Office of the Barangay Captain

CERTIFICATE OF RESIDENCY/BARANGAY CLEARANCE

CONTROL NO: 1255678

I.D NO: 78908900

TO WHOM IT MAY CONCERN:

This is to certify that MARIA LUISA RAMOS, of legal age, Filipino

citizen is a bonafide resident of 12345 Taft Avenue, Malate, Manila, Manila City
Barangay Makaliwa, she is known to me with a Good Moral character, law
abiding citizen in the community. She has NO CRIMINAL RECORD found in
our Barangay Records.

This certification is being issued upon the request of the aforementioned to

support her Filing of a Petition for Declaration of Nullity of Marriage
requirement.

This certification is issued in accordance with the implementation of the

provision of the NEW LOCAL GOVERNMENT CODE of 1991.

Signed this 28th day of September, 2019 Barangay Makaliwa, Manila City,
Philippines

Prepared By: Verified By:

JOHN LIM JAMES DEAN

Desk Officer Barangay Councilor
Approved By:
Jerome Imbong
Brgy. Captain
SKETCH MAP of Petitioner’s place of residence