KATARUNGANG PAMBARANGAY
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KP FORM # 21: CERTIFICATION TO FILE ACTION (FROM PANGKAT<br />
SECRETARY)<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 />
CERTIFICATION TO FILE ACTION<br />
This is to certify that:<br />
1. There has been a personal confrontation between the parties before<br />
the Punong Barangay but mediation failed;<br />
2. The Pangkat ng Tagapagkasundo was constituted but the personal<br />
confrontation before the Pangkat likewise did not result into a<br />
settlement; and<br />
3. Therefore, the corresponding complaint for the dispute may now be<br />
filed in court/government office.<br />
This _________ day of _________, 19_____.<br />
_________________<br />
Pangkat Secretary<br />
Attested by:<br />
_________________<br />
Pangkat Chairman<br />
106 A HANDBOOK