Republic of the Philippines

____________ Judicial Region

________________ TRIAL COURT

Branch _____, _____________, _____________

INFORMATION

The undersigned, _____________, accuses _____________ of the crime of QUALIFIED TRESPASS TO DWELLING, committed as follows, to wit:

That on or about _____________, in the City/Municipality of _____________, Province of _____________ and within the jurisdiction of this Honorable Court, the accused _____________ , a private person and without any justifiable cause, entered the house of ______________, against the will of the latter.

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