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Republic of the Philippines

[REGION]
[COURT]
[BRANCH] ______, [CITY] ___________

[NAME] __________,
Plaintiff,
G.R. No. ___________

- versus - Complaint for Revival of


Judgment

[NAME] __________,
Defendant.

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

COMPLAINT FOR REVIVAL OF JUDGMENT

PLAINTIFF, by undersigned counsel, and unto this Honorable Court,


respectfully states that:

1. Plaintiff and Defendant are of legal age. Plaintiff resides at ____ [Address]
________ while Defendant resides at ____ [Address] _______, respectively,
where they may be served with pertinent notices.

2. Plaintiff is the same plaintiff in Civil Case No. XXXX, entitled _[Case
Title]__, while defendant is the same defendant in said civil case, wherein
this Honorable Court rendered judgment in favor plaintiff.

3. The dispositive portion of said judgment reads as follows:

[Dispositive portion of Decision]

True copy of said judgment is attached hereto and made an integral part
hereof as Annex “A”.

4. Per record of said case, the entry of final judgment was made on __
[Date]__ , or more than five (5) years from date thereof but less than ten
(10) years therefrom.

5. Due to the fact that [state reason for delay in enforcement of judgment, ex:
defendant has been asking plaintiff for time to pay the judgment debt],
more than five (5) years from the date of its entry lapsed, without a writ of
execution having been issued, thus making said judgment remaining
unexecuted.
WHEREFORE, plaintiff respectfully prays that judgment be rendered in favor of
plaintiff and against defendant, reviving the decision dated __[Date]__ rendered
by this Honorable Court on ___[Date]__.

Plaintiff further prays for such other reliefs as may be just and equitable in
premises.

[City] ___________; [Date] _________________________.

[SIGNATURE]
[Name of Counsel]
Counsel for _________
[Address] ___________
Roll No. ____________
IBP No. _____________
issued on ________ at _____
PTR No. _____________
issued on ________ at _____
MCLE Compliance _________

VERIFICATION & CERTIFICATION AGAINST FORUM SHOPPING

I, [NAME], of legal age, do hereby state that: I am the plaintiff in the


pleading/document entitled [PLEADING/DOCUMENT BEING VERIFIED] and in
such capacity, caused this Complaint to be prepared; I have read its contents
and affirm that they are true and correct to the best of my own personal
knowledge; I hereby certify that there is no other case commenced or pending
before any court involving the same parties and the same issue and that,
should I learn of such a case, I shall notify the court within five (5) days from
my notice.

IN WITNESS WHEREOF, I have signed this instrument on [DATE].

[SIGNATURE]
[NAME] _________________

SUBSCRIBED AND SWORN TO before me in the City of _______________


on this day of [MONTH AND YEAR], affiant exhibiting before me his Government
Issued ID No. XXXX issued on [DATE]__________________ at [PLACE OF
ISSUANCE].

[SIGNATURE]
[NAME]_______
Notary Public
Until [DATE]__________________
PTR No. [NUMBER] ____________
Issued at [PLACE]______________
On [DATE] ___________________

Doc. No.
Page No.
Book No.
Series of 20____.

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