VERIFICATION/CERTIFICATION OF FORUM SHOPPING

Republic of the Philippines )

City of Magagandang Lahi
) S.S.

I, Maria Hipolito, of legal age, Filipino citizen, Married and resident of Ligaya Subdivision.,
Municipality of Magagandang Lahi, Province of Pampanga, after having been duly sworn to in
accordance with law do hereby depose and say:
1.
2.
3.
4.
5.
6.

That I am the plaintiff in the above-entitled case;

That I have caused the preparation of the foregoing complaint and have read the allegations
contained therein;
The allegations in the said complaint are true and correct of my own knowledge and authentic
records;
I hereby certify that I have not commenced any other action or proceeding involving the same
issues in any court, tribunal or quasi-judicial agency and, to the best of my knowledge, no such other
action or claim is pending therein;
That if I should learn thereafter that a similar action or proceeding has been filed or is pending, I
hereby undertake to report that fact within five (5) days therefrom to the court or agency where the
original pleading and sworn certification contemplated herein have been filed;
I executed this verification/certification to attest to the truth of the foregoing facts and to comply
with the provisions of Adm. Circular No. 04-94 of the Honorable Supreme Court.

IN WITNESS WHEREOF, I have hereunto affixed my signature this November 2016, in the City
of MAGAGANDANG LAHI.

SUBSCRIBED AND SWORN to before me this 4th of November, 2016, in the City of
Magagandang Lahi, affiant exhibiting to me his Drivers License No. 12345 issued by the Land
Transportation Office on November 2016 at the City of Magagandang Lahi.

Atty. Sheila Basilla

Head Counsel
Atty. Christle Valerio, Atty. Michael Rozhdestvensky
Supporting Counsel
PTR No. 18909595:1-04-07:B.C.
IBP No, 693095:1-04-07:B.C.
Roll No. 42481:5-10-97: Manila
Rm. 4 2/F BRV Law Office
City of MagagandangLahi, Philippines

Doc. No.0002
Page No. 0001

Book No. 0002

Series of 2016.