ANNEX "D"

Republic of the Philippines

City of Mandaluyong
Barangay Wack Wack
OFFICE OF THE LUPONG TAGAPAMAYAPA
Barangay Case No. 0001
For: Unlawful Detainer
Mr. Daniel Padilla
Complainant
against
Mr. Kathrine Bernardo
Respondent
CERTIFICATION TO FILE ACTION
This is to certify that:
1. There has been a personal confrontation between the parties before the
Punong Barangay/Pangkat ng Tagapagkasundo;
2. A settlement was not reached;
3. The Complainant wishes to pursue an action against the respondent in the
Court of Law;
4. Therefore, the corresponding complaint for the dispute may now be filed in
Court.
This 30th day of May, 2014 at Mandaluyong City, Philippines.

Ms. Darna
Lupon Secretary

Attested:
Brgy. Captain Barbel
Lupon Chairman