practice court pleadings

8/18/2019 Practice Court pleadings

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Page 1 of 5, COMPLAINT, David vs. Melendres

Republic of the PhilippinesREGIONAL TRIAL COURT

5th Judicial RegionBranch 64

Labo, Camarines Norte

Gloren Jean a!id, Plaintiff ,

Ci!il Case No" ############# $ !ersus $

%or& '()*+$L+C-

Noel .elendres, Defendant ,/ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ /

COMPLAINT

C0.* N01 Plaintiff, b2 counsel and to this 3onorable Court,

respectfull2 states that&

" Plaintiff Gloren Jean a!id is of legal age, %ilipino, ido, and a resident

of )naha, Labo, Camarines Norte, Philippines" %or purposes of this

action, plaintiff ma2 be ser!ed ith all orders, notices, and other processes

of this 3onorable Court through the office address of the undersigned

counsel indicated belo

7" efendant Noel .elendres , of legal age, %ilipino, married, and ma2 be

ser!ed ith summons and other processes of this 3onorable Court at his last

8non address at Bautista, Labo, Camarines Norte, Philippines

9" 0n or about :&:: o;cloc8 in the morning on Jul2 6, 7:7 under fair

eather condition, along the .aharli8a 3igha2 at the portion of +berica

Labo, Camarines Norte, the abo!e$named defendant, being then the dri!er

of *(


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his name, dri!e and operate said !ehicle in a negligent, rec8less and careless

manner and ithout due regard to traffic las and regulations to pre!ent

accident to persons and propert2, and as a result of such negligence, rec8less

and carelessness said *u?u8i pic8$up rammed into the house and tailoring

shop of the plaintiff Gloren Jean a!id and her husband, instantl2 8illing

anilo a!id, her husband ho as standing at the doora2 of the house at

the time the collision occurred"

5" )s a result of the untimel2 death of the plaintiff;s husband ho as the sole

breadinner, the latter;s heirs ill be depri!ed of the support e@ui!alent to

the future income of the !ictim"

6" B2 the same negligent act of the defendant, plaintiff Gloren Jean a!id has

suffered serious ph2sical inAur2 and has incurred hospital and medical

e/penses in the amount of no less than P::,:::":: and rendered their

seing machine a total rec8ed and no longer ser!iceable, and cost of repair

of the shop hich amount ma2 be fi/ed at P 7:,:::"::"

" -hat the plaintiff demanded from the defendants of Aust and e@uitable and

reasonable death compensation and reimbursement of actual and hospital

e/penses b2 reason of the mishap but defendant refused and continue to

refuse to heed plaintiff;s demand"


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PRAYER

WHEREFORE, after due notice and hearing, Plaintiff respectfull2 pra2s

that Audgment be rendered against the efendant as follos&

" 0rdering the efendant to&

a" +ndemnif2 the heirs of the deceased, anilo a!id due to the

latter;s death in the amount of P5:,::: as death compensation,

further sum of P 4:,::: as burial and incidental e/penses and the

amount of P5::,::: as loss of earning capacit2

b" +ndemnif2 the plaintiff Gloren Jean a!id in the amount of P

::,::: as reimbursement for hospital and medical e/penses

c" Pa2 the plaintiff in the amount of P7:,::: for the replacement of

seing machine and repair of the shop"

d" Pa2 the amount of P5,::: as attorne2;s fee, P ,::: as appearance

fee per hearing and reimbursement of the doc8et fee"

e" -o pa2 the plaintiff moral and e/emplar2 damages in such amount

as the 3onorable court ma2 e@uitabl2 fi/ and such other reliefs

Aust and reasonable under the circumstances"

7" Plaintiff respectfull2 pra2s for such other reliefs as ma2 be Aust and

e@uitable in the premises"

Labo, Camarines Norte, Philippines, Jul2 , 7:7"

N+D0 B" R)R0

Counsel for the Plaintiff Labo, Camarines Norte

+BP R0LL No" 7945 P-R No" 5497


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VERIFICATION

RP(BL+C 0% -3 P3+L+PP+N*EPro!ince of Camarines Norte E *"*".unicipalit2 of Labo E/ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ /

+, Gloren Jean David, of legal age, %ilipino, ido, and a resident of Calasgasan, aet, Camarines Norte Philippines, after being sorn in accordanceith la, hereb2 depose and sa2&

-hat + am the Plaintiff in the abo!e$entitled case -hat + ha!e caused the preparation of the abo!e Complaint and + ha!e read the same and 8nos thecontents thereof -hat the allegations contained therein are true and correct of m2

on personal 8noledge"

IN WITNESS WHEREOF, + ha!e hereunto set m2 hand this th da2 of J(LF 7:7 at Labo, Camarines Norte, Philippines"

GLOREN JEAN DAVID

)%%+)N-

SUSCRIED AND SWORN to before me, this

th

da2 of Jul2, 7:7 b2Gloren Jean a!id ho e/hibited to me her Communit2 -a/ Certificate No"79456 issued at aet, Camarines Norte, Philippines on Januar2 9, 7:7"

N+D0 B" R)R0 N0-)RF P(BL+C

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CERTIFICATION OF NON!FORUM SHOPPING

RP(BL+C 0% -3 P3+L+PP+N*EPro!ince of Camarines Norte E *"*".unicipalit2 of Labo E

/ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ /+, Gloren Jean David, of legal age, %ilipino, ido, and a resident of

Calasgasan, aet, Camarines Norte Philippines, after being sorn in accordanceith la, hereb2 depose and certif2 that&


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HaE + ha!e not theretofore commenced an2 other action or proceeding or filedan2 claim in!ol!ing the same issues or matter in an2 court, tribunal, or @uasi$Audicialagenc2 and, to the best of m2 8noledge, no such action or proceeding is pendingtherein HcE if + should thereafter learn that the same or similar action or proceedinghas been filed or is pending before the *upreme Court, the Court of )ppeals, or an2other tribunal or @uasi$Audicial agenc2, + underta8e to report such fact ithin fi!e H5Eda2s therefrom to the court or agenc2 herein the original pleading and sorncertification contemplated herein ha!e been filed"

IN WITNESS WHEREOF, + ha!e hereunto set m2 hand this th da2 of Jul2 7:7, at Labo, Camarines Norte, Philippines"

GLOREN JEAN DAVID

AFFIANT

SUSCRIED AND SWORN to before me, this th of Jul2 7:7, b2Gloren Jean a!id ho e/hibited to me her Communit2 -a/ Certificate

No"79456 issued at Labo, Camarines Norte, Philippines on Januar2 9, 7:7"

NI"O # RARO

NOTARY PUBLIC

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