CARPER LAD FORM No.
70- H
REQUEST FOR PARCELIZATION OF COLLECTIVE CERTIFICATE OF LANDOWNERSHIP
AWARD (CCLOA)
____________________________
Date
The Municipal Agrarian Reform Program Officer (MARPO)
____________________________________________
____________________________________________
Sir/Ma’am:
The undersigned agrarian reform beneficiaries (ARBs) hereby request for the parcelization
of the landholding covered by a CCLOA in the name of ________________________(ARB
cooperative/association or other forms of collective organization) and described as follows:
CCLOA Serial No: ____________________________________
OCT/TCT No : ___________________________________
Lot No. : ___________________________________
Approved Survey No. __________________________________
Total ARBs ___________________________________
Location of Property ___________________________________
The request for parcelization of the said landholding and the subsequent issuance of
individual CLOA are due to the following:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Attached are the following documents to support our request/petition for parcelization:
____/ Owner’s Duplicate Copy (ODC) of CCLOA
____/ Proof of Identification/s
____/ Copy of Petition for the Re-issuance of ODC by:
. DAR, If ODC lost by DAR
. ARB/Cooperative/Association/Other Forms of Farmer’s Collective Organization, If
ODC was lost by their of the same group.
____/ Sworn Undertaking Agreement executed by the applicants/ARBs that they are
owners, consenting to the parcelization/subdivision of the subject CCLOA to pay
for
the cost and other fees incurred related to the subdivision/parcelization survey.
CARPER LAD FORM No. 70- H
____/ Registry of Deeds (ROD) – certified true copy of CCLOA subject for
subdivision/parcelization.
Thank you.
Respectfully yours,
Names of ARBs included in the existing Signature
CLOA
(Use additional sheet if necessary)
Copy Distributions:
Original : MARPO
Duplicate: PARPO
Triplicate: ARB/ Cooperative/Organization/Association