CARPER LAD Form No 29 1

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ph

CARPER LAD Form No. 29


(Revised CARP-LAD Form No. 25)

Republic of the Philippines


DEPARTMENT OF AGRARIAN REFORM
Region No. 7
Province of Bohol
Municipality of Loon

REQUEST/PETITION TO BE INCLUDED AS POTENTIAL ARB

April 7, 2022

CYNTHIA VICTORIA FLORES


Municipal Agrarian Reform Officer (MARO)

Ma’am:

In connection with the preliminary list of potential agrarian reform


beneficiaries (ARBs) for the landholding owned by EULALIO ALBELDA ET AL.,
embraced by OCT No.5571, TD No. 2016-30-0065-00264 Lot No. 5297 and
Approved Survey No. BSD-07-090184, with a total area of Sixty-six Thousand
Thirty-six (66, 036 sq.m. ) more or less, and located at Tubuan, Loon, Bohol,
which was posted at Tubuan Barangay Hall, at Tubuan, Loon, Bohol, on April
7, 2022, we, the undersigned tenant/s/lessee/s/regular farmworker/s/
seasonal farmworker/s/other farmworkers/actual tiller/s/occupant/s in the
said landholding signify my/our interest and request/s that my/our names be
included as potential beneficiaries.

As petitioners, I/we declare that I/we possess the following basic qualifications
of an ARB:

Landless as defined by R.A. No. 6657, as amended;


X

X Filipino citizens;

X Permanent resident of the barangay and/or


municipality where the landholding is located.

CARPER LAD Form No. 29/Page 1 of 5


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Attached are the pertinent documents as proof of my/our qualifications as


bonafide beneficiary/ies in the above landholding:
NOTE: Bring as many documents as possible and preferably, bring photocopies
and the original document for comparison. The MARO will retain only the
photocopies after comparing with the original.

A. FOR TENANTS, LESSEES, ACTUAL TILLERS/OCCUPANTS IN LANDHOLDINGS FOR


INDIVIDUAL AND COLLECTIVE DISTRIBUTION TO ARBS (Please Check
Appropriate Box):

Community Tax Certificate (cedula) or barangay certificate of


potential ARB as permanent or bonafide resident of the barangay;

Voter’s identification card or certified copy of voter’s registration


record;

Leasehold contract and/or proof of tenancy papers;

Certificate of Aggregate Landholding from the Municipal or City


Assessor, land titles, tax declarations; and

Other documents that can establish the qualifications of the


potential beneficiary

B. FOR FARMWORKERS IN COMMERCIAL FARMS, PLANTATIONS AND OTHER LANDS


QUALIFIED FOR COLLECTIVE DISTRIBUTION (Please Check Appropriate Box):

Employment certificate;

Social security System (SSS) identification card;

Payslip/s or payroll;

CARPER LAD Form No. 29/Page 2 of 5


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Original or certified copy of decision/order or ruling by a court,


quasi- judicial body or administrative agency if there was a case
related to the dismissal, retrenchment, etc., of the potential ARB;

Original or certified copy of Notice of Dismissal or retrenchment


for farmworkers beneficiaries; and

Original or certified copy of letter of resignation for farmworker


beneficiaries.

Thank you.

Respectfully yours,

Name/s of Petitioning Signature


Potential ARB/s
(Last Name, First Name, Middle
Initial)
1. CORAZON MARANGA
2. VIDAL ANTEQUISA
3.URSULA JABALDE
4. FORTUNATA RABINO
5. MARILYN A. BENATERO
6. JENY REGUYA
7. MAXIMA ALBELDA

Copy Distribution:

Original - CF

Duplicate - DARMO File

Triplicate - Potential ARB

CARPER LAD Form No. 29/Page 3 of 5


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CARPER LAD Form No. 29/Page 4 of 5


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CARPER LAD Form No. 29/Page 5 of 5

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