Republika ng Pilipinas

LALAWIGAN NG RIZAL

Road A Phase IV COGEO Village, Barangay Bagong Nayon, Antipolo City 1870 Rizal, Philippines
 barangay_bagongnayon@yahoo.com   647-0942   942-0358   bagongnayon.antipolo@gmail.com
www.facebook.com/BagongNayonOfficialPage   www.antipolo.ph

KP PORMULARYO BLG. 27

BARANGAY CASE NO. _______________

____________________________
COMPLAINANT/S
____________________________
____________________________
(Address)

AGAINST: FOR:

____________________________ ____________________________________
RESPONDENT/S
____________________________ ____________________________________
Barangay Bagong Nayon,Antipolo City
(Address)

NOTICE OF EXECUTION
WHEREAS, on ______________(date), an amicable settlement was signed by the parties in the
above-entitled case [or an arbitration award was rendered by the Punong Barangay/Pangkat ng
Tagapagkasundo];
WHEREAS, the terms and conditions of the settlement, the dispositive portion of the award.
read:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

The said settlement/award is now final and executory;

WHEREAS, the party obliged ________________ (name) has not complied voluntarily with the
aforestated amicable settlement/ arbitration award, within the period of five (5) days from the
date of hearing on the motion for execution;
NOW, THEREFORE, in behalf of the Lupong Tagapamayapa and by virtue of the powers vested
in me and the Lupon by the Katarungang Pambarangay Law and Rules, I shall cause to be
realized from the goods and personal property of __________________ (name of party obliged)
the sum of _________________ (state amount of settlement or award) upon in the said amicable
settlement [or adjudged in the said arbitration award], unless voluntary compliance of said
settlement or award shall have been made upon receipt hereof.
Signed this _________ day of ___________, 19____.

___________________
Punong Barangay

Copy furnished:
____________________________ ____________________________
____________________________ ____________________________
Complainant/s Respondent/s

Barangay Bagong Nayon: Kabalikat sa Kaunlaran at Pagbabago ng Lungsod ng Antipolo.