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APPLICATION FOR ISSUANCE OF DAR CLEARANCE

(Pursuant to DAR A.O. No. 8, Series of 1995 and A.O. No. 6, Series of 1996)
THE HON. REGIONAL DIRECTOR
DAR-REGIONAL OFFICE
The PARPO
Department of Agrarian Reform
Talipan, Pagbilao, Quezon
Sir/Madam:
We have the honor to request for issuance of DAR Certification/Clearance pursuant to DAR
Administrative Order No. 8, Series of 1995 and Administrative Order No. 6, Series of 1996 regarding the
landholdings situated at Barangay Bukal, Sariaya, Quezon, covered by Title No. T-30914 with an area of
11,740 square meters.
In support of our application, we submitting all pertinent documents for verification/evaluation
and consideration.

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Electronic Copy of Title;


Certified copy of Tax Declaration;
Deed of Sale;
Tax Clearance;
Certification of full payment of amortization issued by the Landbank;
Certification regarding lands/equipment production etc. (DAR/LBP);
Certification regarding full payment of irrigation fees of the land (NIA);
Certification from the NIA as to IRRIGABILITY OR NON-IRRIGABILITY of the land as per
AO 6, series of 1996;
9. Affidavit of transferor stating that the subject property has no pending case at DARAB or any its
adjudicators, the DAR, the Court or at the Office of the President;
10. Affidavit of aggregate are of landholding of transferor/transferee;
11. Xerox copy of Income Tax Return of Transferee/Affidavit of Non-filing of Tax;
12. Residence Certificate;
13. Certification from the Municipal and Provincial Assessor regarding the extent of agricultural
landholding (transferor/transferee);
14. BARC Proof of Service
15. FBs Information Sheet;
16. Applicants Information Sheet;
17. Joint Certification Of MARO and BARC;
18. Affidavit of Undertaking.

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