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Katarungang Pambarangay Handbook_0

KP FORM # 21:

KP FORM # 21: CERTIFICATION TO FILE ACTION (FROM PANGKAT SECRETARY) Republic of the Philippines Province of __________ CITY/MUNICIPALITY OF ______________ Barangay _________________ OFFICE OF THE LUPONG TAGAPAMAYAPA ___________________ Barangay Case No. __________ ___________________ For: ______________________ Complainant/s _________________________ __________________________ — against — __________________ __________________ Respondent/s CERTIFICATION TO FILE ACTION This is to certify that: 1. There has been a personal confrontation between the parties before the Punong Barangay but mediation failed; 2. The Pangkat ng Tagapagkasundo was constituted but the personal confrontation before the Pangkat likewise did not result into a settlement; and 3. Therefore, the corresponding complaint for the dispute may now be filed in court/government office. This _________ day of _________, 19_____. _________________ Pangkat Secretary Attested by: _________________ Pangkat Chairman 106 A HANDBOOK

KP FORM # 22: CERTIFICATION TO FILE ACTION Republic of the Philippines Province of __________ CITY/MUNICIPALITY OF ______________ Barangay _________________ OFFICE OF THE LUPONG TAGAPAMAYAPA ___________________ Barangay Case No. __________ ___________________ For: ______________________ Complainant/s _________________________ __________________________ — against — __________________ __________________ Respondent/s CERTIFICATION TO FILE ACTION This is to certify that: 1. There was a personal confrontation between the parties before the Punong Barangay but mediation failed; 2. The Punong Barangay set the meeting of the parties for the constitution of the Pangkat; 3. The respondent willfully failed or refused to appear without justifiable reason at the conciliation proceedings before the Pangkat; and 4. Therefore, the corresponding complaint for the dispute may now be filed in court/government office. _________________ Pangkat Secretary Attested by: _________________ Pangkat Chairman KATARUNGANG PAMBARANGAY 107

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