2016 Revised Rules on Small Claims - Sample Forms

8/19/2019 2016 Revised Rules on Small Claims - Sample Forms

1/33

2016 R EVISED R ULES OF P ROCEDURE ON S MALL C LAIMS C ASES

S AMPLE F ORMS

FORM 1-SCC

REPUBLIC OF THE PHILIPPINES _______________________________ _______________________________

__________________________,Plaintiff,

vs. Civil CaseNo. ________________

For: _______________________

__________________________,Defendant.

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

STATEMENT OF CLAIM(HABLA NG PAGSINGIL)

1. The personal circumstances of the parties are as follo s:(Ang bawat panig ay ang mga sumusunod)

_______________________ ______ ______ ____________ N!"# $F P%!&NT&FF'( (#) !*# C&+&% (T!T ((Pangalan ng Naghahabla) (Kasarian) (Edad) (Katayuang Sibil)

Put a chec on an/ of the follo in0(Pumili sa mga sumusunod at lagyan ng tsek)

&ND&+&D !% C$2P$2!T&$N P!2TN#2(3&P

Tao !ndibidwal) (Korporasyon) ("akasan)C$$P#2!T&+# ($%# P2$P2T$2(3&P

(Kooperatiba Solong Pagmamay#ari)


2/33


S AMPLE F ORMS

N!T 2# $F 4 (&N#((:$ri ng Negosyo

4!N5&N* %#ND&N* "angko Pagpapautang

$T3#2('P%#!(# &ND&C!T#________________________ !ba pang uri ng negosyo

P%!&NT&FF6( 3$"# !DD2#((:

(Pahatirang Sulat sa "ahay ng Naghahabla )Cit/ ___________________________________ ________

(%ungsod) 7ip Code

Province, if applica8le _______________________ ________ (%alawigan& kung meron) 7ip Code

Telephone No. ______________ Cellphone No._____________ (Telepono "lg.) (Selpon "lg.)

P%!C# $F 9$25: ___________________________________________ (%ugar ng Pinagtatrabahuan)


N!"# $F P%!&NT&FF6( 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, i* appli+able) _________________________ ________ (%alawigan& kung meron) 7ip Code


3/33


S AMPLE F ORMS

Telephone No. ______________ Cellphone No._____________ (Telepono "lg.) (Selpon "lg.) (Selpon "lg.)



,,,,,,,,,,,,,,,,,,,,,,, ,,,,,, ,,,,,, ,,,,,,,,,,,,, N!"# $F D#F#ND!NT'( (#) !*# C&+&% (T!T (

Pangalan ng -inahabla) (Kasarian) (Edad) (Katayuang Sibil)

&ND&+&D !% C$2P$2!T&$N P!2TN#2(3&PTao !ndibidwal) (Korporasyon) ("akasan)

C$$P#2!T&+# ($%# P2$P2T$2(3&P(Kooperatiba Solong Pagmamay#ari)

D#F#ND!NT6( 3$"# !DD2#((:

(Pahatirang Sulat sa "ahay ng -inahabla)

Cit/ ___________________________________ ________ (%ungsod) 7ip Code


Telephone No. ______________ Cellphone No._____________

(Telepono "lg.) (Selpon "lg.)


Telephone No. ______________ Cellphone No._____________

(Telepono "lg.) (Selpon "lg.)


4/33


S AMPLE F ORMS

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






If more than one (1) defendant, list next defendant here:( Kun hi it sa isa (1) an Hinaha!la, ila a" an susunod na hinaha!la rito:)

,,,,,,,,,,,,,,,,,,,,,,, ,,,,,, ,,,,,, ,,,,,,,,,,,,, N!"# $F D#F#ND!NT'( (#) !*# C&+&% (T!T,(

Pangalan ng -inahabla) (Kasarian) (Edad) (Katayuang Sibil)

&ND&+&D !% C$2P$2!T&$N P!2TN#2(3&PTao !ndibidwal) (Korporasyon) ("akasan)

C$$P#2!T&+# ($%# P2$P2T$2(3&P(Kooperatiba Solong Pagmamay#ari)

D#F#ND!NT6( 3$"# !DD2#((:(Pahatirang Sulat sa "ahay ng -inahabla)

Cit/ ___________________________________ ________ (%ungsod) 7ip Code


5/33


S AMPLE F ORMS





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






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.)


6/33

. Plaintiff claims the defendant o es him'her'itP________________________. Ang -inahabla ay umutang sa Naghahabla ng halagang)

a 9h/ does the defendant o e plaintiff mone/; "akit ang -inahabla ay nagkautang ng salapi sa Naghahabla0)

____________________________________________________ ___________________________________________________. &f /ou need more space, please use the 8ac pa0e . (Kung kailanganmo 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/ o ed to /ou; Do not includecourt costs or fees

___________________________________________________.(Paano mo kinuwenta ang salaping inutang sa iyo0) -indi kasamaang bayad sa pagpapatala sa hukuman.


7/33

8 3o did /ou as the defendant; Paano mo siningil ang -inahabla0)

&n person 4/ phone

(Sa kanya mismo) (Sa telepono)&n ritin0 $thers please specif/ ______ (Sa sulat) (!ba pa) pakisulat kung paano

c 9hen did /ou do this; _________________________________________(Kailan mo ginawa ito0)

>. 9hat is /our proof that defendant o es /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 No(1o (-indi)

@. 9as this claim referred to the 8aran0a/;(2umaan ba sa barangay ang paniningil na ito0)

=es No Not Covered(1o) (-indi) (-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 Kasunduanna isinagawa sa barangay0)

6-A. How many small la!ms as"s #a$" yo% &!l"' w! #!n #!sal"n'a) y"a) *)!o) o #!s *)"s"n as"+ !n #!s o%) s a !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')


8/33

A. 4/ the filin0 of this action, plaintiff here8/ aives an/ amount in excessof P BB,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 orderin0defen-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___.

FOR OFFICIAL USE ONL ( Parasa &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/ NoteContract

$ral 9ritten

4aran0a/ !0reement $thers Please specif/ :

_________________________________.

. _____ 4aran0a/ conciliation reEuired. &f /es,

_____ Certificate to File !ction _____ Compromise !0reementattached.

_____ 4aran0a/ conciliation not reEuired.

Please state the reason : _____________________________ ___________.


9/33

______________________ P%!&NT&FF

(Naghahabla)


10/33

FORM 1-A-SCC

ERIFICATIONAN/ CERTIFICATIONA0AINSTNON-FORUM SHOPPIN0+ SPLITTIN0 A SIN0LE

CAUSE OF ACTION AN/ MULTIPLICIT OF SUITS

&,_________________________ of le0al a0e, _________________,name citi enship

__________________, and a resident of _________________________,civil status residence

on oath, state:

1. That & am the _____________________ in the a8ove-entitled case havecaused this _______________________________ to 8e preparedG that &read and understood its contents hich are true and correct of m/ o n

personal no led0e and'or 8ased on true recordsG

. That & have not commenced an/ action or proceedin0 involvin0 the sameissue or su8 ect matter, and specificall/ the same chec 's in the (upremeCourt, 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/ no led0e, no such action or proceedin0 is

pendin0 in the (upreme Court, the Court of !ppeals or an/ other tri8unalor 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/, & underta e to report that fact to the Court ithin five ? da/stherefrom.

. That & no in0l/ and voluntaril/ aive and fore0o the institution of an/criminal complaint for +iolation of 4atas Pam8ansa 4l0. a0ainst thedefendant herein 8ased on the same chec 's su8 ect matter of this (mallClaims Complaint.


11/33

&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= P 4%&C


12/33

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 (um-mons, to file ith this Court and serve on plaintiff, /our verified 2esponse tothe attached (tatement of Claim. The form of the reEuired 2esponse isattached 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 inthis 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. %i e ise, motionsfor 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 authori ethe Court to render ud0ment.


13/33

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_________________


14/33

FORM 2-SCC


_______________________________ _______________________________ _______________________________

_____________________________,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 follo in0reasons: Put a chec in an/ of the follo in0(Tinatanggihan ng -inahabla ang -abla ng Pagsingil sa alinmang

sumusunod na dahilan)' Pumili sa mga sumusunod at lagyan ng tsek

a ____ Defendant does not o e plaintiff an/ mone/.

(Ang -inahabla ay walang pagkakautang na salapi sa Naghahabla.)

____ Defendant o es plaintiff onl/ a portion of the amount claimed.(Ang utang ng -inahabla ay bahagi lamang ng halagang

sinisingil ng Naghahabla.)


15/33

____ &t is the plaintiff ho o es defendant mone/.(Ang Naghahabla ang siyang may utang na salapi sa

-inahabla.)8 &f defendant o es 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 o es defendant mone/, ho much and hendid 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/ o ed /ou; Do not include courtcosts or fees for service.

(Paano mo kinuwenta ang salaping pagkakautang sa iyo0) (-uwagisama ang *iling *ees at bayad sa serbisyo.)

_________________________________________________. _________________________________________________.

. &f plaintiff o es /ou mone/, did /ou as plaintiff to pa/ /ou;(Kung ang Naghahabla ay siyang may pagkakautang sa iyo& siningil moba siya0)

_____ =es _____ No(1o) (-indi)

&f /es, ho ;

(Kung oo& paano0)


16/33

____ &n person ____ $thers specif/ ___________ (Sa kanya mismo) (!ba pa) ano ito0

____ &n ritin0(Sa sulat)

____ 4/ phone(Sa telepono)

. !s the (tatement of Claim is 8aseless, defendant is entitled to thefollo in0 counterclaims:(Sa dahilang walang basehan ang -abla ng Pagsingil& ang -inahablaay 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 ________________.(Kabayaran 8astos sa kasong isinampa)

________________________ D#F#ND!NT

3inaha8la


17/33

+#2&F&C!T&$N !ND C#2T&F&C!T&$N !*!&N(T N$N-F$2 " (3$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 NAKASA6PA NAKA"!N"!N SA !"AN8

-$K$6AN) (kapag may ganting habol na pinahihintulutan)


18/33

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 thisCourt on _______________________ at _______________.

!n0 in/on0 aso a/ dirin00in n0 Pinunon0 3u om n0 3u uman0 itosa _______________________________, sa 0anap na _________.

=$ " (T !TT#ND T3# 3#!2&N*. &F =$ C!NN$T !TT#ND4#C! (# &T &( P3=(&C!%%= &"P$((&4%# F$2 =$ T$ D$ ($,=$ "!= ! T3$2&7# ! 2#P2#(#NT!T&+# 93$ &( N$T !%!9=#2 T$ !PP#!2 F$2 =$ . F$2 T3&( P 2P$(# =$ (3$ %DF&%% 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 ATT17NE9. )


19/33

9&TN#(( the 3$N.______________________________________,Presidin0 Jud0e of this Court, this ____ da/ of ________________, B___, at

__________________________, Philippines.

(a si si 500. __________________________________________,Pinunon0 3u om n0 3u uman0 ito, n0a/on0 ____________________,

B___ dito sa ______________, Pilipinas.

_______________________________

4ranch Cler of Court(an0a/ na 5a ani n0 3u uman

N$T#: F$2 &NH &2(, C!%% T#%. I____________ Tala: Para sa atanun0an, tuma a0 sa 5orte sa Tel. 4l0. _________


20/33

FORM 4-SCC


_______________________________ _______________________________

__________________________________,Plaintiff,

vs. Civil Case No. ________ For: _________________

__________________________________,Defendant.

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

PLAINTIFF5S RETURN MANIFESTATION

This is to certif/ that on date and date , theundersi0ned tried to serve the (ummons, (tatement of Claim, to0ether iththe !nnexes and Notice of 3earin0 upon the defendant'sname's of defendant's , 8ut failed and unavailin0 on the 0round that thesaid defendant's as' ere not around durin0 the time of service.

3o ever, on date , the (ummons, (tatement of Claims,!nnexes thereto and Notice of 3earin0 ere served personall/ to name of defendant ho received , as sho n 8/ her'his si0natureappearin0 at the lo er 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


21/33

FORM 4-A-SCC


_______________________________ _______________________________

__________________________________,Plaintiff,

vs. Civil Case No. ______ For: _______________

__________________________________,Defendant.

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

PLAINTIFF5S RETURN MANIFESTATION

This is to certif/ that on date and date , the undersi0nedtried to serve the (ummons, (tatement of Claim, to0ether ith the !nnexesand Notice of 3earin0 upon the defendant's name's of defendant's , 8utfailed and unavailin0 on the 0round that the said defendant's as' ere notaround durin0 the time of service.

3o ever, on date , the (ummons, (tatement of Claims, !nnexesthereto and Notice of 3earin0 ere served throu0h name of person horeceived , ho introduced himself'herself as a relationship of the person tothe defendant's , a person of suita8le a0e and discretion, residin0 therein,

ho si0ned at the lo er portion of the summons.

(u8stituted service as made after the undersi0ned exerted earnest

efforts to serve the (ummons, to0ether ith the (tatement of Claim, !nnexesthereto 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


22/33

FORM 6-SCC


_______________________________ _______________________________

__________________________________,Plaintiff,


__________________________________,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


23/33

93#2#F$2#, premises considered, it is respectfull/ pra/ed that & 8eexempted from the pa/ment of doc et and other le0al fees as indi0ent

pursuant to (ection 1, 2ule 1 of the2evised 2ules of Court.

$ther reliefs ust and eEuita8le under the premises are li e ise pra/edfor.

______________________ P%!&NT&FF


24/33

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 __________________________,li e ise of le0al a0e, sin0le'married, ith residence at

______________________________, ho is related to me and'or is m/ next-of- in, and is not a la /er, as m/ true and le0al representative to act for andin m/ name and stead and to represent me durin0 the hearin0 of Civil Case

No.____________, to enter into amica8le settlement, to su8mit to alternativemodes of dispute resolution and to ma e admissions or stipulations of factsand documents ithout further consultation from me.

& here8/ 0rant m/ representative full po er and authorit/ to executeand perform ever/ act necessar/ to render effective the po er to compromiseas 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


25/33

FORM 9-SCC


_______________________________ _______________________________

__________________________________,Plaintiff,


__________________________________,

Defendant.x- - - - - - - - - - - - - - - - - - - - - - - - - - - - -x

:OINT MOTION

(FOR /ISMISSAL;

Plaintiff and defendant, unto this 3onora8le Court, respectfull/ alle0ethat:

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 defendantrespectfull/ pra/ that the plaintiff6s statement of claim and defendant6scounterclaim incorporated in his response 8e dismissed.

$ther reliefs ust and eEuita8le under the premises are li e ise pra/edfor.

place , date .

_____________________ _____________________ Plaintiff Defendant


26/33

To the 4ranch Cler of Court:

Please su8mit the fore0oin0 motion for the consideration of the Courtithout hearin0 and further ar0ument from the parties.

_____________________ _____________________ Plaintiff Defendant


27/33

FORM


28/33

FORM 1=-SCC


_______________________________ _______________________________

_______________________________

__________________________________,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, ho ever, reached an amica8le settlement and su8mitted tothe court a compromise a0reement, the terms and conditions of hich are as

follo s:

terms and condition here

&t appearin0 that the a0reement is not contrar/ to la , morals, 0oodcustoms, pu8lic moral and pu8lic polic/, and pursuant to !rticles B K and

B


29/33

93#2#F$2#, ud0ment is here8/ rendered approvin0 theCompromise !0reement and the parties are ordered to compl/ ith the termsand conditions, as follo s:

(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


30/33

FORM 11>SCC


_______________________________ _______________________________ _______________________________

Title Case Num8er

/ E C I S I O N

This is a small claims action for state hich of the claims or demands 8elo is the su8 ect of the action filed :

/or money owed under any o* the *ollowing'

?.


31/33

The issue to 8e resolved 8/ this court is hether__________________.

Plaintiff6s evidence consists of: state documents of plaintiff, affidavitssu8mitted if an/ and statements made 8/ plaintiff and itnesses under oathdurin0 the hearin0.

Defendant6s evidence consists of: state documents of defendant,affidavits su8mitted if an/ and statements made 8/ defendant and itnessesunder oath durin0 the hearin0.

This court finds that the claim of plaintiff or defendant in a counterclaimis state hether meritorious or devoid of merit . nder !rticle'(ection state the

applica8le provisions of la or pursuant to esta8lished urisprudence citeapplica8le urisprudence . &n this case, this court found that state first the factualfindin0s esta8lished 8/ the evidence and then the le0al conclusions .

9herefore, the claim'counterclaim is 0ranted'denied . This court orders ____________________ to pa/ to _______________________ the amountof state the monetar/ a ard 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 ____________


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FORM 1 -SCC


_______________________________ _______________________________

__________________________________,Plaintiff,


__________________________________,

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, thedispositive portion of hich reads:

. The ud0ment is final, executor/ and unappeala8le.


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NOTICE OF HEARIN0

N!"# $F D#F#ND!NT &f filed 8/ the Plaintiff

N!"# $F P%!&NT&FF &f filed 8/ the Defendant

N!"# $F C%#25 $F C$ 2T

Please 8e notified that the undersi0ned ill su8mit the fore0oin0 motionfor the consideration and approval of the Court on _________________ at ______________.

place , date .

_____________________ Plaintiff'Defendant

Date post:	07-Aug-2018
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