Republic of the Philippines
MUNICIPALITY OF BAUTISTA
Province of Pangasinan
BARANGAY SINABAAN
OFFICE OF THE PUNONG BARANGAY
CERTIFICATE OF RESIDENCY
To Whom It May Concern:
This is to certify that _____________________________, of legal age, Filipino
citizen, whose specimen signature appears below, is a PERMANENT RESIDENT of
Barangay Sinabaan, Bautista, Pangasinan.
Based on records of this office, he has been residing at Barangay Sinabaan,
Bautista, Pangasinan.
This CERTIFICATION is being issued upon the request of the above-named person
for whatever legal purposes it may deem serve him.
Issued this _____ day of __________________, _______ at Barangay Sinabaan,
Bautista, Pangasinan.
____________________ ELVIRA F. MARTINEZ
Signature Punong Barangay
Community Tax Cert. No. ___________
Issued at ________________________
On _____________________________