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Katarungang Pambarangay Handbook_0

KP FORM # 23:

KP FORM # 23: CERTIFICATION TO BAR 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 BAR ACTION This is to certify that the above-captioned case was dismissed pursuant to the Order dated ______________, for complainant/s _______________ (name) and ______________ (name) willful failure or refusal to appear for hearing before the Punong Barangay/Pangkat ng Tagapagkasundo and therefore complainant/s is/are barred from filing an action in court/government office. This ________ day of ______________, 19____. _____________________________ Lupon Secretary/Pangkat Secretary Attested: ________________________________ Lupon Chairman/Pangkat Chairman IMPORTANT: If Lupon Secretary makes the certification, the Lupon Chairman attests. If the Pangkat Secretary makes the certification, the Pangkat Chairman attests. 108 A HANDBOOK

KP FORM # 24: CERTIFICATION TO BAR COUNTERCLAIM 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 BAR COUNTERCLAIM This is to certify that after prior notice and hearing, the respondent/s __________________ (name) and _________________ (name) have been found to have willfully failed or refused to appear without justifiable reason before the Punong Barangay/Pangkat ng Tagapagkasundo and therefore respondent/s is/are barred from filing his/their counterclaim (if any) arising from the complaint in court/ government office. This ____________ day of _________, 19___. ______________________________ Lupon Secretary/Pangkat Secretary Attested: ____________________________ Lupon Chairman/Pangkat Chairman IMPORTANT: If Lupon Secretary makes the certification, the Lupon Chairman attests. If the Pangkat Secretary makes the certification, the Pangkat Chairman attests. KATARUNGANG PAMBARANGAY 109

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