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25 Request for Certificate of Retention
DAR request form for certificate of retention
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CARPER LAD Form No. 24
(Revised CARP-LAD Form No. 12)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. _______
Province of ________________
Municipality of _______________________
CERTIFICATION OF RETENTION
To Whom It May Concern:
I, Provincial Agrarian Reform Officer II (PARO II) of ______________________________, declares that pursuant to
the right of retention on agricultural land/s as provided under Section 6 of Republic Act (R.A.) No. 6657, as
amended,
____________________________________________
(Landowner)
has been granted a retention area of _________ hectares of his/her agricultural land/s described as follows:
TCT/OCT No.
TD No.
Lot No.
Approved Survey No.
Area (Has.)
Location (Municipality, Barangay)
:
:
:
:
:
:
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
The said retained area is described as follows:
Lot No.
Approved Survey No.
:
:
______________________________
______________________________
(Pls. check appropriate box):
previously issued with an Order of Retention dated __________ by the DAR Regional Director.
a portion of the landowner’s landholding/s with a total area of ____________
hectares, more or less, embraced by TCT/OCT No./s ____________________ registered in
his/her name by the Registry of Deeds of __________________________________ of the
City/Municipality/ Provincial Assessor’s Office of ________________________.
not covered by the Comprehensive Agrarian Reform Program (CARP) by
virtue of its being five (5) hectares/less than five (5) hectares.
Issued in _____________________________________, on this _____day of _______________ 20____.
________________________________
Provincial Agrarian Reform Officer II
(Signature over Printed Name)
Copy Distribution:
Original
Duplicate
Triplicate
-
LO
DARPO
DARMO
