Barangay Clearance

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Republic of the Philippines

Province of___________
Municipality of ________

BARANGAY ___________

OFFICE OF THE PUNONG BARANGAY


B A R A N G A Y C L E A R AN C E

TO WHOM IT MAY CONCERN:

This is to certify that _ , yrs. old, legal age, single/married/widow


and presently residing at Barangay _____________________, Birthdate and whose
signature, right hand thumb mark and Community Tax Certificate No. Appears below is to
known to me be a person of good moral character, peaceful and law abiding citizen of this
community.

This certification is issued to attest his/her good character and personal identity and to
be used for whatever legal purposes it may serve.

Issued this __ day of , 2024.

_______________
Punong Barangay
RIGHT HAND

THUMBMARK

CTC No.
Issued at
Issued on
Control No:
Republic of the Philippines
Province of___________
Municipality of ________

BARANGAY ___________

OFFICE OF THE PUNONG BARANGAY


NOTE: “NOT VALID WITHOUT BARANGAY SEAL AND VALID ONLY FOR NINETY
(90) DAYS AFTER DATE ISSUE.”

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