CY LUPONG TAGAPAMAYAPA INCENTIVE AWARDS (LTIA)

LTIA FORM O7-A : LIST OF CASES

Name of the Lupong Tagapamayapa

Punong Barangay Barangay
City/Municipality Logo Here
Province
LIST OF CASES
CASE CASE COMPLAINT NATURE DATE DATE OF ACTION DATE OF DATE OF MAIN POINT STATUS REMARKS
NO. TITLE TITLE FILED INITIAL TAKEN SETTLEMEN EXECUTION OF OF
CONFRONT T OF OF AGREEMENT COMPLIAN
ATION AWARD SETTLEMEN CE ON THE
T AWARD SETTLEME
NT OR
AWARD
Sample: Juan Collection of Civil January January 25, M January 28, February 5, Respondent Complete Respondent
Dela Sum of Money 22, 2019 2019 2019 2016 agreed to pay paid
2029-01 Cruz vs. Complainant Complainant
Juana Php500.00 per the amount
Change month starting of Php500.00
February to pay on February
for the total debt 5, March 6,
amount of April 7 and
Php2,000.00 May 5, 2019

Prepared by: Approved by:

Lupon Secretary Punong Barangay

Signature over Printed Name Signature over Printed Name
Date: __________________ Date: __________________