KP FORM # 16: AMICABLE SETTLEMENT Republic of the Philippines Province of __________ CITY/MUNICIPALITY OF ______________ Barangay _________________ OFFICE OF THE LUPONG TAGAPAMAYAPA ___________________ ___________________ Complainant/s
Barangay Case No. ________________ For: ____________________________ ________________________________ ________________________________
— against — __________________ __________________ Respondent/s AMICABLE SETTLEMENT We, complainant/s and respondent/s in the above-captioned case, do hereby agree to settle our dispute as follows: __________________________________________ __________________________________________ __________________________________________ and bind ourselves to comply honestly and faithfully with the above terms of settlement. Entered into this ______ day of __________, 19_______. Complainant/s ___________________ ___________________
Respondent/s __________________ __________________ ATTESTATION
I hereby certify that the foregoing amicable settlement was entered into by the parties freely and voluntarily, after I had explained to them the nature and consequence of such settlement. ______________________________ Punong Barangay/Pangkat Chairman
UNSAON MAN NATO PAGSIGURO NGA ILANG TUMANON ANG ILANG GIKASABUTAN?
HUMAN SA NAPULO KA ADLAW, ANG ILANG KASABUTAN MAMAHIMO NANG IPATUMAN UG KINI DUNAY KUSOG UG EPEKTO SAMA SA
USA KA DESISYON SA KORTE.
K A TA R U N G A N G PA M B A R A N G AY
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