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66 Monthly Report of CLOA Distributed to Agrarian Reform Beneficiaries (ARBs)
DAR monthly report of distributed CLOA to ARBs
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CARPER LAD Form No. 67
(New)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. ______
Province of _________________
Municipality of ___________
REPORT ON ARB’s FAILURE TO TAKE POSSESSION OF AWARDED LAND
______________
Date
MEMORANDUM
FOR
:
____________________________
Provincial Agrarian Reform Officer II
FROM
:
____________________________
Municipal Agrarian Reform Officer
SUBJECT
:
Report that the ARBs are unable to take possession of their awarded land
This is to inform you that the following ARBs are unable to take possession of their awarded land as follows:
Name of ARB
(Last Name, First Name, Middle
Initial)
CLOA-Title
No.
Area
(sq.
meters)
Lot No. and
Survey No.
Location
(Municipality,
Barangay)
(Use additional sheets if necessary)
Their failure to take possession was brought about by threats, harassment and intimidations inflicted against
their person and their immediate farm household, putting them physically in danger and mentally disturbed.
In this connection, it is respectfully recommended that a Writ of Installation be issued by your office in order to
protect the rights of our ARBs.
For your favorable consideration.
_____________________________
Municipal Agrarian Reform Officer
(Signature over printed name)
Copy Distribution
Original
Duplicate
-
DARPO
DARMO/File
CARPER LAD Form No. 67/ Page 1 of 2
Downloadable Forms at: www.dar.gov.ph free of charge
CARPER LAD Form No. 67
(New)
ADDITIONAL SHEET FOR LIST OF ARBs WHO ARE UNABLE TO TAKE POSSESSION OF THEIR AWARDED LAND
Name of ARB
(Last Name, First Name, Middle
Initial)
CLOA-Title
No.
Area
(sq.
meters)
Lot No. and
Survey No.
Location
(Municipality,
Barangay)
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 MARO.
CARPER LAD Form No. 67/ Page 2 of 2
