Republic of the Philippines

Region III (Central Luzon)

Province of Tarlac
Municipality of Concepcion

BARANGAY DUTUNG A MATAS

_________________________________________
_______________
CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:

This is to certify that _____________________________, of legal age,

male/female/ single/married/widow/widower is a resident of Barangay Dutung
A Matas, Concepcion, Tarlac.
This is to certify further that the above-mentioned name and his/her family
is a classified as ‘’INDIGENT’’ in this barangay. This certification is being
issued upon request for _______________________ and for whatever legal
purpose/s it may serve him/her best. This certification is valid for six (6)
months from the date issued.

Given this _____ day of __________, 2023.

Mr. Danilo Muñoz

Barangay Chairman

Temporary Certificate of Indigency

Still valid even without official dry seal.