Certificate to File Action (sample)

Republic of the Philippines

Province of Cavite

CITY OF CAVITE

Barangay 47

OFFICE OF THE LUPONG TAGAPAMAYAPA

MICHELLE A. VALE CRUZ

                                Plaintiff,

                   -and-

Barangay Case No. 2016-016

For: Eviction and

Collection of Rental Payment

LANZ AIDAN L. OLIVES

                       Respondent,

CERTIFICATION TO FILE ACTION

This is to certify that:

1. There has been no personal confrontation between the parties before the Punong Barangay because the respondent was absent and that mediation failed;

2. The Pangkat Tagapagkasundo was constituted but there has been no personal confrontation before the Pangkat likewise did not result into a settlement because the respondent was absent;

3. Therefore, the corresponding complaint for the dispute may now be filed in Court.

This 25th day of March, 2016 in Cavite City, Philippines.

Ms. Grace Poe

Pangkat Secretary

Attested by:

Brgy. Captain Mar Roxas

Lupon Chairman