Republic of the Philippines

Region VII, Central Visayas

Province of Negros Oriental
From the Desk of the
City of Guihulngan
Punong Barangay Barangay Linantuyan
From the Desk of OFFICE OF THE LUPONG TAGAPAMAYAPA

____________________________ Barangay Case No. ________________

____________________________ For: ____________________________
Complainant/s ________________________________
________________________________
-against-
____________________________
____________________________
Respondent/s

COMPLAINT

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

my/our rights and interest in the following manner:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
WHEREFORE, I/WE pray that the following relief/s be granted to me/us in
accordance with law and/or equity:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Made this _____ day of _______________________, 2023.

__________________________
Complainant/s

Received this ___ day of _______________________, 2024.

BENERANDO B.
TURTOR
Barangay Captain