REPUBLIC OF THE PHILIPPINES

PROCVINCE OF PANGASINAN
MUNICIPALITY OF LINGAYEN
BARANGAY OF DOMALANDAN WEST

OFFICE OF THE BARANGAY

C E R T I F I C A T I O N

TO WHOM IT MAY CONCERN:

This is to certify that the parcel of land owned by SOFRONIO QUIMSON, married to
MARIFE JACOBA, MA. AGNES FATIMA Q. MACARAEG married to ROMMEL S.
MACARAEG, represented by MARK ANTHONY J. QUIMSON and JILL-ANN
SHARLENE J. QUIMSON, situated in Brgy. Domalandan West, Lingayen, Pangasinan,
designated as Lot 2764, Cad. 373-D Lingayen Cadastre, with a total area of 2,142 SQUARE
METERS, more or less, covered by Tax Declaration Nos. ,
, and that they are in actual possession and occupation, and
has not been a subject of any claims nor conflict as of date as per record kept in this Barangay
office.

This certification is issued on this ______ day of ______________, 2023 upon request of
above-named parties for subdivision survey purposes.

Barangay Captain