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CARPER LAD Form No. 57

(Revised CARP-LAD Form No. 56)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM
Region _______
Province of ____________
Municipality of ___________

REQUEST ISSUANCE OF TRANSFER CERTIFICATE OF TITLE

IN THE NAME OF THE REPUBLIC OF THE PHILIPPINES

_____________________
Date
FOR : _____________________________
Register of Deeds

FROM : _______________________________
Provincial Agrarian Reform Officer II

SUBJECT : Request Issuance of Transfer Certificate of Title (TCT) in the Name of the Republic of
the Philippines (RP)

This refers to the agricultural land/s of___________________________________________________________

____________________________________________________________ which has/have been covered under

[ ]
Voluntary Offer to Sell (VOS) Compulsory Acquisition (CA)

pursuant to Republic Act (R.A.) No. 6657, as amended by RA. No. 7900, with the following information:

OCT/ TCT No. :

TD No. :
Area per OCT/TCT/TD No. (has.) :
Area Acquired (has.) :
Location (Municipality, Barangay) :

The Land Bank of the Philippines (LBP) has already deposited the compensation proceeds in the name of the herein landowner.

In view thereof and in accordance with pertinent guidelines, we are transmitting herewith copies of the following: Certification of
Deposit (COD) from LBP, Segregation/Subdivision plan and corresponding technical description/s approved by the DENR on the
property of the above-named Landowner.

It is therefore requested that the ROD (pls. check appropriate box)

Cancel the landowner’s title covering the said landholding

Issue the corresponding Transfer Certificate of Title (TCT)

in the name of the Republic of the Philippines in accordance with Section 16 of
R.A. No. 6657, as amended by R.A. No. 7900

Issue the corresponding title/s in the name of the landowner/s for the retained area
and other unacquired portions, if applicable

Thank you for your prompt action.

___________________________________
Provincial Agrarian Reform Officer II
(Signature over Printed Name)

Copy Distribution:

Original - ROD
Duplicate - LBP
Triplicate - DARPO
Quadruplicate - DARMO