Republic of the Philippines

Province of Cagayan

AFFIDAVIT OF CLAIMANT

I, DARWIN BINGAYEN ALCANTARA, of legal age,

Filipino, married, with address at Junction Luna, Abulug,
Cagayan, after having been sworn in accordance with law, hereby
state that:

1. I am the owner of ALCANTARA COMMERCIAL, DB

ALCANTARA AGRI SUPPLY and DB ALCANTARA
AGRI CONST SUPPLY (“Alcantara”) all located at
Libertad, Abulug, Cagayan;

2. Defendant Victor Verzola (“Victor”) of legal age, married

with address at Poblacion Luna, Apayao;

3. ALCANTARA COMMERCIAL, DB ALCANTARA AGRI

SUPPLY and DB ALCANTARA AGRI CONST SUPPLY is
engaged in the trading business of agricultural products
and construction supply;

4. Between24 July 2014 to April 22, 2016, Victor started

purchasing construction supplies with Alcantara through
credit;

5. Victor made partial payments but failed to settle the

principal amount of his purchases before due dates. As a
consequence, the balance of his credit incurred
surcharges of 3% per month and ballooned to Fifty Six
Thousand Four Hundred Forty and Eight Centavos Pesos
(P56, 440.08);

6. A Statement of Account in the amount of Fifty Six

Thousand Four Hundred Forty and Eight Centavos Pesos
(P56, 440.08) dated 22 April 2016 is hereto attached to the
complaint marked as Annex “A”;

7. A demand letter was sent to Balag on 23 February 2018

through mail with registry receipt ED 402 103 131 ZZ. a
copy of the registry return receipt is hereto attached as
“Annex B”;
 8. To date the demand for payment seemed to have fallen
on deaf ears as no payment was made at all.

I am executing this affidavit to attest to the truth of the

foregoing facts and for the purpose of filing the small claims
complaint against Victor Verzola.

In witness whereof, I have hereunto affixed my signature

this ___________________.

DARWIN BINGAYEN ALCANTARA

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this

_______________________ affiant exhibiting to me his
__________________________ issued on
_______________________________.

Notary Public

Doc. No. _____;

Page No. _____;
Book No. ____;
Series Of 2019.