Republic of the Philippines

____________ Judicial Region

________________ TRIAL COURT

Branch _____, _____________, _____________

INFORMATION

The undersigned, _____________, accuses _____________ of the crime of SWINDLING / ESTAFA, committed as follows, to wit:

That on or about _____________, at about _________ (a.m./p.m.), in the City/Municipality of _____________, Province of _____________ and within the jurisdiction of this Honorable Court, the said accused having received from _____________ a variety of Ready-to-Wear goods valued at P_____________ for the purpose of selling the same on commission, under the express obligation of holding the same in trust for _____________ and to remit the proceeds of thesale of the said goods, if sold, or to return the same in case of non-sale, within ________ (____) days from receipt thereof,the said accused did then and there, willfully, unlawfully, and feloniously, misappropriate and convert the said goods or their proceeds to his own personal use and benefit to the damage and prejudice of _____________ in the amount of P_____________.

Contrary to law.

_____________, Philippines, __Date__.

___________________________________

ASSISTANT PROSECUTOR

(Certification of Preliminary Investigation)

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