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26 List of Landholdings with Issued Certificate of Retention

DAR form for list of landholdings with ICR

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CARPER LAD Form No. 26
(Revised CARP LAD Form No. 14)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. ____________
Province of _________________
Municipality of ______________________
LIST OF LANDHOLDINGS WITH ISSUED CERTIFICATE OF RETENTION
_________ Quarter of CY ___________

Date
of
Entry
(1)

Name of Landowner
(LO)

Last
Name

(2)
First
Name

Address of Landowner

Location of
Property

(3)
Middle
Name

No. &
Street

Sitio
/
Brgy

No. of
Depen
-dents

(4)
City/
Mun

Prov

Mun

Brgy

(5)

OCT
/
TCT/
No.
(6)

Tax
Dec
No.

Lot No.
and
Approved
Survey
No.
(7)

Area
per
Title/
Tax Dec.
(8)

Date of
Certificati
on
of
Retention
(MM/DD/
YYYY)
(9)

Approved
Survey
No. of
Retained
Area
(10)

Area
Retain
ed
(sq.
m.)

Name
of
Tenants
/
Lessees

(11)
(12)

CARPER LAD Form No. 26/Page 1 of 2

Remarks

(13)

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1/Date of

the landholding was entered into the inventory form
2/Complete name of the landowner-applicant/s (list all names of LOs, if co-ownership)
3/Complete address of the landowner-applicant/s
4/Particular location of the landholding
5/No. of children of each landowner-applicant
6/Title No. of the landholding/s
6/a Tax Declaration No. of the landholding/s

7/Specific Lot No. and Approved Survey No. of the landholding
8/Area per Title/Tax Declaration of the landholding
9/Date of Certification of Retention was issued
10/Approved Survey No. of the retained area
11/Area retained by the LO
12/Name of the tenants/lessees, if retained area is tenanted
13/Remarks

Prepared by:

Verified and Approved by:

______________________________
Clerk
Operations Division
(Signature over Printed Name)

_______________________________
Chief Agrarian Reform Program Officer
Operations Division
(Signature over Printed Name)

______________________________
Date

_____________________________
Date

CARPER LAD Form No. 26/Page 2 of 2

Noted by:
__________________________
Provincial Agrarian Reform Officer II
(Signature over Printed Name)

____________________________
Date
 
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