Republic of the Philippines

Region VIII
Province of Southern Leyte
Municipality of ---------
BARANGAY --------------

OFFICE OF THE PUNONG BARANGAY

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that ______________ ______________, a bonafide

resident of _____________________ is the registered owner of a parcel land
located within the jurisdiction of ____________________ with the following details
Lot Number: __________________
Land Area: __________________
Boundaries : __________________
Location: ______________________

THIS CERTIFICATION is being issued to ___________________ in response to her

request and to the best of our knowledge based on the records available at
Barangay -------------. We affirm the accuracy of the information provided herein that
the aforementioned land is declared to be under ownership ___________

THIS CERTIFICATION is valid as of the date of issuance and is subject to any

updates or changes in land ownership or records that may occur in the future.

Done this 20th day of September, 2023 at Barangay ___________

CERTIFIED BY:

______________________
Punong Barangay