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Legal Forms Summer Reviewer VERIFICATION AND CERTIFICATION AGAINST FORUM SHOPPING E.

Complaint before the Lupon Tagapamayapa Republic of the PhilippinesProvince of_________ City/Municipality______ Barangay________ ________________,Complainant,-versusBarangay Case No._____ For:_____________ ________________,Respondent.x-----------------------------------x COMPLAINT I hereby complain against respondent ____________ for violation of my rights and interest committedin the following manner: (Body) - Allegations (Prayer) WHEREFORE , it is respectfully prayed that____________________ Copy relief prayed for Made this_____day of__________, 200__ QuickTime and aTIFF (Uncompressed) decompressor are needed to see this picture. Punong Barangay/ Lupon ChairmanSummons and notices of hearing sent to the parties. If the parties could not settle their dispute, the PankatSecretary of the Office of the Lupon Tagapamayapa shall issue a Certificate to file action. Page 25 of 5

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