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42 Certification on Landowner's Failure to Submit BIR Statement

DAR certification on landowner's failure to submit BIR - filed audited Financial statement

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CARPER LAD Form No. 42
(Revised CARP-LAD Form No. 19)

Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No._______
Province of _______________
Municipality of _____________
CERTIFICATION ON LANDOWNER’S FAILURE TO SUBMIT
BIR-FILED AUDITED FINANCIAL STATEMENT

This is to certify that pursuant to the Notice of Coverage (CARPER LAD Form No. 3) or Acceptance Letter (CARPER LAD Form No. 20)
issued on ____________________ regarding the landholding/s described as follows:
Name of LO/s

:

OCT/TCT No/s.
TD No.
Lot No/s.
Approved Survey No/s.
Area per OCT/TCT/TD
Location (Municipality, Barangay)

:
:
:
:
:
:

The above-named landowner has failed to submit the latest BIR-filed Audited Financial Statement/s and accounting records on the
said landholding/s within the prescribed fifteen (15) days prior to the date of field investigation, as such the DAR and the LBP shall
adopt applicable Industry data which shall be used in determining the production, cost and net income of the subject land holding.
Done this _____ day of ________________, 20___ at _________________________.

Municipal Agrarian Reform Officer
(Signature over Printed Name)

Copy Distribution:
Original Duplicate Triplicate -

CF
DARPO
DARMO
 
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