Republic of the Philippines

City of Cebu
BARANGAY ____________________
Office of the Barangay Captain

CERTIFICATION

To whom it may concern,

This is to certify that the Lot No. ________________ owned by _______________________ and
__________________________belong / situated here in Barangay
_________________________________________.

This certification is being issued upon his/her request for

_________________________________________________ purpose it may serve him best.

Given this ____________ day of ___________________ .

________________________________
Barangay Captain