosecutor of _______________________ G that to the 8est of m/ noled0e, no such action or proceedin0 is pendin0 in the (upreme Court, the Court of !ppeals or an/ other tri8unal or a0enc/, and that, if & should learn thereafter that a similar action or proceedin0 has 8een filed or is pendin0 8efore these courts or tri8unal or a0enc/, & undertae to report that fact to the Court ithin five ? da/s therefrom.
<.
That the filin0 of this case is not in violation of the rule a0ainst splittin0 a sin0le cause of action or multiplicit/ of suits.
>.
That & noin0l/ and voluntaril/ aive and fore0o the institution of an/ criminal complaint for +iolation of 4atas Pam8ansa 4l0. a0ainst the defendant herein 8ased on the same chec's su8ect matter of this (mall Claims Complaint.
&N 9&TN#(( 93#2#$F, & have hereunto set m/ hand this da/ of ______________, B_____. ______________________ !ffiant (4(C2&4#D !ND (9$2N to 8efore me this ____________ da/ of ______________, B_____.
______________________ N$T!2= P4%&C
FORM -SCC REPUBLIC OF THE PHILIPPINES
_______________________________ _______________________________ _______________________________
_____________________________, Plaintiff, vs.
Civil Case No. ________________ For: _______________________
_____________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x SUMMONS
T$: _________________________ _____________________________ _____________________________ *2##T&N*(: =ou are here8/ reEuired, ithin ten 1B da/s from receipt of this (ummons, to file ith this Court and serve on plaintiff, /our verified 2esponse to the attached (tatement of Claim. The form of the reEuired 2esponse is attached hereto. =ou are reEuired to su8mit ith /our 2esponse certified copies of docu-ments as ell as affidavits of an/ itness to stand as /our evidence in this case. =ou must present the ori0inal document's on the da/ of hearin0. ! motion to dismiss is prohi8ited and shall not 8e entertained. !n/ 0round for dismissal should 8e included in /our 2esponse. %ieise, motions for 8ill of particulars and for extension to file pleadin0s, affidavits or an/ other paper are prohi8ited.
=our failure to respond ithin the 1B-da/ period !ND T$ !PP#!2 !T T3# 3#!2&N* $F T3&( C!(# ill authorie the Court to render ud0ment.
9itness m/ hand under the seal of this Court, this _______da/ of ____________, B_____, at ____________________________, Philippines.
_________________________ 42!NC3 C%#25 $F C$2T
N$T#: F$2 &NH&2&#(, C!%% T#%. I_________________
FORM 2-SCC REPUBLIC OF THE PHILIPPINES
_______________________________ _______________________________ _______________________________
_____________________________, Plaintiff, vs.
Civil Case No. ________________ For: _______________________
_____________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x RESPONSE (SAG$)
Defendant's state's: !n0 3inaha8la a/ na0sasaad: 1.
Defendant denies the (tatement of Claim for an/ of the folloin0 reasons: Put a chec in an/ of the folloin0 (Tinatanggihan ng -inahabla ang -abla ng Pagsingil sa alinmang sumusunod na dahilan)' Pumili sa mga sumusunod at lagyan ng tsek a ____ Defendant does not oe plaintiff an/ mone/. (Ang -inahabla ay walang pagkakautang na salapi sa Naghahabla.) ____ Defendant oes plaintiff onl/ a portion of the amount claimed. (Ang utang ng -inahabla ay bahagi lamang ng halagang sinisingil ng Naghahabla.)
____ &t is the plaintiff ho oes defendant mone/. (Ang Naghahabla ang siyang may utang na salapi sa -inahabla.) 8 &f defendant oes plaintiff onl/ a portion of the amount claimed, ho much is this; (Kung ang utang ng -inahabla ay bahagi lamang ng halagang sinisingil ng Naghahabla& magkano ito0) _________________________________________________. _________________________________________________. c &f it is the plaintiff ho oes defendant mone/, ho much and hen did this happen; (Kung ang Naghahabla ang siyang may utang na salapi sa -inahabla& magkano at kailan ito nangyari0) _________________________________________________. _________________________________________________. &f no specific date, estimate the time period: (Kung walang tiyak na petsa& ibigay ang tantiyang panahon) Date started _______________ (Petsa nagsimula) Throu0h__________________ (-anggang) d 3o did /ou compute the mone/ oed /ou; Do not include court costs or fees for service. (Paano mo kinuwenta ang salaping pagkakautang sa iyo0) (-uwag isama ang *iling *ees at bayad sa serbisyo.) _________________________________________________. _________________________________________________. .
&f plaintiff oes /ou mone/, did /ou as plaintiff to pa/ /ou; (Kung ang Naghahabla ay siyang may pagkakautang sa iyo& siningil mo ba siya0) _____ =es (1o) &f /es, ho;
(Kung oo& paano0)
_____ No (-indi)
____ ____ ____
&n person (Sa kanya mismo) &n ritin0 (Sa sulat) 4/ phone
____ $thers specif/ ___________ (!ba pa) ano ito0
(Sa telepono) <. Do /ou have an/ proof; (6eron ka bang anumang katibayan0) 9hat is this proof; Anong katibayan ito0)
_____=es (1o)
_____No (-indi)
_____ 2eceipt 7esibo) _____ $ther document !ba pang dokumento) _____ 9itness (Saksitestigo)
>.
!s the (tatement of Claim is 8aseless, defendant is entitled to the folloin0 counterclaims: (Sa dahilang walang basehan ang -abla ng Pagsingil& ang -inahabla ay may karapatan sa mga ganting#habol na sumusunod) ____
!ctual Dama0es for the value of the loss suffered 8/ the filin0 of the case P _______________. ("ayad para sa aktwal na pinsalang idinulot ng pagsampa ng kaso)
____
Costs of suit for the mone/ defendant spent in filin0 a counterchar0e a0ainst plaintiff P ________________. (Kabayaran8astos sa kasong isinampa)
________________________ D#F#ND!NT 3inaha8la
+#2&F&C!T&$N !ND C#2T&F&C!T&$N !*!&N(T N$NF$2" (3$PP&N*, (P%&TT&N* ! (&N*%# C!(# $F !CT&$N !ND "%T&P%&C&T= $F (&T( if ith permissive counterclaim PA8PAPAT1T11 1 PA8PAPAT$NA9 NA :A%AN8 !"AN8 KAS1N8 NAKASA6PANAKA"!N"!N SA !"AN8 -$K$6AN) (kapag may ganting habol na pinahihintulutan)
FORM 3-SCC REPUBLIC OF THE PHILIPPINES _______________________________
_______________________________ _______________________________ __________________________________, Plaintiff, vs.
Civil Case No. ________ For: _________________
__________________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x NOTICE OF HEARIN0 (ABIS NG PAG*INIG)
=$2 C!(# &( (#T for hearin0 8efore the Presidin0 Jud0e of this Court on _______________________ at _______________. !n0 in/on0 aso a/ dirin00in n0 Pinunon0 3uom n0 3uuman0 ito sa _______________________________, sa 0anap na _________. =$ "(T !TT#ND T3# 3#!2&N*. &F =$ C!NN$T !TT#ND 4#C!(# &T &( P3=(&C!%%= &"P$((&4%# F$2 =$ T$ D$ ($, =$ "!= !T3$2&7# ! 2#P2#(#NT!T&+# 93$ &( N$T ! %!9=#2 T$ !PP#!2 F$2 =$. F$2 T3&( P2P$(# =$ (3$%D F&%% P F$2" ?-(CC (P#C&!% P$9#2 $F !TT$2N#=.
(K!NAKA!%AN8AN N!N91N8 2$6A%1 SA PA82!N!8. K$N8 -!N2! KA9A N8 KATA:AN N!N91 AN8 PA82A%1 NAN8 PE7S1NA% SA PA82!N!8 N8 !91N8 KAS1& 6AAA7! KAN8 6A8PA2A%A N8 !91N8 K!NATA:AN NA -!N2! A"18A21 SA PA82!N!8. SA 8AN!T1N8 %A9$N!N& P$N$AN N!N91 AN8 /176 ;#S<< NATATAN8!N8 8A:A2#KAPAN89A7!-AN # SPE
9&TN#(( the 3$N.______________________________________, Presidin0 Jud0e of this Court, this ____ da/ of ________________, B___, at
__________________________, Philippines. (asi si 500. __________________________________________, Pinunon0 3uom n0 3uuman0 ito, n0a/on0 ____________________, B___ dito sa ______________, Pilipinas. _______________________________
4ranch Cler of Court (an0a/ na 5aani n0 3uuman
N$T#: F$2 &NH&2&#(, C!%% T#%. I____________ Tala: Para sa atanun0an, tumaa0 sa 5orte sa Tel. 4l0. _________
FORM 4-SCC REPUBLIC OF THE PHILIPPINES _______________________________
_______________________________ _______________________________ __________________________________, Plaintiff, vs.
Civil Case No. ________ For: _________________
__________________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x PLAINTIFF5S RETURNMANIFESTATION
This is to certif/ that on date and date , the undersi0ned tried to serve the (ummons, (tatement of Claim, to0ether ith the !nnexes and Notice of 3earin0 upon the defendant's name's of defendant's , 8ut failed and unavailin0 on the 0round that the said defendant's as'ere not around durin0 the time of service. 3oever, on date , the (ummons, (tatement of Claims, !nnexes thereto and Notice of 3earin0 ere served personall/ to name of defendant ho received , as shon 8/ her'his si0nature appearin0 at the loer portion of the summons. 93#2#F$2#, the ori0inal cop/ of the (ummons is respectfull/ returned to the 3onora8le Court, D%= (#2+#D P#2($N!%%=. __________________, Philippines, date.
_____________________ P%!&NT&FF
FORM 4-A-SCC REPUBLIC OF THE PHILIPPINES _______________________________
_______________________________ _______________________________ __________________________________, Plaintiff, vs.
Civil Case No. ______ For: _______________
__________________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x PLAINTIFF5S RETURNMANIFESTATION
This is to certif/ that on date and date , the undersi0ned tried to serve the (ummons, (tatement of Claim, to0ether ith the !nnexes and Notice of 3earin0 upon the defendant's name's of defendant's , 8ut failed and unavailin0 on the 0round that the said defendant's as'ere not around durin0 the time of service. 3oever, on date , the (ummons, (tatement of Claims, !nnexes thereto and Notice of 3earin0 ere served throu0h name of person ho received , ho introduced himself'herself as a relationship of the person to the defendant's, a person of suita8le a0e and discretion, residin0 therein, ho si0ned at the loer portion of the summons. (u8stituted service as made after the undersi0ned exerted earnest efforts to serve the (ummons, to0ether ith the (tatement of Claim, !nnexes thereto and the Notice of 3earin0 personall/ upon the defendant, hich proved futile. 93#2#F$2#, the ori0inal cop/ of the (ummons is respectfull/ returned to the 3onora8le Court, D%= (#2+#D. _________________, Philippines, date. _____________________ P%!&NT&FF
FORM 6-SCC REPUBLIC OF THE PHILIPPINES _______________________________
_______________________________ _______________________________ __________________________________, Plaintiff, vs.
Civil Case No. ______ For: _______________
__________________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x MOTION TO PLEA/ AS IN/I0ENT
_____________________, unto this 3onora8le Court, respectfull/ alle0es that: 1. & am a resident of ___________________G . "/ 0ross income and that of m/ immediate famil/ does not exceed __________________G <. & do not on real propert/ ith an assessed value of more than amount as provided in the 2evised 2ules of Court, as amended as shon 8/ the attached Certification issued 8/ the $ffice of the Cit/'"unicipal !ssessor and the Cit/'"unicipal Treasurer6s $fficeG >. Due to financial constraint, & cannot afford to pa/ for the expenses of a court liti0ation as & do not have enou0h funds for food, shelter and other 8asic necessitiesG ?. (hould the court render ud0ment in m/ favor, the amount of the docet and other le0al fees hich & as exempted from pa/in0 shall 8e a lien on the ud0ment, unless the court orders otherise.
93#2#F$2#, premises considered, it is respectfull/ pra/ed that & 8e exempted from the pa/ment of docet and other le0al fees as indi0ent pursuant to (ection 1, 2ule <, in relation to (ection 1K, 2ule 1>1 of the 2evised 2ules of Court. $ther reliefs ust and eEuita8le under the premises are lieise pra/ed for.
______________________ P%!&NT&FF
FORM 7-SCC SPECIAL PO8ER OF ATTORNE
5N$9 !%% "#N 4= T3#(# P2#(#NT(: &, __________________________________, of le0al a0e, sin0le' married, ith residence at ______________________________ do here8/ appoint, name and constitute __________________________, lieise of le0al a0e, sin0le'married, ith residence at ______________________________, ho is related to me and'or is m/ nextof-in, and is not a la/er, as m/ true and le0al representative to act for and in m/ name and stead and to represent me durin0 the hearin0 of Civil Case No.____________, to enter into amica8le settlement, to su8mit to alternative modes of dispute resolution and to mae admissions or stipulations of facts and documents ithout further consultation from me. & here8/ 0rant m/ representative full poer and authorit/ to execute and perform ever/ act necessar/ to render effective the poer to compromise as thou0h & m/self have so performed it and here8/ approvin0 all that he ma/ do 8/ virtue of these presents. &n itness hereof, & hereunto set m/ hand this ___________ da/ of ______________, B______, at ______________________________.
_______________________________
Principal _______________________________
!0ent 9itnesses: _________________
________________________
!C5N$9%#D*"#NT
FORM 9-SCC REPUBLIC OF THE PHILIPPINES _______________________________ _______________________________ _______________________________
__________________________________, Plaintiff, vs.
Civil Case No. ______ For: _______________
__________________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x :OINT MOTION (FOR /ISMISSAL;
Plaintiff and defendant, unto this 3onora8le Court, respectfull/ alle0e that: 1. Plaintiff and defendant have mutuall/ and voluntaril/ settled their claim and counterclaim to the entire satisfaction of each otherG and . The parties no lon0er have a cause of action a0ainst each other. 93#2#F$2#, premises considered, plaintiff and defendant respectfull/ pra/ that the plaintiff6s statement of claim and defendant6s counterclaim incorporated in his response 8e dismissed. $ther reliefs ust and eEuita8le under the premises are lieise pra/ed for. place ,
date .
_____________________ Plaintiff
_____________________ Defendant
To the 4ranch Cler of Court: Please su8mit the fore0oin0 motion for the consideration of the Court ithout hearin0 and further ar0ument from the parties. _____________________ Plaintiff
_____________________ Defendant
FORM <-SCC REPUBLIC OF THE PHILIPPINES _______________________________ _______________________________ _______________________________
__________________________________, Plaintiff, vs.
Civil Case No. ______ For: _______________
__________________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x MOTION FOR APPROAL OF COMPROMISE A0REEMENT
The parties respectfull/ alle0e that: 1. Plaintiff filed this claim a0ainst defendant for: _____________ collection of sum of mone/ _____________ liEuidated dama0es _____________ enforcement of 8aran0a/ a0reement . The parties have come to an amica8le settlement and have executed a compromise a0reement ith the folloin0 terms and conditions. cop/ terms and condition here <. The parties a0ree that the approval of this a0reement 8/ the Court shall put an end to this liti0ation, except for purposes of execution in case of default. 93#2#F$2#, premises considered, the parties respectfull/ pra/ that the court approve this a0reement and render ud0ment on the 8asis thereof. place ,
date .
___________________ Plaintiff
______________________ Defendant
FORM 1=-SCC
REPUBLIC OF THE PHILIPPINES
_______________________________ _______________________________ _______________________________ __________________________________, Plaintiff,
vs.
Civil Case No. ______ For: _______________
__________________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x /ECISION (BASE/ ON COMPROMISE A0REEMENT;
Plaintiff filed this case a0ainst defendant for _____________________ in the amount of ________________________. Defendant denied plaintiff6s claim on the 0round of _________________
and set up a counterclaim for _______________________. The parties, hoever, reached an amica8le settlement and su8mitted to the court a compromise a0reement, the terms and conditions of hich are as follos: terms and condition here &t appearin0 that the a0reement is not contrar/ to la, morals, 0ood customs, pu8lic moral and pu8lic polic/, and pursuant to !rticles BK and B
93#2#F$2#, ud0ment is here8/ rendered approvin0 the Compromise !0reement and the parties are ordered to compl/ ith the terms and conditions, as follos: (The =udge should de*ine the rights and obligations o* the parties under the =udgment approving the e+ution.) ($ $2D#2#D. place
,
date . ________________________ Presidin0 Jud0e
FORM 11>SCC REPUBLIC OF THE PHILIPPINES
_______________________________ _______________________________ _______________________________ Title
Case Num8er /ECISION
This is a small claims action for state hich of the claims or demands 8elo is the su8ect of the action filed: /or money owed under any o* the *ollowing' ?. 3. @. . ;.
/or liCuidated damages arising *rom +ontra+tsB The en*or+ement o* a barangay ami+able settlement or an arbitration award involving a money +laim +overed by this 7ule pursuant to Se+tion ?D o* 7epubli+ A+t D?4& otherwise known as The %o+al 8overnment
Considerin0 the failure of the parties to arrive at an/ settlement of the dispute, this court proceeded ith the hearin0 of the case hich as terminated on _________________.
The issue to 8e resolved 8/ this court is hether__________________. Plaintiff6s evidence consists of: state documents of plaintiff, affidavits su8mitted if an/ and statements made 8/ plaintiff and itnesses under oath durin0 the hearin0. Defendant6s evidence consists of: state documents of defendant, affidavits su8mitted if an/ and statements made 8/ defendant and itnesses under oath durin0 the hearin0. This court finds that the claim of plaintiff or defendant in a counterclaim is state hether meritorious or devoid of merit. nder !rticle'(ection state the applica8le provisions of la or pursuant to esta8lished urisprudence cite applica8le urisprudence. &n this case, this court found that state first the factual findin0s esta8lished 8/ the evidence and then the le0al conclusions. 9herefore, the claim'counterclaim is 0ranted'denied. This court orders
____________________ to pa/ to _______________________ the amount of state the monetar/ aard or dama0es ith interest of if applica8le under Civil Code and'or settled urisprudence until full/ paid. ($ $2D#2#D. place
,
date .
____________________ Presidin0 Jud0e Cop/ furnished: !ll parties $ffice of the Cler of Court of ____________
FORM 1-SCC REPUBLIC OF THE PHILIPPINES _______________________________ _______________________________ _______________________________
__________________________________, Plaintiff, vs.
Civil Case No. ______ For: _______________
__________________________________, Defendant. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
MOTION FOR E?ECUTION Plaintiff'Defendant, unto this 3onora8le Court, respectfull/ alle0es that:
1. $n _______________, a ud0ment as rendered 8/ the Court, the dispositive portion of hich reads: . The ud0ment is final, executor/ and unappeala8le. <. The defendant has not complied ith the ud0ment. 93#2#F$2#, premises considered, it is respectfull/ pra/ed that a rit of execution 8e issued to implement the ud0ment of the Court dated __________________. ______________________, __________________.
_______________________
Plaintiff'Defendant
