Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM

APPLICATION FOR EXEMPTION / EXCLUSION


The Secretary
Department of Agrarian Reform

  _____________________________

  _____________________________

   Thru: The MARO

   ____________________________

   ____________________________

  Sir:

    Pursuant to Section 10, RA 6657, I / We have the honor to request your good office to declare my/our landholdings, as stated hereunder exempted/excluded from the Land Distribution program under the Comprehensive Agrarian Reform Law (CARL) for reason/s of being

____________________________________________________________________________________________________________

________________________________________________________________________My/our property has a total area (has.) of

______________________ and located at Barangay/s______________________________________________, Municipality/City of

___________________________________, Province of _____________________________________. Attached is/are machine/true

copy/ies of title(s)/tax declaration(s), sketch plan, _____________________________________ of the aforementioned landholding/s
subject of the herein request together with the other requirements, viz:

1. Title :                   _______________________
   
2. Tax Declaration :   _______________________
   
3. Others :                _______________________
   

Very truly yours,


 _________________________
        Name and Signature                                    


 _________________________
                  Date

 

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