[NAME OF DAR OFFICIAL]

Department of Agrarian Reform

Municipality of [MUNICIPALITY NAME]

Dear Sir,

I respectfully request the assistance of your office in issuing DAR Clearance, as

required by the Registry of Deeds for the issuance of title.

The property that I have purchased from [NAME OF SELLER] is Lot XXX
covered by [OCT/TCT] No. XXX located in [BARANGAY], [MUNICIPALITY],
[PROVINCE] with an area of [AREA IN WORDS] ([AREA IN NUMBERS]) square
meters. The Deed of Sale is recorded under Doc. No. XXX, Page No. XXX, Book No.
XXX, Series of 20XX, of Notary Public Atty. [ATTORNEY NAME] dated MONTH DAY,
YEAR.

In accordance with DAR Clearance Requirements, I have attached the following

documents in support of this request per instructions I have received from your office:

1. Letter Request
2. Deed of Sale
3. Certified true copy of Title
4. Certified true copy of latest Tax Declaration
5. Affidavit of Aggregate Landholdings of Vendor
6. Affidavit of Aggregate Landholdings of Vendee
7. Affidavit of Non-Tenancy of Vendor
8. Barangay Certification of Non-Tenancy
9. Municipal Assessor’s Certification of Vendor’s Aggregate Landholdings
10. Municipal Assessor’s Certification of Vendee’s Aggregate Landholdings
11. Provincial Assessor’s Certification of Vendor’s Aggregate Landholdings
12. Provincial Assessor’s Certification of Vendee’s Aggregate Landholdings
13. Special Power of Attorney
14. Sketch Plan

Sincerely Yours,

[NAME OF BUYER] _____________

BUYER/TRANSFEREE DATE