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KATARUNGANG PAMBARANGAY - LGRC DILG 10

KATARUNGANG PAMBARANGAY - LGRC DILG 10

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KP FORM # 16: AMICABLE SETTLEMENT<br />

Republic of the Philippines<br />

Province of __________<br />

CITY/MUNICIPALITY OF ______________<br />

Barangay _________________<br />

OFFICE OF THE LUPONG TAGAPAMAYAPA<br />

___________________ Barangay Case No. __________<br />

___________________ For: ______________________<br />

Complainant/s _________________________<br />

__________________________<br />

— against —<br />

__________________<br />

__________________<br />

Respondent/s<br />

AMICABLE SETTLEMENT<br />

We, complainant/s and respondent/s in the above-captioned case, do<br />

hereby agree to settle our dispute as follows:<br />

__________________________________________<br />

__________________________________________<br />

__________________________________________<br />

and bind ourselves to comply honestly and faithfully with the above<br />

terms of settlement.<br />

Entered into this ______ day of __________, 19_______.<br />

Complainant/s<br />

___________________<br />

___________________<br />

Respondent/s<br />

__________________<br />

__________________<br />

ATTESTATION<br />

I hereby certify that the foregoing amicable settlement was entered into<br />

by the parties freely and voluntarily, after I had explained to them the<br />

nature and consequence of such settlement.<br />

______________________________<br />

Punong Barangay/Pangkat Chairman<br />

<strong>KATARUNGANG</strong> <strong>PAMBARANGAY</strong><br />

99

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