63 Transmittal Memorandum to PARO II of the Signed and Sealed CLOAs

DAR transmittal memorandum to PAR II of the signed and sealed CLOA's

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CARPER LAD Form No. 63
(Revised CARP-LAD Form No. 62)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. ______
Province of ____________________
Municipality of _____________________
Transmittal Memorandum to PARO II of the Signed and Sealed CLOAs
______________________
Date
MEMORANDUM
TO

:

______________________________
Provincial Agrarian Reform Officer II

FROM

:

______________________________
Regional Director

SUBJECT

:

Transmittal of Signed and Sealed CLOAs

This is to transmit the following Signed and Sealed CLOAs in the name of ARBs within the Landholding of
___________________, covered by TCT/OCT No. ______ ____________, TD No. _____________ and located at
(Municipality, Barangay) ____________________________________________ per attached Signing and Sealing
Machine Utilization Recording and Reporting Sheet (CARPER LAD Annex A):

Name of ARB
(Family Name, First Name, Middle
Initial)

CLOA
Serial No.

Lot No. and
Survey No.

(Use additional sheet, if necessary)
For the PAROs appropriate action.
_______________________________
Regional Director
(Signature over printed name)
CARPER LAD Form 63/ Page 1 of 3

Area (sq.m.)

Date of Signing
and Sealing of
CLOA
(MM/DD/YYYY)

Downloadable Forms at: www.dar.gov.ph free of charge

=========================================================================
(Please do not detach)
Received by:
___________________________
CARPO for Operations
Name and Signature

Attached: Signing and Sealing Machine Utilization Recording and Reporting Sheet (CARPER LAD Annex A)
Copy Distribution:
Original
Duplicate
Triplicate
Quadruplicate

:
:
:
:

CARPER LAD Form 63/ Page 2 of 3

DARPO
LDF
DARMO
DARRO

Downloadable Forms at: www.dar.gov.ph free of charge

CARPER LAD Form No. 63
(Revised CARP-LAD Form No. 62)
ADDITIONAL SHEET FOR THE TRANSMITTAL OF SIGNED AND SEALED CLOAs

Name of ARB
(Family Name, First Name, Middle
Initial)

CLOA Serial
No.

Lot No. and
Survey No.

Area (sq.m.)

Date of Signing
and Sealing of
CLOA
(MM/DD/YYYY)

Note: Put a big “X” in the row immediately after writing/typing/encoding the name of the last ARB in the list.
Then put the words “NOTHING FOLLOWS”. Use additional sheet, if necessary. Each additional sheet should be
initialed by the Regional Director.

CARPER LAD Form 63/ Page 3 of 3