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37 Application to Purchase and Farmer's Undertaking

DAR form for farmer's undertaking and application form to purchase

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CARPER LAD Form No. 37
(Revised CARP-LAD Form No. 42)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. ______
Province of ________________
Municipality of ______________
APPLICATION TO PURCHASE AND FARMER’S UNDERTAKING
______________________
Date
The Honorable Secretary
Department of Agrarian Reform
Diliman, Quezon City
Thru:
The Municipal Agrarian Reform Officer
_______________________________
Sir:
Pursuant to the provisions of the Republic Act (R.A.) No. 6657, as amended, and the pertinent implementing rules and regulations, I/we, the identified and qualified agrarian reform beneficiary/ies (ARBs) of the
Comprehensive Agrarian Reform Program (CARP), do hereby apply to purchase a parcel of the land owned by _____________________________________________, embraced by OCT/TCTNo. ________________,TD No.
______________________. with Lot No. _______________, and Approved Survey No. __________, with a total area of _________(has.), more or less, and located at (Municipality, Barangay)
_____________________________________________________________________.
I/We obligate myself/ourselves to pay the land taxes thereon, and the amortization of the said property computed in accordance with the prevailing and pertinent provisions of the Comprehensive Agrarian Reform Law
(CARL), its rules and regulations. Likewise, I/we acknowledge and confirm that a lien by way of mortgage in favor of the Land Bank of the Philippines (LBP) shall secure our obligation after LBP undertakes to finance the
acquisition of the subject farmlots/homelots/other improvements, including interest thereon and penalties, if any.
I/We request that the said property be awarded to me/us under ( ) individual ownership or ( ) collective ownership through our
cooperative/farmer’s association ___________________________________________.
(Indicate Name)
As recipient/s of Certificate of Land Ownership Award (CLOA), I/we shall make the land awarded to me/us as productive as possible and I/we am/are aware that any negligence and misuse of the land or any support
services extended to me/us shall forfeit my/our rights to continue as beneficiary/ies of the CARP.
Finally, I/we obligate myself/ourselves to comply with all the agrarian laws, rules and regulations pertaining to the acquisition and distribution of the land applied for.
In consideration of the foregoing, I/we hereby affix my/our signature/s and/or right thumb mark/s to this instrument correspondingly indicating the classification of the property purchased.

CARPER LAD Form No. 37/Page 1 of 6

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Name of Qualified ARB
(Last Name, First Name, Middle Initial)

1
2

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

Indicate the classification of the property purchased e.g. farmlot, homelot, improvement.
Indicate IND for Individual CLOA and COL for Collective CLOA

CARPER LAD Form No. 37/Page 2 of 6

Address

Classification
of the
Property
Purchased1

Ownership
Preference
Write: IND or
COL2

ARB’s Signature and/or Thumb
Mark

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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”.
(Note: Use additional sheets, if necessary)
REPUBLIC OF THE PHILIPPINES
)
MUNICIPALITY/CITY OF _____________ ) S.S
PROVINCE OF _____________________ )
Subscribed and sworn to before me this _______ day of _______________, 20____, in _______________________, personally appeared the following person/s, known to me and to me known to be the same person/s
who executed this sworn Application to Purchase and Farmer’s Undertaking (APFU) after exhibiting to me the hereunder their valid identification number:

CARPER LAD Form No. 37/Page 3 of 6

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

Valid Identification No.

Date Issued

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)
The above-named ARB/s acknowledged to me under oath that the same is his/her/their free and voluntary deed and full comprehension of its legal consequences.
WITNESS MY HAND AND OFFICIAL SEAL

HON. _______________________________
Presiding Judge
BranchNo.____________________,
_________________________Judicial Region
Copy Distribution:
Original
Duplicate
Triplicate
Quadruplicate

:
:
:
:

CF
DARMO File
ARB
DARPO

CARPER LAD Form No. 37/Page 4 of 6

Downloadable Forms at: www.dar.gov.ph free of charge
CARPER LAD Form No. 37
(Revised CARP-LAD Form No. 42)

ADDITIONAL SHEET FOR THE NAMES AND SIGNATURES OF QUALIFIED ARBs
Name of Qualified
ARB
(Last Name, First
Name, Middle Initial)

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

Address

Classification
of the
Property
Purchased2

Ownership
Preference
Write: IND
or COL2

ARB’s Signature
and/or Thumb
Mark

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”.

2
2

Indicate the classification of the property purchased e.g. farmlot, homelot, improvement.
Indicate IND for Individual CLOA and COL for Collective CLOA

CARPER LAD Form No. 37/Page 5 of 6

Downloadable Forms at: www.dar.gov.ph free of charge
CARPER LAD Form No. 37

(Revised CARP-LAD Form No. 42)

ADDITIONAL SHEET FOR THE LIST OF QUALIFIED ARBs WHO HAVE SWORN
THE APFU BEFORE THE JUDGE
Name of ARB
(Last Name, First Name, Middle Initial)

Valid Identification No.

Date Issued

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”.
The above-named ARB/s acknowledged to me under oath that the same is his/her/their free and voluntary deed and full
comprehension of its legal consequences.
WITNESS MY HAND AND OFFICIAL SEAL
HON. _______________________________
Presiding Judge
Branch No. ___________________________,
_________________________Judicial Region

CARPER LAD Form No. 37/Page 6 of 6
 
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