BL Form No. 28
BL Form No. 28
BL Form No. 28
28-11 (R)
_____________________
(Date)
The CENR Officer DATE _________
CENRO-Laoag City BY __________
Sir:
1. That the occupation and cultivation of the applicant as far as I have been
able to ascertain date from ______________________________ and this occupation
and cultivation have been continuous, open notorious and exclusive.
4. That the land is claimed by the applicant alone during the investigation
whose post-office address is ______________________________________________.
5. That of the __________ hectares applied for, all hectares is under actual
cultivation, __________ hectares are cleared but not cultivated and __________
hectares are still untouched.
7. That the land applied for is entirely inside the Alienable and Disposable
Zone of the public domain, Block __________; Project No. __________ per LC Map
No. __________.
8. That the said land has been surveyed and it corresponds to Lot No.
__________, Cad/Pls No. __________ with no court registration proceedings by the
Regional Trial Court of (NOT APPLICABLE)
9. That the applicant is not the owner of more than twelve (12) hectares.
10. That I have made a thorough ocular inspection of the land applied for and
the sketch is reproduced herein below or attached hereto, noting thereon the dimension
and area thereof and the improvement therein.
11. That the notice of this Free Patent Application for the lot has been posted
at the barangay hall for a period of at least one month without any known records of
claims and conflicts or whatsoever as certified by the barangay chairman.
12. That the attached tax declaration corresponds to the lot herein applied and
is based on the approved module, public land and or cadastral survey. That the area
and lot number shall be revised and conformed after the registration and issuance of
title.
13. REMARKS: That the applicant is a natural born Filipino citizen and
who is not a recipient/beneficiary of a CARPable land. That the land is not mortgaged
in any bank/financing institution and further subject lot is free from claims and conflicts.
Likewise, said lot is outside any established civil/military reservation and not within an
identified KKK area.
In view of the foregoing, it is recommended that the Free Patent be NOW granted
to the applicant.
SRC\macky\form\blform#28.doc