REPUBLIC OF THE PHILIPPINES NATIONAL CAPITAL JUDICIAL REGION METROPOLITAN TRIAL COURT Branch III, Quezon City Juan

Dela Cruz Plaintiff, - versus 54321 Pedro Pelaez Defendant. x ----------------------------------x COMPLAINT COMES NOW, the Plaintiff in the above-entitled case, through counsel, and to this Honorable Court alleges: 1. That plaintiff is of age, married and residing at No. 1 Gen. Ordonez Street, Quezon City, while defendant is likewise of age, married and residing at No. 2 Gen. Ordonez St. Quezon City, where he may be served with summons; 2. That plaintiff is the owner of a concrete bungalow located at No. 2 Gen. Ordonez St. Quezon City, where he may be served with summons; 3. That on June 10, 2010, plaintiff leased the said bungalow to the defendant for the next three (3) years at a monthly rental of P10,500 payable within the first five days of each month, and that the lease contract thereon is hereto attached as Annex A; 4. That since June 11, 2011, the lease contract had already expired and, despite repeated demands, defendant had refused to vacate the premises and continues to occupy the same. 5. That written demand (Annex B hereof) to vacate and pay rentals in arrears was sent to and received by defendant but despite said demand, he failed to vacate the same or pay said rentals. WHEREFORE, it is respectfully prayed that judgment be rendered against the defendant ordering her: 1. To vacate the premises; 2. To pay the monthly sum of P10,500.00 beginning on June 11, 2011, with interest thereon at the legal rate until fully paid, until the defendant vacates said premises; 3. To pay the sum of P40,000.00 as litigation expenses and Civil Case No.

For: Ejectment

attorneys fees. Quezon City, July 7, 2011 (COUNSEL) Attorney for the Plaintiff XYZ Building, Quezon City IBP No. 12345; 1/3/2012; Quezon City PTR No.67890; 2/2/2012; Quezon City Roll of Attorneys No. 12345

VERIFICATION/CERTIFICATION OF NON-FORUM SHOPPING I, JUAN A. Dela Cruz, Filipino, of legal age with address at No. 1 Gen. Ordonez Street, Quezon City; after having been duly sworn on accordance with law depose and say: 1. That I am the plaintiff in the above-entitled case; 2. That I caused the preparation of the foregoing Complaint and I have read the allegations therein and certify that the same are true and correct of my own personal knowledge; 3. That I further certify that I have not commenced any other action involving the same issues before the Supreme Court, Court of Appeals or any division thereof or any tribunal or agency; and to the best of my knowledge no such action is pending before the Supreme Court, Court of Appeals or any division thereof or any tribunal or agency; 4. That in the event that any action involving the same should be made known, I hereby bind myself to report the same within five (5) days from knowledge thereof to this Honorable Court. WITNESS WHEREOF, I hereunto set my hand this _______ day of ________, ________ at Quezon City, Metro Manila, Philippines. JUAN DELA CRUZ

JURAT SUBSCRIBED AND SWORN TO before me in the City of Quezon, National Capital Region this 15th day of July 2011 by Juan Dela Cruz, personally known to me, who is the same person who personally signed before me the foregoing affidavit and acknowledged that he executed the same.

NOTARY PUBLIC Commmison Serial No: 123 Until: April 25, 2011 PTR No.: 123 Roll of Atty. No: 12345 IBP OR No.: 1234, City of Quezon, NCR, March 25, 2003 OR IBP Lifetime Membership No. : 1223, Bargy Kuliat, Project 4, Quezon City Doc. No._____ Page No. ____ Book No. _____ Series of _____