Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Municipality of Pilar
Province of Capiz
Region No. VI

REQUEST FOR CERTIFICATION OF RETENTION

April 1, 2017
Date

The Provincial Agrarian Reform Program Officer

DAR, Provincial Office
Amado Lim Building, Roxas City

Sir/Madam:

May I request for the issuance of a certificate of Retention for

my landholding pursuant to Republic Act (R.A.) No.6657, as amended by
R.A. No.9700, with the total of 22,988 square meters/hectares, located
at Barangay San Blas, Municipality of Pilar, Province of Capiz and
covered with the following:

TCT/OCT/TD No. : Katibayan ng Orihinal na Titulo Blg. P-20172

Lot. No. : Lot No. 1605-B, Csd-06-011194 identical to lot
No. 5119,Cad-248, Pilar Cadastre,
Province of Capiz
Approved Survey No.:
Location of Property: Barangay San Blas, Pilar, Capiz
Area (has.) : 22,988 square meters

I certify under oath that the said landholding is the sole

agricultural land I own nationwide. I have no agricultural land
elsewhere.

Very truly yours,

GERELYN ANNIE CASTILLO

Signature over Printed of Landowner

SUBSCRIBED and SWORN to before me, a Notary Public, This ____ day
of ________, 20__, at _______________________________, the above-named
landowner presented me his/her ________________ I.D. No. __________
issued at _____________________ and he/she personally attested to me
that the statement is herein are all truth and factual.

Doc. No._____
Page No._____
Book No._____
Series of 20___
REPUBLIC OF THE PHILIPPINES )
MUNICIPALITY OF PILAR )S.S
PROVINCE OF CAPIZ )

AFFIDAVIT OF SELLER/TRANSFEROR

I, GERELYN ANNIE CASTILLO, of legal age, Filipino citizen,

married to ERNESTO CASTILLO, with resident of LOT 4, Blk. 147, K78
Karangalan Village, Cainta, Rizal, Philippines, after having been
sworn to in accordance with law hereby depose and state:

That I own a total aggregate landholding, of 22,988 square

meters, more or less, of which I sold to MARIA NAZEL D. DELA CRUZ, of
legal age, married to WILSON B. DELA CRUZ, and with postal address of
Campo Street, Poblacion, President Roxas, Capiz, under Doc. No. ___,
Page No. ___, Book No. ___ Series of 2017, Notary Public _____________
dated April ___, 2017 does not exceed five (5) hectares.

That this affidavit is executed in compliance with DAR

Administrative Orde No.___, Series of 1989 as amended by Republic Act
No., as well as to show proof that my total aggregate landholding
inclusive of the land subject of the above-mentioned transaction does
not exceed five (5) hectares.

AFFIANT SAYETH NONE.

GERELYN ANNIE CASTILLO

AFFIANT

SUBSCRIBED AND SWORN to before me this _____ day of April 2017.

Affiant exhibited her/his Valid I.D. No. ________________ issued at
_______________________. Issued on ______________________________.

NOTARY PUBLIC

Doc. No. ___;

Page No. ___;
Book No. ___;
Series of _____.
 DEED OF ABSOLUTE SALE

KNOW ALL MEN BY THIS PRESENTS:

This DEED OF ABSOLUTE SALE made and entered into by and between:

GERELYN ANNIE CASTILLO, of legal age, Filipino citizen, married

to ERNESTO CASTILLO and a resident of LOT 4, Blk. 147, K78 Karangalan
Village, Cainta, Rizal, Philippines, hereinafter referred to as the
vendor; -and-

MARIA NAZEL D. DELA CRUZ, of legal age, married to WILSON B. DELA

CRUZ, Filipino citizen, a resident of Campo St., Poblacion, President
Roxas, Capiz, Island of Panay, Philippines, hereinafter referred to as
the vendee; -witnesseth-

WHEREAS, the vendor is the lawful, absolute owner of a parcel of

land situated in the Barangay of San Blas, Municipality of Pilar,
Province of Capiz, Island of Panay, Philippines, which is more
particularly described and bounded as follows:

KATIBAYAN NG ORIHINAL NA TITULO Blg. P-20172

Lot No. 1605-B, Csd-06-011194
Identical to Lot No. 5119,Cad-248
Pilar Cadastre

Beginning at a point marked 1 of Lot No.1605-B,

Csd-06-0111-94, identical to Lot No. 5119, Cad-248; San
Blas, Pilar, Capiz being S. 78-19 E., 947.16 m. from BBM
No. 47, Pilar, Capiz. Containing an area of TWENTE TWO
THOUSAND NINE HUNDRED EIGHTY EIGHT (22,988) SQUARE METERS,
more or less. Bounded on the S., along lines 1-2 by Lot
No.1605, Csd-06-011194 identical to Lot No.5118; on the
SW., along line 2-3 by Lot No.1607, on the W., along line
3-4 by Lot No.1606; on the N., along line 4-5 by Lot No.
1605-C, Csd-06-011194, identical to Lot No. 5120 and on the
E., along line 5-1 by Lot No.1604 all of Cad-248.

WHEREAS, the vendor is willing and desirous to sell the above-

described parcel of land unto the vendee, who in turn, is willing and
desirous of buying the same from the former.

NOW, THEREFORE, for and in consideration of the sum of FIVE

HUNDRED SEVENTY FOUR THOUSAND SEVEN HUNDRED PESOS (574,700.00)
Philippine Currency, in hand paid by the said vendee, in cash, to the
vendor, receipt of which is hereunto acknowledged by the vendor to her
entire and complete satisfaction, the said vendor does hereby, by
these presents, SELL, CEDE, TRANSFER, and CONVEY, absolutely and
unconditionally, now and forever, by way of ABSOLUTE SALE, the above-
described parcel of land unto the said vendee, her heirs, assigns, and
successors-in-interest, free from any/all liens and encumbrances;

That is agreed that the real estate tax of the above-described

parcel of land up to ____________ shall be paid by the vendor while
the capital gain tax, documentary stamp tax on sale, all notarial
expenses, transfer tax and other related expenses shall be paid by the
vendee;

That it is further agreed that the vendor will execute and sign
any and all papers and documents which may be necessary to
successfully and effectively transfer the ownership of the above-
described parcel.
-page- 2
Deed of Absolute Sale
between Gerelyn Annie Castillo
and Maria Nazel D. Dela Cruz involving
Lot. No.1605-B,Csd-06-011194
covered by Katibayan ng Orihinal na Titulo Blg.
P-20172

IN WITNESS WHEREOF, the parties have hereunto affixed their

signatures this _______________________ at Roxas City, Capiz,
Philippines

GERELYN ANNIE CASTILLO MARIA NAZEL D. DELA CRUZ

Vendor Vendee

With marital consent

ERNESTO CASTILLO
Vendors Husband

SIGNED IN THE PRESENCE OF:

_________________ _________________

A C K N O W L E D G M E N T

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF CAPIZ ) S.S
CITY OF ROXAS )
X----------------------X

BEFORE ME, this _________________ at Roxas City, Capiz,

Philippines, personally appeared:

Name Evidence of Identity

1. Gerelyn Annie Castillo
2. Maria Nazel D. Dela Cruz

All known to me to be the same persons who executed the foregoing

instrument and acknowledged to me that the same is their free and
voluntary act and deed.

This instrument consisting of two (2) pages including this page

whereon the acknowledgment is written, has signed by the parties and
their instrumental witnesses in my presence, sealed with my notarial
seal and it relates to a Deed of Absolute Sale of parcel of Land.

WITNESS MY HAND AND SEAL on the date and place first above-
written.
 Doc. No.___;
Page No.___;
Book No.___;
Series of 20__. ACKNOWLEDGMENT RECEIPT

I, GERELYN ANNIE CASTILLO, hereby acknowledged that I have

received the amount of FIVE HUNDRED SEVENTY FOUR THOUSAND SEVEN
HUNDRED PESOS (574,700.00), Philippine Currency from MARIA NAZEL DELA
CRUZ as a full payment of a parcel of land which is more particularly
described and bounded as follows:

KATIBAYAN NG ORIHINAL NA TITULO Blg. P-20172

Lot No. 1605-B, Csd-06-011194
Identical to Lot No. 5119,Cad-248
Pilar Cadastre

Beginning at a point marked 1 of Lot No.1605-B, Csd-06-

0111-94, identical to Lot No. 5119, Cad-248; San Blas,
Pilar, Capiz being S. 78-19 E., 947.16 m. from BBM No. 47,
Pilar, Capiz. Containing an area of TWENTE TWO THOUSAND
NINE HUNDRED EIGHTY EIGHT (22,988) SQUARE METERS, more or
less. Bounded on the S., along lines 1-2 by Lot No.1605,
Csd-06-011194 identical to Lot No.5118; on the SW., along
line 2-3 by Lot No.1607, on the W., along line 3-4 by Lot
No.1606; on the N., along line 4-5 by Lot No. 1605-C, Csd-
06-011194, identical to Lot No. 5120 and on the E., along
line 5-1 by Lot No.1604 all of Cad-248.

Roxas City, Capiz, Philippines, ___________.

GERELYN ANNIE CASTILLO

Vendor

Conforme:

MARIA NAZEL D. DELA CRUZ

Vendee

SIGNED IN THE PRESENCE OF:

____________________ ____________________