Republic of the Philippines

____________ Judicial Region

________________ TRIAL COURT

Branch _____, _____________, _____________

INFORMATION

The undersigned City Prosecutor, upon sworn complaint filed by the offended party, accuses _____________________ of the crime of ADULTERY, committed as follows:

That in or about and during the months of _______ and ____________ and for some time prior thereto in the city of ___________, province of____________, Philippines, within the jurisdiction of the court, the said______, willfully and feloniously had sexual intercourse with her co-accused__________, who is not her husband, while the latter, knowing her to be married, willfully , unlawfully and feloniously had carnal knowledge of her.

Contrary to law.

_____________, Philippines, __Date__.

___________________________________

ASSISTANT PROSECUTOR

BAILBOND REOCMMENDED: PHP 100,000.00

WITNESSES:

1. ___________________________________

2. ___________________________________

C E R T I F I C A T I O N

This is to certify that as shown by the records the undersigned,an authorized officer, that there is a reasonable ground to believe that a crime has been committed and that the accused is probably guilty thereof; that the accused was informed of the complaint and of the evidence submitted against her and was given an opportunity to submit controverting evidence.

___________________________________

ASSISTANT PROSECUTOR

SUBSCRIBED AND SWORN to before me this July 19, 2010 in the City of Cagayan de Oro, Philippines