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15 Request for Publication
DAR request form for publication
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CARPER LAD Form No. 15
(New)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. ______
Province of _________________
Municipality of _____________________
REQUEST FOR PUBLICATION
_____________
Date
MEMORANDUM
FOR
:
THE BLAD DIRECTOR
DARCO, QUEZON CITY
FROM
:
______________________________
Provincial Agrarian Reform Officer II
SUBJECT
:
Request for Publication
This is to solicit your assistance in publication of the Notice of Coverage (NOC) or Voluntary offer to Sell (VOS) Acceptance Letter of the following:
Name of LO*
(Last Name, First Name,
Middle Initial)
Last known Address
of LO
CARPER LAD Form No. 15/ page 1 of 3 pages
Title No.
TD No.
Lot No.
Survey No.
Area
(has.)
LAD
Phasing
Location of
the LH
(Municipality,
Barangay)
Reasons for
need of
Publication
Downloadable Forms at: www.dar.gov.ph free of charge
Name of LO*
(Last Name, First Name,
Middle Initial)
Last known Address
of LO
Title No.
TD No.
Lot No.
Survey No.
Area
(has.)
LAD
Phasing
Location of
the LH
(Municipality,
Barangay)
(Use additional sheets if necessary) PARO should sign each page.
Publication is resorted to in lieu of the failure of personal service or substituted service of the NOC or to the concerned Landowners, as per attached CARPER LAD Form No. 14.
Please provide us with the Certificate of Publication for inclusion in the Claim folder.
Thank you.
_______________________________
Provincial Agrarian Reform Officer II
(Signature over Printed Name)
*indicate names of all co-owners
**LEGEND: 1 Failed personal service and/or substituted service
2 Unknown Residence
3 Extra-territorial service
4 Settlement of Estate pending with Court or No Executor or Administrator
Copy Distribution
Original
Duplicate Original
-Claim folder
-BLAD
CARPER LAD Form No. 15/ page 2 of 3 pages
Triplicate
Quadruplicate
-DARMO/File
-DARPO
Reasons for
need of
Publication**
Downloadable Forms at: www.dar.gov.ph free of charge
CARPER LAD Form No. 15
ADDITIONAL SHEETS FOR CARPER LAD Form No. 15
Name of LO*
(Last Name, First Name,
Middle Initial)
Last known Address
of LO
Note: If additional sheets are needed, photocopy this.
PARO should sign each page.
CARPER LAD Form No. 15/ page 3 of 3 pages
Title No.
TD No.
Lot No.
Survey No.
Area
(has.)
LAD
Phasing
Location of
the LH
(Municipality,
Barangay)
Reasons for
need of
Publication
