Downloadable Forms at: www.dar.gov.
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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 - LO
Downloadable Forms at: www.dar.gov.ph free of charge
Duplicate - DARPO
Triplicate - DARMO