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Republic of the Philippines

Province of ____________
City of ____________
OFFICE OF THE BARANGAY CAPTAIN
Barangay ___________

CERTIFICATION

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that XXX, Filipino citizen, of legal age, and a


resident of XXX, is a tenant and lawful owner of the following improvements
planted on a lot affected/traversed by the Construction of XXX including
ROW, to wit:

Properties Quantity (m2)


Corn Crops (Glutinous) 2,547

The said improvements were planted on a lot declared in the name of


XXX, under Tax Declaration No. XXX, situated in XXX.

THIS IS TO CERTIFY FURTHER that XXX is not a professional


squatter or member of a squatting syndicate, as defined in Republic Act No.
7279, otherwise known as the “Urban Development and Housing Act of 1992.”

THIS CERTIFICATION is issued upon the request of the above-named


person as proof of his ownership of the above-mentioned properties and in
support of his claim for just compensation from the Department of Public
Works and Highways.

Issued this __ day of _______, 2019, at XXX.

HON.YYY
Punong Barangay