Beruflich Dokumente
Kultur Dokumente
____________________________ ) S. S.
x-----------------------------------x
COMPLAINT AFFIDAVIT
3. That the respondent delivered several checks and TWO (2) among
several checks are the subject of this case amounting to P235,000.00, to wit:
_________
___________
TOTAL:
P117,500.00
4. That on the dates of the check I deposited the same and to my dismay
they all came back with annotations ACCOUNT CLOSED.
_________________________________
Complainant
ADMINISTERING OFFICER
Note: Sample Only, Should be used with caution, forms are case to case basis, care should
COMPLAINT-AFFIDAVIT
That the said check is drawn against the account of the said __Respondent__ at
__Name of Bank__ with Account No. _____________;
That at the time the said __Respondent__ issued the delivered the said check to me,
(he/she) made the assurance and representation that the said check is a good check
and would be covered by sufficient funds when presented for payment;
However, when the above-mentioned check was deposited, the same was dishonored
and returned by the bank on the ground that the same was drawn against a "CLOSED
ACCOUNT".A true and faithful machine reproduction of the said check is hereto
attached as Annex "____";
As such, I immediately notified said __Respondent__ of the dishonor and return of the
said check and demanded from (him/her) that (he/she) make good the said check within
_____________ (____) days from receipt thereof. A true and faithful machine
reproduction of my demand letter to (him/her) is hereto attached as Annex "____"
When said __Respondent__ failed to heed my demands, I endorsed the said check to
my legal counsel who immediately sent a formal demand letter through registered mail
with return card on _____________, which was received by the said __Respondent__
on _____________.As of date however, __Respondent__ has unjustifiably ignored all
these demands to pay the said account and/or to redeem the said returned check. A
true and faithful machine reproduction of my demand letter to (him/her) is hereto
attached as Annex ____"
COMPLAINANT
Administering Officer