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Sample Document
Sample of Affidavit of Witness
Republic of the Philippines ) ____________, ________ ) s.s. x- - - - - - - - - - - - - - - - - - - - - -x AFFIDAVIT OF WITNESS I, ________________________, age, civil status, resident of __________________________, _________, after having sworn in accordance with law, do hereby depose and state THAT: 01. I was present and personally saw that accused, __________, committed the crime of ___________________________ against the victim _______________; 02.
(State other circumstances and the relation either to the victim or accused or
03.
(State the details of the acts committed by the accused against the victim.
04.
(State the acts done by the witness and the reason thereof);
both);
I executed this affidavit to attest the truthfulness of the foregoing facts and to support the filing of Criminal Cases against _______________________________ for violations of ________________________. AFFIANTS SAYETH NAUGHT. IN WITNESS WHEREOF, I hereunto affixed my signature this ___day of ____________ at ____________, _______________. _______________________________ Affiant
SUBSCRIBED AND SWORN to before me this ___ day of _______ at _______________. I HEREBY CERTIFY that I have personally examined the herein affiants and I am satisfied that they voluntarily executed and understood their given affidavit. _____________________ Notary Public
Republic of the Philippines } Province of Bukidnon }S.S. City of Valencia } X---------------------------------X
AFFIDAVIT OF WITNESS I, JERAMEL LIANGCO Y LUMAHANG, 25 years old, single, student and a resident of Purok- 11 Poblacion, Valencia City, Bukidnon. After having been duly sworn to in accordance with law do hereby deposed and say; That on or about 2230H of 06 September 2010 while we stayed in “Balotan” at Plaza Rizal along the Sayre Highway when Mr. Geronda slapped to the head portion of Mr. Casumpang without any reason and words but unfortunately he saw the strike of Mr. Geronda and then protect himself through his defense tactic and a few second Mr. Geronda run away to the said placed. Then after the incident, Mr. Casumpang directly went to the Church. As I observed of Mr. Geronda, he was Drunk since he came from Bar Haus at the front of Plaza Rizal. IN WITNESS WHEREOF I hereby set our hand this 25th day of September 2010 at Valencia City, Philippines.
JERAMEL LIANGCO Y LUMAHANG Affiant SUBSCRIBED AND SWORN to before me this 25th day of September 2010, at Valencia City, Philippines. I HEREBY CERTIFY that I have personally examined the above- named affiant and that I am convinced that the affiant personally and voluntarily executed this instrument and fully understood the same as well as the legal consequences thereto.
