The undersigned, _____________, accuses _____________ of the crime of ARSON, 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 willfully, and feloniously set on fire the building belonging to _____________, knowing it to be occupied by at that time by one or more persons, to the damage and prejudice of the said _____________ in the amount of P_____________.
Contrary to law.
_____________, Philippines, __Date__.