Republic of the Philppines

Province of Davao del Sur

Municipality of ________________
Barangay of _________________

OFFICE OF THE BARC CHAIRMAN

CERTIFICATION

To Whom It May Concern:

THIS IS TO CERTIFY that the landholding registered in the name of
_______________________________________
covered
by
Original/Transfer
Certificate of Title No. __________________, identified as Lot No.
________________________________________,
containing
an
area
of
_________________________________________________________ (
)
square
meters,
more
or
less,
situated
at
______________________________________, Davao del Sur is TENANTED / NOT
TENANTED and is not covered under the
Comprehensive
Agrarian
Reform
Program (CARP) of R.A 6657.
This certification is issued to support the application for DAR
CLEARANCE for _______________________________________________ purposes.
Done this _________ day of _____________________,
___________________________________________, Davao del Sur.

at

__________________________
BARC CHAIRMAN