CBF No. 13.

13
Affidavit of Service

Original – Court, 1st Copy – Plaintiff, 2nd Copy – Defendant, Other copies as needed
Enter information in block letters in all parts of the Form except when reserved for Court
use, which shall be completed by the Clerk.
For Court Use Only
(Judicial Region)

(Municipality/City/Province)

 METC/MTCC/MTC/MCTC
 RTC

BRANCH
Case No.
Plaintiff/
Petitioner , v.
Defendant/
Respondent

COUNSEL OR PARTY WITHOUT COUNSEL

Nam
e
Firm Name
Address
Email Address
Tel./Cel./Fax Nos.
PTR No. Date/
Roll No. Place of Issue
 Lifetime
IBP No.  Date/Chapter
 Compliance
MCL  Exemption No
E .
Other Compliances
Counsel for
 Plaintiff/
Petitioner
 Defendant/
Respondent
 Other

AFFIDAVIT OF SERVICE
UNDER RULE 13.13

________________________________________________________
(name)

of legal age, with address ___________________________________

(address)
on oath states:

1. Affiant is

 Plaintiff/Petitioner
 Plaintiff’s/Petitioner’s employee/representative
 Defendant/Respondent/Oppositor
 Defendant’s/Respondent’s/Oppositor’s employee/representative
 Movant
 Movant’s employee/representative

Page 1 of 4
2. Affiant served a copy of __________________________________
(title of submission)

upon the following:

Party/Counsel’s Name Method Place Served Date Served

Personal Service
Licensed Courier
Registered Mail
Facsimile or Other
Electronic Means
Personal Service
Licensed Courier
Registered Mail
Facsimile or Other
Electronic Means
Personal Service
Licensed Courier
Registered Mail
Facsimile or Other
Electronic Means
Personal Service
Licensed Courier
Registered Mail
Facsimile or Other
Electronic Means
Proof of such service is attached as an Annex.

Date Party/Party’s Counsel Name and Signature

3.  Personal Service was made by directly handing a copy of the

submission to
 the party/ies listed in paragraph 2 above;
 the party’s/ies’ counsel;
 their authorized representative; or
 by leaving a copy with the party’s/ies’ or counsel’s office
clerk or with a person having charge of the office, as
shown by the stamp or acknowledgment of receipt on the
receiving copy of the submission.

 Service by ordinary mail was made by depositing with the post

office a copy of the submission in a sealed envelope, plainly
addressed
 to the party/ies listed in paragraph 2 above
 to said party’s/ies’ counsel at the latter’s office
 at the residence of the party/ies
with postage pre-paid, and with instructions to the postmaster to
return the mail to the sender after ten (10) days if undelivered.

 Service by registered mail was made by depositing with the

post office a copy of the submission in a sealed envelope plainly
addressed
 to the party/ies listed in paragraph 2 above
 to said party’s/ies’ counsel at the latter’s office
 at the residence of the party/ies

AFFIDAVIT OF SERVICE UNDER RULES 18.3 and 18.14 page 2 of 4

with postage pre-paid, and with instructions to the postmaster to
return the mail to the sender after ten (10) days if undelivered. The
postal registry receipt is attached to this Affidavit.

 Service by licensed courier service was made by bringing a

copy of the submission to _______________________________
(name of licensed courier)

on the date indicated in paragraph 2 above. The courier tracking

receipt is attached to this Affidavit.

 Service by electronic mail, upon prior agreement of the parties

on record, was made by sending the submission
 to the party’s e-mail or electronic internet address
 to counsel’s e-mail or electronic internet address
The printed proof of transmittal is attached to this Affidavit.

 Service by facsimile, upon prior agreement of the parties on

record, was made by sending the submission
 to the party’s facsimile number
 to counsel’s facsimile number
The printed proof of transmittal is attached to this Affidavit.

4. This Affidavit is being executed to prove service of

________________________________ on the persons above named.
(title of submission)

___________________
Affiant

SUBSCRIBED AND SWORN to before me on ________________ at

(date)

__________________________________, affiant exhibiting his/her

(address where the affiant appeared before the notary public)

 Driver’s License No. __________

 Passport No. __________
 P.R.C. No. __________
 Postal I.D. No. __________
 Voter’s I.D. No. __________
 Other government-issued I.D. with photograph.

___________________
Notary Public
Notary Public for ___________________
(province/city)

_________________________________
(address)

Appointment No. ___, until ___________

(date)

IBP No. ____; __________  _________

(date of membership) (IBP chapter)

PTR No. ____; __________  _________

(date issued) (place issued)

AFFIDAVIT OF SERVICE UNDER RULES 18.3 and 18.14 page 3 of 4

 Roll No. ____; __________
(date issued)

MCLE Compliance No. ____

Serial No. of
Commission ____

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of ____.

SPECIAL INSTRUCTIONS

MANDATORY SERVICE UPON COUNSEL

AFFIDAVIT OF SERVICE UNDER RULES 18.3 and 18.14 page 4 of 4