REPUBLIC OF THE PHILIPPINES

National Capital Judicial Region

REGIONAL TRIAL COURT
Manila, Branch ___
JUAN DELA CRUZ,
Plaintiff,

-versus-

Civil Case No. ______________

FOR: Damages based on
Quasi-Delict

VICTORIO PABLO,
Defendant.
x---------------------------------------------x
EX-PARTE MOTION TO LITIGATE AS INDIGENT LITIGANT
Plaintiff
Juan Dela Cruz, through counsel and unto
this Honorable Court, most respectfully states that:
1. The plaintiff is currently jobless , has no means of livelihood and
cannot afford to pay the required docket fee. A copy of Juan Dela
Cruz Certificate of Indigency is hereto attached as Annex A.
Additionally, her sworn statement attesting to the truthfulness of her
indigency is hereto attached as Annex B.
2. Also, attached with this Motion is the Certificate of No Property
Holdings1, issued by the City Assessor of Manila, and an affidavit 2 of
two disinterested persons attesting to the truthfulness of Juan Dela
Cruz affidavit.
3. Plaintiffs now comes to this Honorable Court and respectfully move
that she be allowed to litigate as indigent litigant, and be exempted
from the payment of the required docket fees and other lawful fees.

PRAYER
1 Annex C

2 Annex D

WHEREFORE, premises considered, it is respectfully prayed of

this Honorable Court that the plaintiffs be allowed to litigate as
indigent litigants.
Other reliefs just and equitable under the premises are likewise
prayed for.
Makati City for Manila, January 14, 2016.
By:
ATTY
For the Plaintiff
NOTIFICATION
OFFICE OF THE CLERK OF COURT
Regional Trial Court, Manila
4th Floor, Manila City Hall, Manila
Greetings:
Please submit the foregoing Ex-Parte Motion to Litigate as Indigent
Litigant and approval of the Honorable Executive Judge immediately
upon receipt hereof.