PSIR For Execon

PSIR RE:___________________________ Inv. Docket No.
_____
Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Republic of the Philippines

Department of Justice
PAROLE AND PROBATION ADMINISTRATION
Bukidnon Parole and Probation Office No. 1
Manolo Fortich, Bukidnon
June 20, 2014
GINA B. BORROMEO
OIC/Supervising Probation and Parole Officer
Iligan City Parole and Probation Office, No. 2
Iligan City
Madam:
This has reference of your request to verify the present status of the case of your
probationer Jerome Perihan y Bacalo for Illegal Possession of Firearm filed at the Regional Trial
Court, Branch XI, Manolo Fortich, Bukidnon. Moreover, we have interviewed the employer of the
probationer Mr. Alex Payangga who said that he admired Jerome for being a good truck driver
even if he worked with him for few months only. The only thing that he dislikes is his bad attitude.
He is boastful or conceited. He is angry if other drivers would overtake his truck. He has a gun with
him and he uses it to terrify his rivals on the road. The parents, siblings and relatives of his wife do
not like him either. A few days before he was arrested, he was suspected of pushing prohibited
drugs in some areas in Manolo Fortich.
Finally, please find attached the documents that you requested regarding the present case
of your probationer.
We always assure you of our cooperation in the interest of the service and our clientele.
Prepared and Submitted by;
MARIA BELLA T. TIGULO

Supervising Probation and Parole Officer
Officer-in-Charge
Confidential
PSIR RE:___________________________ Inv. Docket No._____

POST-SENTENCE INVESTIGATION REPORT

I.
IDENTIFYING DATA
II.
PETITIONER:
(Last Name)
(First Name)
True Name:
(Middle Name)
Source of Info: Client
Alias(es): Isay
Age: 21 Sex: Male
Height (meters): 54
Citizenship: Filipino
Weight (kilos): 78kilos

Religion: Roman Catholic
Identifying Marks/Unusual Features: None

Present Address: 074 Virgen de Regla Village, Zone 2, Tablon, Cagayan de Oro City
Permanent Address: 074 Virgen de Regla Village, Zone 2, Tablon, Cagayan de Oro City
PETITIONERS CRIMINAL HISTORY
A. PRESENT OFFENSE
Charged with: ROBBERY
Date: 06/21/13
Convicted of: SIMPLE THEFT
Date: 11/28/13
Sentence: Six Months (0-6-0)
Judge: HON. JOSE U. YAMUT, SR.
Court: RTC-Br. 11, Manolo Fortich, Bukidnon
Defense Counsel: Public Attorneys Office
Address: Manolo Fortich, Bukidnon
Offended Party: Jose Marie Cantutay
Address:
Custody Status: ( ) On Bail ( ) On Detention Period of Detention: __
(/) ROR - Custodian:
Alfonso Amion (Father)
Address: 074 Virgen de Regla Village, Zone 2, Tablon, Cagayan de Oro City
Extent of Participation:
(/) Principal
Manner of Commission (Narrative)
I.
.
Offenders Statement
II.
.
Victims Statement
( ) Accomplice
Confidential
( ) Accessory

REMARKS/ADDITIONAL INFORMATION:
.
PRIOR RECORDS
Agency
NBI
RTC (CDO)
RTC 11-M. Fortich
MCTC
PNP-CDOC
Prosecutor
Prosecutor (CDOC)
Barangay Tablon, CDOC
CMRU
CC No. / Date
No result yet
No Criminal case filed
14-01-4980 /01-03-14
No other case filed
No Derogatory Record
14-01-4980 /01-03-14
No record on file
Offense
Disposition/Date
Carnapping
Carnapping
None
B. OTHER DEROGATORY INFORMATION

Source/Position
PERSONAL AND SOCIAL HISTORY
A. PETITIONERS BIRTH DATA
Particulars
Date of Birth: February 22, 1992 Plac\Birth:
Cagayan de Oro City
FAMILY BACKGROUND
1. PARENTS:
Father: Amion
Alfonso
Last Name
Mother: Rusiana
Telebangco
First
Dardanilla
Maiden Name
First
Age: 58 Occupation: Retired employee
Middle
Galarrita
Age: 59 Occupation: Retired employee
Middle
Status of Marriage: (/) Married

( ) Annulled
( ) Common-Law/Live-in
( ) Separated: __Legal __ Death

( ) Others:
SOCIO-ECONOMIC BACKGROUND
Family Relationship
Major Family Problems
Family Reputation in the

Community
(
(/
(
(
( / ) No Apparent Problem
( ) Economic
( ) Mental/ Physical Illness
( ) Marital Problem
( ) One-Parent-Family
( ) Parent-Child Conflict
( ) Sibling Conflict
( ) Others: No-Parent-Family
( ) Very Satisfactory
( / ) Satisfactory
( ) Fair
( ) Poor
Family Economic Status
Physical Home Conditions
Stability of Residence
(
(/
(
(
( / ) Satisfactory
( ) Fair
( ) Poor
( / ) Stable
( ) Occasional Change
( ) Frequent Change
( ) No Stability
) Very Satisfactory
) Satisfactory
) Fair
) Poor
) More than Adequate

) Adequate
) Inadequate
) Below Poverty Level
Confidential

C. PETITIONERS PRESENT SITUATION

Civil Status: (/) Single ( ) Married ( ) Widow/Widower ( ) With Common-Law/Live-in partner
Status of Marriage: __Annulled __Separated: __Legal __ Estranged ( ) Others__________
Remarks:
Domestic Partner/Spouse:
(Full Name)
Last/Maiden Name
Age:
Gender: ( ) Male ( ) Female
Home Address:
Work Address:
Children:
Total No. of Children: Three (3)
Age
In/Out of School
First
Occupation:
Educational Attainment
Relationship with Children:
Middle
Very Satisfactory
Poor
Legitimate
Illegitimate
/
/
/
Satisfactory
Fair
3. Residence
Dwelling
(/ ) Owned: Yrs of Stay

( ) Rented: Yrs of Stay_
( ) Informal Settler
( ) Others:
(
(
(
(
4. Economic Condition
( ) More than Adequate
( ) Adequate
( / ) Inadequate
( ) Below Poverty Level
/) Stable
) Occasional Change
) Frequent Change
) No Stability

( ) Satisfactory
( / ) Fair
( ) Poor
Family Breadwinner
Petitioners Role in the

Family
( ) Petitioner
( ) Spouse
( ) Petitioner and Spouse
(/ ) Others: Her parents
(/ ) Income Contributor
( ) Total
( /) Partial
( ) Primary Care-giver
( ) Dependent
5. Major Problems in the Family

( ) No Apparent Problem
( / ) Economic
( ) Husband-Wife Conflict
( ) Mental Illness
( ) Physical Illness
Confidential
( ) Others:
EDUCATION
Educational Attainment:
Conduct in School:
/
Very Satisfactory
Fair
Satisfactory
Poor
.
E. JOB HISTORY
1. Petitioners Previous Occupation:
2. Petitioners Present Occupation: None
Employer and Work Address:
Present Work Status: ( ) Self-employed ( ) Regular/Permanent
( ) Contractual
( ) Casual ( ) Intermittent
3. Special Skills: none
.
F.
MEDICAL HISTORY
Past Medical History:
Present Illness: None
Present Medication: None
Drug/Alcohol Use: ( ) No (/) Yes Extent of Use:
G. PETITIONERS TRAITS/CHARACTERISTICS:
Positive:
.
Negative:
Overall Impression of the Client:
Confidential
( ) Temporary
( ) Seasonal

.
H. PETITIONERS BACKGROUND IN THE COMMUNITY AND COLLATERAL INFORMATION

.
Collateral Source of
Information
Relationship to
Client
Collateral Information Gathered
ANALYSIS AND EVALUATION
PROJECTED THRUSTS OF REHABILITATION
a.
b.
c.
d.
e.
f.
g.
h.
i.
Individual and group counseling

Restorative Justice Intervention (If applicable)
Seminars, lectures or trainings offered or arranged by the Agency
Work or job Placement/Referral
Vocational/Livelihood and skills Training
Health, Mental, and Medical Sevices
Literacy and Education
Community Service
Client Self-Help Organization
Confidential

j.
k.
l.
m.
Payment of Civil Liability

Environment anad Ecology
Sports and Physical fitness
Integrated Allied Social Services Program
RECOMMENDATION
WHEREFORE, In view of the foregoing, it is respectfully recommended to the Honorable
Court that the petition for probation of SARAH JAEL AMION y RUSIANA be GRANTED for a
period of ONE (1) YEAR, to be counted from Probationers initial report for supervision and subject
to the following conditions:
1. Probationer shall report initially to the Chief Probation and Parole Officer at Bukidnon
Parole and Probation Office, No. 1, Manolo Fortich, Bukidnon within seventy-two (72)
hours from the receipt of the Order granting probation.
2. She shall, thereafter, report to her supervising Probation and Parole Officer once a
month unless otherwise modified by the Chief Probation and Parole Officer.
3. She shall reside at 074 Virgen de Regla Village, Zone 2, Tablon, Cagayan de Oro
City and shall not change her residence without prior approval of the Chief Probation
and Parole Officer, or Court, as the case may be.
4. She shall secure a written permit to travel outside the jurisdiction of the Parole and
Probation Office from the Chief Probation and Parole Officer and from the Court if such
travel exceeds thirty (30) days.
5. She shall not commit any crime or any other offense.
6. She shall render community service and will participate in tree-planting activities.
7. She shall allow the supervising Probation and Parole Officer or an authorized Volunteer
Probation Aide to visit her home and place of work.
8. She shall meet her family responsibilities.
9. She shall devote himself to a specific employment and shall not change said
employment without prior notice to the supervising officer and/or pursue a prescribed
secular study or vocational training.
10.
She shall refrain from associating with persons of questionable character.
11. She shall cooperate with his program of supervision, and shall satisfy any other
condition related to her rehabilitation and not unduly restrictive of her liberty
incompatible with her freedom of conscience.
12.
She shall plant ten (10) trees during her probation period and shall see to it its
proper growth and survival.
In the event that Petitioner fails to observe the preceding conditions and/or has committed
any material misrepresentation in his application for probation, his probation may be revoked by
the Court or the conditions thereof modified.
Manolo Fortich, Bukidnon, Philippines, February28, 2014.

SUBMITTED BY:
Probation and Parole Officer II
Confidential
CONFIDENTIAL
NOTED BY:
Probation and Parole Officer II
Officer-In-Charge
RECOMMENDATION
WHEREFORE, in view of the foregoing, it is respectfully recommended to the Honorable

Court that the petition for probation of _________________________________________ be
DENIED pursuant to Paragraph a and b, Sec. 8 of PD 968 as amended which states that the
probation shall be denied if the petitioner is:
xxx (a) the petitioner is in need of correctional treatment that can be provided most
effectively by his commitment to an institution.
xxx (b) there is undue risk that during the period of probation the offender will commit
another offense.
and/or Section 9 of PD 968 as amended which states that the benefits of probation shall
not be extended to those:
(a) sentenced to serve a maximum term of imprisonment of more than six years;
(b) convicted of any offense against the security of the State;
(c) who have previously been convicted by final judgment of an offense punished by
imprisonment of not less than one month and one day and/or a fine of not less than Two
Hundred Pesos;
(d) who have been once on probation under the provisions of this Decree; and
(e) who are already serving sentence at the time the substantive provisions of this Decree
became applicable pursuant to Section 33 hereof.
SUBMITTED BY:
______________________________
Probation and Parole Officer
Date: _____________
APPROVED BY:
____________________________
Chief Probation and Parole Officer
Date: ___________
Confidential


I.
PETITIONER:
IDENTIFYING DATA
DACUP
(Last Name)
MARJUN
ADIONG
(First Name)
(Middle Name)
True Name: MARJUN DACUP y ADIONG

Source of Info: Clients parents
Alias (es): Boboy
Height (meters):
Weight (kilos):
Age: 27 Sex: Male
Religion: Iglesia Filipina Independiente
Identifying Marks:
Present Address:
Permanent Address: Zone 3, Kiliog, Libona, Bukidnon
II.PETITIONERS CRIMINAL HISTORY
PRESENT OFFENSE
Charged with:
Date:
Convicted of: QUALIFIED THEFT
Date:
Sentence:
Judge:
Court:
Defense Counsel:
Address:
Offended Party:
Address:
Custody Status :( ) On Bail ( ) On Detention Period of Detention:
( ) ROR - Custodian:
Address:
Extent of Participation: ( ) Principal
( ) Accomplice
( ) Accessory

III.
Offenders Statement
Accused-petitioners mother said that her son admitted to her that he was tempted to get the
ring of his employer. He pawned it but he was bothered by his conscience so he told
everything to his employer. His employer did not forgive him.
IV.
Victims Statement
Confidential
10
The petitioner is not notorious in Barangay Kinawe and Barangay Kiliog, Libona, Bukidnon.
PRIOR RECORDS
Agency
NBI
RTC
None
MCTC
None
PNP
None
Prosecutor
None
Barangay
None
CMRD
CC No. / Date
C. OTHER DEROGATORY INFORMATION

Source/Position
Offense
Disposition/Date
Particulars
D. PETITIONERS BIRTH DATA
III. PERSONAL AND SOCIAL HISTORY
Date of Birth: November 13, 1987 Place of Birth: Kinawe, Libona, Bukidnon Birth Order: 1st
E. FAMILY BACKGROUND
2. PARENTS:
Father:
Mother:
Dacup
Mario, Jr.
Last Name
First
Dela Rita
Alice
Maiden Name
Natindim Age: 48
Occupation: carpenter
Middle
Duyag Age: 46
Occupation: Vendor
First
Middle
Status of Marriage: (/) Married

( ) Annulled
( ) Separated: __Legal __ By Death

( ) Others:
2. SOCIO-ECONOMIC BACKGROUND
Family Relationship

Community
( / ) Very Satisfactory
( ) Satisfactory
( ) Fair
( ) Poor
(
(/
(
(
(
(
(
(
( ) Satisfactory
( ) Fair
( ) Poor

( ) Adequate
( / ) Inadequate
(
(
(/
(
( / ) Stable
( ) Frequent Change
( ) No Stability
) No Apparent Problem
) Economic
) Mental/ Physical Illness
) Marital Problem
) One-Parent-Family
) Parent-Child Conflict
) Sibling Conflict
) Others:
) Very Satisfactory
) Satisfactory
) Fair
) Poor
Confidential
11
Accused-petitioner is the eldest of the 5 siblings in the family. His father is a carpenter while
his mother operates a sari-sari store at home. Even with their meager income, the parents were
able to send their children to school; the 2nd reached college while the rest finished high school.
From Kinawe the family transferred to its neighbor Barangay Kiliog. The parents and
siblings of accused-petitioner are living in Kiliog, Libona, Bukidnon at present. They are known as
responsible members of the community.

Civil Status: ( ) Single (/) Married ( ) Widow/Widower ( ) With Common-Law/Live-in partner
Status of Marriage: __Annulled __Separated: __Legal __ Estranged ( ) Others_______
Remarks:
(Full Name)
Calunsag
Shella
Last/Maiden Name
First
Middle
Age:
Gender: ( ) Male (/) Female Occupation:
Home Address: Siquijor
Work Address:
Children: Total No. of Children:
two (2)
Age
In/Out of School
Legitimate
Very Satisfactory
Poor
Illegitimate
Satisfactory
Fair
REMARKS/ADDITIONAL INFORMATION: The parents of the accused-petitioner said that the

couple went to Siquijor sometime in 2012 to visit the family of his wife. They were not able to come
back to Bukidnon because petitioner has found a job in a resort in Siquijor.
5. Residence
(
(
(
(
Dwelling
) Owned: Yrs of Stay

) Rented: Yrs of Stay_
) Informal Settler
) Others:
(
(
(
(
(
(
(
(

) Adequate
) Inadequate
) Stable
) Occasional Change
) Frequent Change
) No Stability

(
(
(
(
) Very Satisfactory
) Satisfactory
) Fair
) Poor
Family Breadwinner

Family
(
(
(
(
( ) Income Contributor
( ) Total
( ) Partial
( ) Dependent
) Petitioner
) Spouse
) Petitioner and Spouse
) Others: (parents)

( ) Economic
( ) Mental Illness
Confidential
( ) Others:
12
The parents of the accused-petitioner are hoping that their son will be given a chance and
they want him to return to their place because they are worried of his situation especially that they
have no relatives in Siquijor where he can run to in case he has a problem.
EDUCATION
Conduct in School:
high school graduate

Very Satisfactory
Fair
Satisfactory
Poor
He was not interested anymore to pursue a college education after he learned carpentry
from his father. Since then, he goes with his father when he works.
F. JOB HISTORY
4. Petitioners Previous Occupation: laborer, carpenter
5. Petitioners Present Occupation: Employer and Work Address:
( ) Contractual
( ) Casual ( ) Intermittent
( ) Temporary
( ) Seasonal
6. Special Skills: Carpentry

H. MEDICAL HISTORY
Past Medical History: None
Present Illness: Present Medication: Drug/Alcohol Use: (/) No ( ) Yes Extent of Use:
He does not drink alcoholic beverages according to his parents but he smokes cigarettes
occasionally.
I.
PETITIONERS TRAITS/CHARACTERISTICS:
Positive: According to his friends in Kinawe and Kiliog, Libona, Bukidnon, the petitioner is a good
man. He is not a trouble maker or engaged in unlawful activities. He is not heard of using the
prohibited drugs and has no enemy in their place. His family said he is a respectful son and
thoughtful to his siblings. He does not drink intoxicating beverages
Negative: None
Confidential
13
Accused-petitioner has no record of stealing both in Barangay Kinawe and Barangay Kiliog,
Libona, Bukidnon. Background investigation revealed that he is a responsible member of the
community.
J. PETITIONERS BACKGROUND IN THE COMMUNITY AND COLLATERAL INFORMATION

Accused-petitioner has a good reputation in the community.
Information
1. Emily Suyat
Relationship to Client
Brgy. Sec., Kinawe, Libona
2. Kenneth Ramonal
Brgy. Chairman, Kiliog, Libona
3. Milagros Adiong
and Jurnie Dacup
4. Eulalia Abas
Aunt and cousin, respectively
5. Eddie Bacan
Neighbor
Neighbor

- He has no record of stealing in their
Barangay
- He is not reported of stealing in their
Barangay
- He is not a thief.
- He is friendly and respectful to his
parents
- He is not a problem to the community
The people of Barangay Kinawe and Barangay Kiliog who learned the new information about
accused-petitioners instant case said they could not believe what they heard. Accused-petitioner has
no record of stealing in the two barangays mentioned above. His parents and siblings are
respectable members of the community.
The petitioner is known to his friends and neighbors as a hard working and friendly person. He
is caring and concern to his family.
Up to this time, his parents could not understand why he has done the offense. Whatever is the
reason, they are hoping now that he will be given another chance and permitted to return to them so
that he will have their support for his program of rehabilitation.
V. PROJECTED THRUSTS OF REHABILITATION
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Community Service
Confidential
14
k. Environment anad Ecology
l. Sports and Physical fitness
m. Integrated Allied Social Services Program

IDENTIFYING DATA
PETITIONER:
EPANTO
ROGER
(Last Name)
(First Name)
True Name: Roger Epanto y Hatton
(Middle Name)
Source of info.; Civil Registrars Office, Manolo Fortich
Alias (es): Jun

Age: 41 Sex: Male
HATTON
Height (meters): 1.63 mtrs. Weight (kilos): 70 kilos

Identifying Marks/Unusual Features: tattoo; drawing of a rose flower at right portion of his breast
Present address: Detained at City Jail, Lumbia, Cagayan de Oro City
Permanent Address: Blk.2, Lot 17, Fatima Village, upper Puerto, Cagayan de Oro City
B. PRESENT OFFENSE
Charged with: VIOLATION OF SEC. 12 OF R.A. 9165
Date: 07-01-13
Convicted of: VIOLATION OF SEC. 12 OF R.A. 9165
Date: 03-18-14
Sentence: 0-6-1 to 4-0-0 and to pay the govt. the amount of 10,000.00 as fine
Court: RTC-Br.-XI-Manolo Fortich, Bukidnon
Defense Counsel: PAO
Offended Party: Philippine Government
Address:
Custody Status: ( ) On Bail (/) On Detention Period of Detention: _One year and 1 month
( ) ROR - Custodian:
Address:
Extent of Participation: (/) Principal
( ) Accomplice
( ) Accessory
Offenders Statement
According to the investigating probation officer, Cagayan de Oro City Parole and Probation
Office that handled the case of the petitioner, the latter alleged that it was his co-accused Rico Rio
who is responsible of the said crime. He came to know the co-accused because he was one of
their customers in their eatery and since then they became close friends. Rico as he said is a
notorious drug user and thief in Manolo Fortich and it happened that he was implicated in the
instant case because of the past offense where he was involved.
Victims Statement
.
Confidential
15
.
PRIOR RECORDS
Agency
NBI
RTC-CDO
MCTC
PNP
Prosecutor/CDO
CMRU
BJMP-Lumbia
City Jail, CDOC
CC No. / Date
No result yet
2009-301
None
M9-02999/M9-05-999
FC No. 2009-301
FC No.2009-301
CC No. M9-05-999
None
CC No. 2013-661
CC No. 13-07-4853
Offense
Disposition/Date
ROBBERY/Br. 37
IPFA
ROBBERY
ROBBERY/Br. 37
IPFA/MTCC
Dismissed
Provisionally Dismissed
Dismissed
ROBBERY
Comelec Gun Ban
Source/Position
PERSONAL AND SOCIAL HISTORY
Date of Birth: Nov. 28, 1971 Place of Birth: Manolo Fortich, Bukidnon
Birth Order: youngest
PARENTS:
Father:
Epanto
Rodolfo
Inandam
first
Middle
Last Name
Mother:
Hatton
Editha
Maiden Name
First
Malingon
Age: -Deceased Occupation:

Age: 59
Occupation: vendor
Middle
Status of Marriage: ( ) married

( ) Annulled
( ) Separated: __Legal __ Estranged

( ) Others:
3. SOCIO-ECONOMIC BACKGROUND
Family Relationship

Community
( ) Satisfactory
(/ ) Fair
( ) Poor
( / ) Economic
( ) Marital Problem
( ) Others
( ) Satisfactory
( ) Fair
( /) Poor
(
(
(/
(
( / ) Satisfactory
( ) Fair
( ) Poor
( / ) Stable
( ) Frequent Change
( ) No Stability

) Adequate
) Inadequate
He was still young when his parents parted ways. He is the younger one of their two
children but still has other siblings from both parents second marriages.
Confidential
16
Basically, the accused-petitioner grew up lacking of parental guidance and support.
A. PETITIONERS PRESENT SITUATION

Civil Status: ( ) Single ( ) Married ( ) Widow/Widower (/) With Common-Law/Live-in partner
Status of Marriage: __Annulled / Separated: __Legal __ Estranged ( ) Others__________
Remarks: They lived together as husband and wife since 1992 and they have 6 children at
present.
Cadalo
Tita
(Full Name): Last/Maiden Name
First
Middle
Age: 41
Gender: ( ) Male (/) Female Occupation: Cashier in a canteen
Home Address: Fatima Village, upper Puerto, Cagayan de Oro City
Work Address:
Multi-rich, Alae, Manolo Fortich, Bukidnon
Children: Total No. of Children:
6
Age
In/Out of School
13 yrs. old /
12 yrs. old /
10 yrs old /
9 yrs. old
/
8 yrs. Old /
6 yrs old
/
Grade 7
Grade 7
Grade 7
Grade 7
Grade 7
Kindergarten
Very Satisfactory
/
Fair
Legitimate
Illegitimate
/
/
/
/
/
/
Satisfactory
Poor
REMARKS/ADDITIONAL INFORMATION: Four years ago, the family lived in Dalirig, Manolo
Fortich in the house of accused-petitioners mother; however when his sister left for Korea to work,
accused petitioner and his family transferred to her house at Fatima Village, upper Puerto,
Cagayan de Oro City and are still there until now.
Dwelling
( ) Stable
( / ) Occasional Change
( ) Frequent Change
( ) No Stability
( )Owned: Yrs of Stay:
( ) Rented: Yrs of Stay____

( /)Others: sisters house

( ) Satisfactory
( / ) Fair
( ) Poor
Family Breadwinner

Family

( ) Adequate
( / ) Inadequate
(
(
(
(/
(/) Income Contributor

( ) Total
(/) Partial
( ) Primary Care-give
( ) Dependent
) Petitioner
) Spouse
) Petitioner and Spouse
) Other family members

( / ) Economic
( ) Mental Illness
Confidential
( ) Others______________
17
The petitioners wife is struggling financially because the petitioner is still in jail. Her income
is not enough to support the needs of their children who are all in the elementary school.
EDUCATION
High school graduate
Over-all Conduct in School:
Very Satisfactory
/
Fair
Satisfactory
Poor
REMARKS/ADDITIONAL INFORMATION: He did not pursue a college education because

of lack of interest.
G. JOB HISTORY
7. Petitioners Previous Occupation: driver, carpenter
8. Petitioners Present Occupation: n/a
Employer and Work Address: n/a
( ) Contractual ( ) Casual ( ) Intermittent
9. Special Skills: Driving motorcycle, carpentry, mason
( ) Temporary
( ) Seasonal
Prior to his arrest, the accused-petitioner and his wife run a small eatery just outside their
house in upper Puerto, Cagayan de Oro City. She was forced to close the eatery when her
husband was detained in jail.
J.
MEDICAL HISTORY
Present Medication: None
Drug/Alcohol Use: ( ) No (/) Yes Extent of Use: admitted he was using shabu occasionally
K. PETITIONERS TRAITS/CHARACTERISTICS:
Positive: He is caring to his children. He is friendly.
Negative: He is notorious in thieving activities. He is also known of possessing firearms without
license. He is also a drug user
Accused-petitioner is easily influenced by bad peers. He is concern of his children and because
he wanted to provide them with their needs, he did everything so that he can provide his family
with the support that they needed, even if it is illegal.
Confidential
18
A. PETITIONERS BACKGROUND IN THE COMMUNITY AND COLLATERAL

INFORMATION
Community interview conducted by the Probation Office of Cagayan de Oro City revealed that
aside from this instant case accused-petitioner has pending cases filed at the RTC-Branch 39,
Cagayan de Oro City.
Information
Rustico Achas
Mercy Dejaro
Mr. Dayanan
- Barangay Chairman
-Barangay Secretary
-Brgy worker
-He is not yet registered as member of

their Barangay; however they are not
against if he and his family will register and
settle in their place.
Cynthia and Lando

Montecarlo
- Neighbors in upper - They have no comment against the

Puerto, CDOC
accused-petitioner because they have not
heard that he is stealing or has illegal
activities in their place
Tita Cadalo
-Accused-petitioners - Her husband is very concern and

live-in partner
supportive of his childrens studies. He
wants them to finish their studies so that
they can not experience what he
experienced when he was once like them.

Based on the results of the background investigation and records check conducted, the
accused-petitioner has been involved in unlawful activities though not in his Barangay but in the
nearby Barangays of Bukidnon. He was implicated in crimes like Robbery and Illegal Possession of
Firearm. Currently, he is detained at the Lumbia City Jail, Cagayan de Oro City for a Robbery case
filed at the RTC-Branch 39. Other previous criminal cases were dismissed and provisionally
dismissed.
The accused-petitioner vehemently denied his involvement in this Robbery case filed at him at
the RTC, Branch 39. He was detained in the city jail for more than a year already and he is worried
of his wife and children especially that they are studying now and his wife is all alone to work to
support for their needs.
Even if the accused-petitioner is facing another criminal case at present, he is still a first
offender; thus making him eligible for probation. He expressed remorse for the crimes that he was
involved with and he is asking for another chance; even just for the sake of his children who are
still dependent of his support.
a.
b.
c.
d.
e.

Confidential
19
f.
g.
h.
i.
j.
k.
l.
m.

Community Service
Environment anad Ecology
Integrated Allied Social Services Program

K. IDENTIFYING DATA
PETITIONER:
ESTRADA
RICHIE
(Last Name)
(First Name)
SAGUSAY
(Middle Name)
True Name: Richie Estrada y Sagusay

Source of Info: Client and his sister Ian E. Jamis
Alias (es): Bebot Height (meters):
Age: 40 Sex: Male
52 Weight (kilos): 62 kilos

Present address:
P1, Sendong Village, Poblacion, Libona, Bukidnon
Permanent Address: P1, Sendong Village, Poblacion, Libona, Bukidnon

A. PRESENT OFFENSE
Charged with: CATTLE RUSTLING
Date: 11/28/14
Date: 04/20/15
Sentence: Six (6) years straight penalty
Court: RTC-XI, Manolo Fortich, Bukidnon
Offended Party: Sancin Abroguina
Address: Pongol, Libona, Bukidnon
Custody Status: ( ) On Bail ( ) On Detention Period of Detention: ______________________
(/) ROR - Custodian: Ian E.Jamis
Address : P4, Ligmon, Pongol, Libona, Bukidnon
( ) Accomplice
( ) Accessory

Offenders Statement:
He denied the accusations that he is stealing cattle, goats and other farm animals. He said
that he was just trying to save the cattle from being lost after its rope was untied from where the
owner knotted it. He did not expect that he will be charged for stealing the cattle after what he had
done to save it.
Victims Statement: There was an eyewitness when accused-petitioner stole the cattle and
besides he was caught in the act of selling it.
Confidential
20
Accused-petitioner is a notorious thief in Barangay Pongol and Barangay Poblacion,
Libona, Bukidnon.
PRIOR RECORDS
Agency
CC No. / Date
NBI
No result yet
RTC
No other case filed
MCTC
None
PNP
None
Prosecutor
No other case filed
Barangay
None
CMRD
None
Offense

Source/Position
None
Disposition/Date
Particulars

C. PETITIONERS BIRTH DATA
Date of Birth: May 18, 1974 Place of Birth: Libona, Bukidnon Birth Order: 2nd among the 3 siblings
PARENTS:
Father:
Estrada
Celso
Last Name First
Mother:
Sagusay
Merlina
Maiden Name
Ragmac
Middle
Yanez
First
Status of Marriage: (/) married

( ) Annulled
Age: 70
Occupation: Farmer
Age: 63 Occupation: Farmer

Middle
( ) Others:
Family Relationship

Community
( / ) Satisfactory
( ) Fair
( ) Poor
( / ) Economic
( ) Marital Problem
( ) Others:
( ) Satisfactory
( ) Fair
( / ) Poor

( ) Adequate
( / ) Inadequate
( ) Satisfactory
( / ) Fair
( ) Poor
( / ) Stable
( ) Frequent Change
( ) No Stability
Confidential
21
The petitioners family lived through farming. The family members except for the accusedpetitioner are known as law-abiding and responsible members of the community.
The family reputation in the community is poor precisely because of the petitioner who is a
notorious thief of farm animals in Pongol, Libona, Bukidnon, where he was born and grew up and
in Poblacion, Libona where he resides at present.
Civil Status: ( ) Single ( ) Married ( ) Widow/Widower (/) with Common-Law/Live-in partner
Status of Marriage: __Annulled / Separated: __Legal __ Estranged ( ) Others__________
Remarks: The petitioner and his wife separated when the latter left their home because
she could not take anymore the wrongdoing of the petitioner. He had a live-in partner at
present.
4. Domestic Partner/Spouse:
Binayao
Last/Maiden Name
Emerily
First
5. Age: 27 Gender: ( ) Male (/) Female Occupation:

6. Home Address: Malaybalay City, Bukidnon
Work Address:
n/a
7. Children: Total No. of Children:
Two (2)
Age
12years old
7 years old
In/Out of School
/
/
None
Grade V
Grade 1
Relationship with Child/Children:
Very Satisfactory
Fair
Bularon
Middle
Legitimate
/
/
/
Illegitimate
Satisfactory
Poor
Because of the petitioners irresponsible attitude, his wife left their home and returned to her family
in Malaybalay City, Bukidnon. This time, their two children are living with their grandparents in
Pongol, Libona, Bukidnon.
Residence
Dwelling
(/) Owned: Yrs of Stay 3 years
( )Others:
Physical Home
Conditions
( / ) Stable
( ) Frequent Change
( ) No Stability
( ) Satisfactory
( / ) Fair
( ) Poor
Family Economic
Status
(
(
(/
(
10.

) Adequate
) Inadequate
Family Breadwinner

Family
( ) Petitioner
( ) Spouse
( / ) Petitioner and Spouse
( ) Others:
( ) Total
(/) Partial
( ) Dependent
Major Problems in the Family
( / ) Economic
( ) Mental Illness
Confidential
( ) Others______________
22
Because the petitioners house before was one of the houses in Libona destroyed by
typhoon Sendong, he was granted 1 housing unit situated at Poblacion, Libona, Bukidnon. He lived
with a common-law-spouse at present and they get each other well according to their neighbors.
She is working as a Security Guard while the petitioner is earning money as a habal-habal driver.
EDUCATION
High School graduate
Over-all Conduct in School:
Very Satisfactory
/
Fair
Satisfactory
Poor
He said he does not like to go to school when he was a kid because his parents were not
supportive of his studies. His mother scolds him always.
JOB HISTORY
Petitioners Previous Occupation: Farm worker
Petitioners Present Occupation: Driver of a single motorcycle (habal-habal)
Employer and Work Address: owns the motorcycle/Poblacion, Libona
Present Work Status: (/) Self-employed ( ) Regular /Permanent
( ) Temporary
( ) Contractual
( ) Casual ( ) Intermittent ( ) Seasonal
Special Skills: Driving
Because of lack of vocational training, the accused-petitioner finds it hard to improve his
economic condition especially that there are many habal-habal drivers like him at present.
L.
MEDICAL HISTORY
Present Medication: n/a
Drug/Alcohol Use: ( ) No (/) Yes Extent of Use: Occasional drinker
The accused-petitioner is not involved in the illegal drug activity.
M. PETITIONERS TRAITS/CHARACTERISTICS:
Positive: He is friendly according to his sister Ian Jamis.
Negative: He is known as a thief of farm animals.
He is a notorious thief of farm animals. At first, he denied the accusations, however in the
succeeding interview he admitted his unlawful activity and promised to stop his wrongdoing. There
is an indication that client wants to change his ways for the better
Confidential
23
D. PETITIONERS BACKGROUND IN THE COMMUNITY AND COLLATERAL

INFORMATION: The petitioner has a bad reputation in the community.
Collateral Source
of Information
Luberth Pabela
Relationship to
Client
-Neighbor
Eva Villanueva
Loreto Lingat
-Friend
-Brgy. Kagawad
Eriberto Cabanez
-Brgy.
Chairman,
Pob., Libona
-Brgy.
Chairman,
Pongol, Libona
Joffrey Fernandez

-He witnessed the petitioner when he carried away the
cattle of the complainant
--He is a notorious thief
-He is a notorious thief and there had been many
complainants already of his thieving activities in the Brgy
but only the complainant of the instant case pursued the
filing of a criminal charge against the accused-petitioner
-He is a notorious thief
-He is a notorious thief
Based on the information collated, the petitioner is notorious in Barangay Pongol and
Poblacion, Libona, Bukidnon. He is a thief of all kinds of farm animals. All the informants are
dismayed of the bad practice of the accused-petitioner and because of it they want him to serve his
sentence in jail. They dont like the idea of giving the accused-petitioner another chance because
they believe that he is beyond reformation already. They dont understand why he would steal when
in fact he is very strong and physically fit to work for a living.
The petitioner is one of the recipients of the housing project of the local government of
Libona, Bukidnon for the victims of typhoon Sendong in their place, He has a live-in partner after
his wife left more than 2 years ago. Since then and until now, their two children are living with his
parents in Pongol, Libona. His live-in partner is a Security Guard and she promised for her support
to accused-petitioners program of rehabilitation.
The office on the other hand is recommending for a second chance to petitioner who
promised to reform if given another chance. To address the problem of the accused-petitioner who
claims that his earnings as a habal-habal driver is very minimal is to refer him for skills or
vocational training such as painting, carpentry or to any TESDA offered classes for the unskilled.
Hopefully this would stop him from committing another offense.
Results of records check show that he is a first offender.
-Individual and group counseling

-Restorative Justice Intervention (If applicable)
-Seminars, lectures or trainings offered or arranged by the Agency
-Work or job Placement/Referral
-Vocational/Livelihood and skills Training
Confidential
24
-Health, Mental, and Medical Sevices
-Literacy and Education
-Community Service
-Client Self-Help Organization
-Payment of Civil Liability
-Environment anad Ecology
-Sports and Physical fitness
-Integrated Allied Social Services Program


L. IDENTIFYING DATA
PETITIONER:
LABAON
LEO
SAMPALAY
(Last Name)
(First Name)
(Middle Name)
True Name: Leo Labaon y Sampalay

Alias(es): Leo
Source of Info: Client
Height (meters): 53
Age: 46 Sex: Female
Weight (kilos): 54 kilos


Address: P4, Basak, Talakag, Bukidnon
Permanent Address: P4, Basak, Talakag, Bukidnon
V.
C. PRESENT OFFENSE
Charged with: VIOLATION OF P.D. 705
Date: 02/06/14
Date: 04/01/14
Sentence: 0-6-0 TO 4-2-0
Court: RTC-XI, Manolo Fortich, Bukidnon
Offended Party: Government
Address:
Custody Status: (/) On Bail ( ) On Detention Period of Detention: ______________________
( ) ROR - Custodian: Saturnina Sampalay, Ruben Cabaring
Address : Basak, Talakag, Bukidnon
( ) Accomplice
( ) Accessory
I.
Offenders Statement
The petitioner admitted the offense. He said that the lumber is supposed to be used in building
the chapel of their Barangay. He alleged that the instant case was politically motivated.
II.
Victims Statement
Confidential
25
The petitioner is known for his involvement in the illegal business of lumber in their place.
PRIOR RECORDS
Agency
CC No. / Date
NBI
No result yet
RTC
No other case filed
MCTC
None
PNP
None
Prosecutor
No other case filed
Barangay
None
CMRD
None
Offense

Source/Position
Disposition/Date
Particulars
None
B. PETITIONERS BIRTH DATA
Date of Birth: March 14, 1968 Place of Birth: Talakag, Bukidnon Birth Order: 2nd
FAMILY BACKGROUND
3. PARENTS:
Father:
Labaon
Last Name
Mother:
Jose
Dalumpay
First
Middle
Canaogan
Barsilisa
Cabiles
Maiden Name
First
Middle
Age: 72
Occupation: N/A
Age: 72
Occupation: N/A
Status of Marriage: (/ ) married

( ) Annulled

( ) Others:
Family Relationship

Community
( / ) Satisfactory
( ) Fair
( ) Poor
( / ) Economic
( ) Marital Problem
( ) Others
( ) Satisfactory
( ) Fair
( ) Poor
(
(
(/
(
(
(
(/
(
( / ) Stable
( ) Frequent Change
( ) No Stability

) Adequate
) Inadequate
) Very Satisfactory
) Satisfactory
) Fair
) Poor
Confidential
26
The petitioners father was a former Barangay Chairman of Basak, Talakag, Bukidnon for
22 years but prior to that, he was Barangay Kagawad for 10 years.
The petitioner said that he was not happy with the life they had before. As a politician, his
father had almost no time for his family. Even in the financial aspect, sometimes he gave first
priority the needs of his constituents than the needs of his own family.
The petitioners mother is very caring to all her children. Even if she is an illiterate, she is
very supportive to all her children. As a matter of fact, three of petitioners siblings finished a
college degree.
The familys main source of income is derived from farming. His father who is an industrious
man has planted hard wood trees, coffee and fruit trees that they are still enjoying now.
Civil Status: ( ) Single (/) Married ( ) Widow/Widower (/) With Common-Law/Live-in partner
Status of Marriage: __Annulled __Separated: __Legal __ Estranged ( ) Others__________
Remarks:______________________________________________________________________
Enloran
Lilia
Dadsanan
(Full Name)
(First)
(Middle)
Age: 45 Gender: ( ) Male (/) Female Occupation: None
Home Address: Lacolac, Baungon, Bukidnon
Work Address: Baungon, Bukidnon
Children: Total No. of Children: Six (6)
Age
22 years old
20 years old
16 years old
11 years old
6 years old
In/Out of School
/
/
/
/
/
Student/Business Ad
2nd year HS (drop out)
4th year HS (presently)
Grade VI
Grade 2
/
Very Satisfactory
Fair
Legitimate
/
/
/
/
/
Illegitimate
Satisfactory
Poor
The petitioners eldest son died from a road accident when the motorcycle that he was driving at
that time was crashed. He is able to provide the needs of his children because of his being
industrious. His children are close to him.
11. Residence
Dwelling
( ) Owned: Yrs of Stay 24yrs
(/ ) Others:
12.
( / ) Stable
( ) Frequent Change
( ) No Stability

( / ) Satisfactory
( ) Fair
( ) Poor
Economic Condition
Family Breadwinner

Family
(
(/
(
(
(/ ) Petitioner
( ) Spouse
( ) Petitioner and Spouse
( ) Others:
( / ) Total
( ) Partial
( ) Dependent

) Adequate
) Inadequate
Confidential
27
13.
Major Problems in the Family
( / ) Economic
( ) Mental Illness
( ) Others______________
The petitioners income from his farm is quite enough for his family. His wife is supportive of
him. They have good rapport with their neighbors.
EDUCATION)
Conduct in School:
Elementary graduate
Very Satisfactory
/
Fair
Satisfactory
Poor
He admitted that he lacks interest to study. He prefers farm work than going to school.
H. JOB HISTORY
1. Petitioners Previous Occupation: Farm work
2. Petitioners Present Occupation: Farmer
Employer and Work Address:
n/a
Present Work Status: (/) Self-employed ( ) Regular/Permanent
( ) Contractual ( ) Casual ( ) Intermittent
3. Special Skills: None
( ) Temporary
( ) Seasonal
He works in his own farm. He cultivated one half hectare of rice field; enough for his familys
daily sustenance. He has 3 hectares which he planted to hardwood trees, cassava and rubber.
N. MEDICAL HISTORY
Present Medication: n/a
Drug/Alcohol Use: ( ) No (/) Yes Extent of Use: He is a moderate and occasional drinker.
REMARKS/ADDITIONAL INFORMATION: He drinks Fighter wine when he feels like thirsty and
weak.
O. PETITIONERS TRAITS/CHARACTERISTICS:
Positive: He is serving their church as Alagad for more than 20 years now. He is not notorious in
the Barangay.
Negative: He admitted that he is conceited at times maybe because his father was once a
Barangay Chairman of their place.
Confidential
28
Overall Impression of the Client: He is receptive to advices, hence he can adhere to what is
expected of him as a probationer.
AGSALAN
M. PETITIONERS BACKGROUND IN THE COMMUNITY AND COLLATERAL INFORMATION
The petitioner has a good reputation in the community.
Information
1. Ruben Cabaring
Barangay Chairman
2. Danny Sampalay
3. Marissa Duolan
4. Roque Ampoan
5. Rosito Balanse
Neighbor
Neighbor
Neighbor
Neighbor

He is known in the Barangay for his involvement in
lumber business
He is a good neighbor.
He is not a problem to the community
He has no enemy in their place
He is helpful as a neighbor.
1. ANALYSIS AND EVALUATION
The petitioner is .
The petitioner has a good reputation in the community. His neighbors said that he is not a
problem to them even if they knew about his illegal transactions . They are in favor of giving him
another chance.
To judge him from what he has gone through. Having done did not change their relationship
with his wife, His family still dos the same things they are passionate about. The live tyheir lives
normally as anyone else does.
Results of records check show that he is a first offender. He deserves an individualized
community-based rehabilitation treatment program for his reformation and reintegration to
mainstream society.
a. Individual and group counseling

b. Restorative Justice Intervention (If applicable)
Confidential
29
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.

Health, Mental, and Medical Services
Community Service
Environment and Ecology
SINO AKO?
HIRAM SA DIYOS ANG AKING BUHAY
IKAW AT AKO TANGING HANDOG LAMANG
DI KO NINAIS NA AKOY ISILANG
NGUNIT SALAMAT DAHIL MAY BUHAY
LIGAYA KO NA AKOY ISILANG
PAGKAT TAO AY MAYROONG DANGAL
SINGONG MAY PAG-IBIG
SINONG NAGMAMAHAL
KUNDI ANG TAO DIYOS ANG PINAGMULAN
KUNG DI AKO UMIBIG
KUNG DI KO MABIGYANG HALAGA
ANG BUHAY NA HANDOG
ANG BUHAY NA HIRAM SA DIYOS
KUNG DI AKO NAGMAMAHAL
SINO AKO?
I WILL BE HERE
TOMORROW MORNING WHEN YOU WAKE UP
AND THE SUN DOES NOT APPEAR
I, I WILL BE HERE
IF IN THE DARK WE LOSE SIGHT OF LOVE
HOLD MY HANDS AND HAVE NO FEAR
I,I WILL BE HERE
AND I WILL BE HERE
WHEN YOU FEEL LIKE BEING QUIET
WHENYOU NEED TO SPEAK YOUR MIND
I WILL LISTEN
AND I WILL BE HERE
YOU CAN CRY ON MY SHOULDER
WHEN THE MIRROR TELLS US WERE OLDER
I WILL HOLD YOU
AND I WILL BE HERE
TO WATCH YOU GROW IN BEAUTY
AND TELL YOU ALL THE THINGS YOU ARE TO ME
CAUSE I WILL BE HERE
Confidential
30
AND I WILL BE HERE
TOMORROW MORNING WHEN YOU WAKE UP
AND THE FUTURE IS UNCLEAR
I, I WILL BE HERE
AND JUST AS SURE AS THE SEASONS ARE MADE FOR CHANGE
AND LIFETIME ARE MADE FOR YEARS
I, I WILL BE HERE
WELL BE TOGETHER
I WILL BE HERE.
Confidential
31
Confidential
32
Confidential
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Confidential
34
Confidential

PSIR For Execon

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PSIR RE:___________________________ Inv. Docket No.

Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Republic of the Philippines

MARIA BELLA T. TIGULO

PSIR RE:___________________________ Inv. Docket No._____

Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Republic of the Philippines

POST-SENTENCE INVESTIGATION REPORT

Source of Info: Client

Weight (kilos): 78kilos

Identifying Marks/Unusual Features: None

PSIR RE:___________________________ Inv. Docket No._____

Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

B. OTHER DEROGATORY INFORMATION

Date of Birth: February 22, 1992 Plac\Birth:

Cagayan de Oro City

Age: 58 Occupation: Retired employee

Age: 59 Occupation: Retired employee

Status of Marriage: (/) Married

( ) Separated: __Legal __ Death

Major Family Problems

Family Reputation in the

Family Economic Status

Physical Home Conditions

) More than Adequate

PSIR RE:___________________________ Inv. Docket No._____

Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

C. PETITIONERS PRESENT SITUATION

Relationship with Children:

(/ ) Owned: Yrs of Stay

Physical Home Conditions

Petitioners Role in the

5. Major Problems in the Family

PSIR RE:___________________________ Inv. Docket No._____

Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Overall Impression of the Client:

PSIR RE:___________________________ Inv. Docket No._____

Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

H. PETITIONERS BACKGROUND IN THE COMMUNITY AND COLLATERAL INFORMATION

Collateral Information Gathered

ANALYSIS AND EVALUATION

PROJECTED THRUSTS OF REHABILITATION

Individual and group counseling

PSIR RE:___________________________ Inv. Docket No._____

Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Payment of Civil Liability

Manolo Fortich, Bukidnon, Philippines, February28, 2014.

Probation and Parole Officer II

PSIR RE:___________________________ Inv. Docket No._____

Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

WHEREFORE, in view of the foregoing, it is respectfully recommended to the Honorable

PSIR RE:___________________________ Inv. Docket No._____

Criminal Case Number_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Republic of the Philippines

POST-SENTENCE INVESTIGATION REPORT

True Name: MARJUN DACUP y ADIONG

Age: 27 Sex: Male

Religion: Iglesia Filipina Independiente

Manner of Commission (Narrative)

PSIR RE:___________________________ Inv. Docket No._____

C. OTHER DEROGATORY INFORMATION

D. PETITIONERS BIRTH DATA

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

( ) Separated: Legal Death

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

( ) Separated: Legal By Death

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

( ) Separated: Legal Estranged

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._

PSIR RE:_______________________ Inv. Docket No._