Republic of the Philippines

Province of _________
Municipality of _________
BARANGAY ________________

Office of the Punong Barangay

CERTIFICATION

To Whom It May Concern:

This is to certify that M___________________________________________________,

a bona fide resident of Barangay _______________, Municipality of _________, Province of
__________, own (no. of tress) tree/s and it is found within his/her property. He/She desires to
cut these trees.

This certification is being issued upon the request of the abovementioned name granting
him/her the permission to cut the trees that he/she owns and for whatever legal intents and
purposes that this may serve.

Issued this _______ day of _____________________ at Barangay _______________,

Municipality of _________, Province of __________

_____________________
Punong Barangay

Not valid without seal