CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY THAT ____________________, ___ YEARS OLD IS A BONAFIED

RESIDENCE OF__________________________.THAT HE HAD A GOOD STANDING IN THE COMMUNITY
NO DEGORATORY RECORD .

THIS IS ALSO TO CERTIFY THAT THE ABOVE MENTIONED NAME IS BELONG TO THE POOR
AND INDIGENT FAMILY.

THIS CERTIFICATION IS ISSUED UPON THE REQUEST OF THE INTERESTED PARTY IN

WHATEVER LEGAL PURPOSES THIS MAY SERVE.

ISSUED THIS ______ DAY OF __________ 2022 AT THE OFFICE OF THE PUNONG
BARANGAY.

CERTIFIED BY:

PUNONG BARANGAY