The undersigned, _____________, accuses _____________ of the crime of DAMAGE TO PROPERTY THROUGH RECKLESS IMPRUDENCE, 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 did then and there, while driving his Sarao jeepney with Plate No. _____________ under the influence of liquor and in a reckless and imprudent manner, bumped the his said jeepney into the residential house of _____________ situated at _____________ and along _____________ highway, thereby causing damage to the front wall of the said residential house to the damage and prejudice of its owner, _____________, in the amount of P_____________.
Contrary to law.
_____________, Philippines, __Date__.
(Certification of Preliminary Investigation)