Sunday, March 13, 2011

Sample Form - Certification to file Action from Barangay

Republic of the Philippines
Province of _____
CITY OF ______
Barangay ______
OFFICE OF THE LUPONG TAGAPAMAYAPA

Barangay Case No. 2010-005
For: Collection of Sum of Money


Mr. B                                                            
Complainant                                                 


— against —


Mr. A
Respondent

CERTIFICATION TO FILE ACTION


This is to certify that:

1. There has been a personal confrontation between the parties before the
Punong Barangay/Pangkat ng Tagapagkasundo;

2. A settlement was reached;

3. The settlement has been repudiated in a statement sworn to before the
Punong Barangay by Mr. B on ground of non- fulfillment of Mr. A to pay the principal amount plus interest on the day agreed upon in the settlement; and (state the reason)

4. Therefore, the corresponding complaint for the dispute may now be filed in
Court.

This 26th  day of December, 2010 at ________, Philippines.



Mrs. Myrna Natividad
Lupon Secretary



Attested:


Brgy. Captain Vincente Roxas
Lupon Chairman



3 comments:

  1. Ik heb over het algemeen niet te reageren op inhoud, maar ik zal zeker in dit geval. Serieus een grote duimen omhoog voor deze!

    Sample form

    ReplyDelete
  2. bibugbog ng kapitbahay naming lalaki na nung mangyari ay lasing na lasing sya maaring sa drug o sa alak ang addict ang kanyang pinsang babae na kapitbahay nya.narinig ng addict ang kanyang pinsang babae at ang ina nito na ngtatalo at walang tanong tanong pumasok sya sa bakuran ng biktima at tuloy-tuloy sya sa loob ng bahay at walang sabi sabi na pinagsasampal kinaladkad sa buhok habang nalililisan na ang babae at dahil malaki ang suspect sa pisikal na katawan walang nagawa ang ina ,tyahin ng biktima.dumulog kami sa pulisya at ang sagot ay di nila pwede tanungin ang narereklamo kasi di nila inabutan ang akto ng pambubugbog.ngreport din kami sa barangay at ngtakda ng 3beses na paghaharap,subalit di sumipot ang narereklamo sa di malamang dahilan.nghihingi po ng certificate to file action sa baranagay pero kailangan pa daw maghintay ng 45days bago makapagisyu ng cert.to file action.hindi po ba sakop ng RA9262 ang pambubugbog sa babae na di naging karelasyong sexual ng lalaki o kamaganak lang gaya ng kasong ito.may medical certificate na po yung babaeng bingnog

    ReplyDelete
  3. Ask ko lang po,may bayad po ba ang pagkuha ng certificate to file action?

    ReplyDelete

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