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Sample-JA-Attempted-Homicide

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Republic of the Philippines
11th Judicial Region
REGIONAL TRIAL COURT
Branch ___
Hall of Justice
General Santos City
THE PEOPLE OF THE PHILIPPINES
Plaintiff,
-versus-
CRIM. CASE NO. ____
For: Attempted Homicide
Mr. X
Accused.
x -----------------------------------------------x
JUDICIAL AFFIDAVIT 
I, Mr. X, of legal age, Filipino, married, a Barangay Councilor, and a resident of Purok Malinawon,
Barangay San Jose, General Santos City, after having been duly sworn to in accordance with law,
hereby deposes and states.
PRELIMINARY STATEMENT
That the taking of my Judicial Affidavit was administered and supervised by ATTY. L. and was
done at her Law Office at _____, Purok Pag-asa, Barangay Magsaysay, Polomolok, South
Cotabato, and I am fully aware and cognizant of the questions asked of me by Atty. A. and my
answers thereto are under oath being aware that I may face criminal liability for false testimony or
perjury. I likewise requested that the questions asked of me be in English as well as my answers
thereto also in English which I speak and understand for clarity and that the other information
and/or requirements of Sec. 3, A.M. 12-8-8-SC as explained to me by the administering lawyer
are contained in my Judicial Affidavit.
PURPOSE:
This affidavit of the accused, Mr. X is being offered to prove the existence of doubt on the charged
of attempted homicide against the accused and to prove the justifying circumstance of self-defense.
Q1: Please state your name and other personal circumstances for the records.
A1: I am Mr. X, 32 years of age, married, and resides at Purok Malinawon, Brgy. San Jose, General
Santos City.
Q2: Are you the same Mr. X, who is charge of this case?
A2: Yes, ma’am.
Q3: Where were you last February 14, 2021 at about 9 o’clock in the evening?
A3: I was in a restaurant near my house at Brgy. Mabuhay.
Q4: What happened there, if any?
A4: I was having a drinking spree with my neighbors when Ms. Y arrived there, making a very
loud and irritating noise with his motorcycle’s exhaust pipe.
Q5: What did you do if any?
A5: I confronted him saying “Baka naman pwedeng pahina-hina ng ingay ng tambutso mo.”
Q6: What did he say after, if any?
A6: He told me “Ano bang pakialam mo? Lugar mo ba to? Pagma-may ari mob a to? Gagawin
ko kung ano ang gusto ko!” He then continued making noise with his motor.
Q7: What did you do after, if any?
A7: I told him that I am a Brgy. Councilor and his act of making loud noise is a disturbance to
the neighborhood considering that it was already 9 o’clock in the evening.
Q8: What happened next, if any?
A8: He just punched me in the face, pulled out a gun from his bag, and fired it up in the air.
Q9: What transpired next, if any?
A9: Three police officers came and asked what was happening. However, without provocation
on my part, Ms. Y. suddenly grabbed a knife and stabbed me in my left arm. So, as an act of selfdefense, I took the gun on the table and fired the same at his direction.
SIGNED this 18th day of January 2023 in Polomolok, South Cotabato, Philippines.
Mr. A
Affiant
SSS ID 12345-6
SIGNED AND SWORN before this 17th day of February 2021 at Barangay __, Polomolok,
South Cotabato, with Affiant exhibiting his SSS ID with No. 12345-6 as competent proof of
identity.
Atty. L
Notary Public for the Municipalities of
Polomolok and Tupi, South Cotabato
Commission No. ____
Until ____
Roll of Attorney No. ____
PTR 345; 01/01/2023; Koronadal City
IBP 543; 01/01/2023; SocGen
Doc No. ________
Page No. _______
Book No. _______
Series of 2023.
ATTESTATION
I, Atty. L, of legal age, attests under oath that:
1. I am the counsel for the Plaintiff Mr. A;
2. I faithfully recorded the questions I asked and the corresponding answers that the witness Mr.
A gave me; and
3. Neither I nor any other person then present or assisting me coached the witness regarding his
answer.
SIGNED this __January 2023 in Polomolok, South Cotabato
Atty. L
Affiant
IBP ID ___
SIGNED AND SWORN before this 17th day of February 2021 at Polomolok, South Cotabato,
with Affiant exhibiting her SSS ID No. 12345-6 as competent proof of identity.
Atty. B
Notary Public for the Municipalities of
Polomolok and Tupi, South Cotabato
Commission No. ____
Until ____
Roll of Attorney No. ____
PTR 345; 01/01/2023; Koronadal City
IBP 543; 01/01/2023; SocGen
Doc No. ________
Page No. _______
Book No. _______
Series of 2023.
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