Republic of the Philippines

Province of Sorsogon
CITY OF SORSOGON
Barangay Macabog
OFFICE OF THE LUPONG TAGAPAMAYAPA

_____________________ Barangay Case No. _________________

_____________________ For: _____________________________
Complainant/s

--- against ---

_____________________
_____________________
Respondent/s

COMPLAINT

I/We hereby complain against above-named respondent/s for violating

my/our rights and interests in the following manner:
1.
2.
3.

THEREFORE, I/We pray that the following relief/s be granted to

me/us in accordance with law and/or equity:
1.
2.
3.

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Made this _____ day of _________________, 2021.

_______________________
Complainant/s

Received and filed this ______ day of ___________, 2021.

_________________________
Punong Barangay / Lupon Chairman

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