47 Land Distribution and Information Schedule

DAR form for land distribution and information schedule

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CARPER LAD Form No. 47
(Revised CARP-LAD Form No. 47)
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Region No. _________
Province of _______________
Municipality of _________
LAND DISTRIBUTION AND INFORMATION SCHEDULE
Original Property Information:
Name of Landowner/Estate: ________________________________________
Collective CLOA Information:
OCT/TCT No.: __________________
Survey No.: _________________
Title No. _____________ Area (Ha.) _______________
TD No.: ________________________
Location of Property: ______________________________________________
Date Registered _____________________
Area per Title/TD (Ha.) ___________Total Area Acquired (Ha.) ____________
Individual Lots Information:
RP Title No. ________________
Date Registered __________________
Subdivision Survey No. ______________________
(To be filled-up by DAR)

Name of Beneficiary (1)
(Last Name, First Name Middle Initial)
Name of Spouse

(2)

(To be filled-up by LBP)

Lot
No.
(4)

CLOA Information

(Last Name, First Name Middle Initial)

Serial No.
(5)

Address of Beneficiary (3)

Title No.

Certified Correct (byDAR):
_______________________
Printed Name and Signature
Provincial Agrarian Reform Officer II
Province_______________)
____________________
Date

Reg’n. Date (7)
Occupancy
( Date (8)
6
)

Land Use

Area
(sq.m.)
(9)

REMARKS:
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

Crop
(10)

Area
(sq.m.)
(11)

LBP Claim No. ____________________
AGP/Crop (P)
Approved
Value/Crop
Per Ha.
(12)

Aggregat
e
(13)

Certified Correct (by LBP):
________________________
Printed Name and Signature
LBP-LVO Head
(Region _______)
__________________
Date

Per
Ha.
(14)

Total
(15)

Improvements

Type
(16)

Appraised
Value (17)

ERUL
(18)

REMARKS:
________________________________________________
________________________________________________
________________________________________________
________________________________________________