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14 Report on Failure to Serve the Notice of Coverage or VOS acceptance letter to the Landowner

DAR acceptance report letter on failure to serve the notice of coverage or VOS to the LO and request for NOC publication

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CARPER LAD Form No. 12A
(New)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. ______
Province of _________________
Municipality of ______________________
REQUEST FOR PERSONAL SERVICE OF THE NOC OR VOS ACCEPTANCE LETTER
TO THE LANDOWNER RESIDING IN METRO MANILA
_______________
Date
MEMORANDUM
FOR

:

THE BLAD DIRECTOR
DARCO, QUEZON CITY

FROM

:

_____________________________
Provincial Agrarian Reform Officer II

SUBJECT

:

Request for Personal Service of the NOC or VOS Acceptance Letter to the LO Residing in Metro Manila

This is to solicit your assistance in serving the attached NOC or VOS Acceptance Letter to the following:

Name of LO
(Last Name, First Name, Middle Initial)

CARPER LAD Form No. 12A/ Page 1 of 3 pages

LO’s Residence

Title No.

TD No.

Lot No.

Survey No.

Area (has.)

Location
(Municipality, Barangay)

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

(use additional sheets if necessary)

Name of LO
(Last Name, First Name, Middle Initial)

LO’s Residence

Title No.

TD No.

Lot No.

(use additional sheets if necessary)
Please provide us with the Return of Service within five (5) days from receipt thereof.
Thank you.
_____________________________
Provincial Agrarian Reform Officer II
(Signature over printed name)
Copy Distribution
Original
Duplicate
Original
Triplicate
Quadruplicate

-

Claim folder
BLAD
DARMO/File
DARPO

CARPER LAD Form No. 12A/ Page 2 of 3 pages

Survey No.

Area (has.)

Location
(Municipality, Barangay)

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

CARPER LAD Form No. 12A
(New)
ADDITIONAL SHEETS FOR NAMES OF LANDOWNERS
Name of LO
(Last Name, First Name, Middle Initial)

LO’s Residence

If this sheet is not enough, make photocopy/ies.
Each page should be signed by the PARO on the right hand side of the page.

CARPER LAD Form No. 12A/ Page 3 of 3 pages

Title No.

TD No.

Lot No.

Survey No.

Area (has.)

Location
(Municipality, Barangay)
 
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