CARPER LAD Form No.

6
(CARP-LAD Form No. 9)

Republic of the Philippines

PARTMENT OF AGRARIAN REFORM
Povince of Kalinga
Region CAR

N SKETCH MAP OF THE SELECTED RETAINED AREA

W E
As prepared for the Department of Agrarian Reform
S
Landowner _BIENVENIDO BELANDRES__________________________
Lot No. __852-T______ Approved Survey Plan No. _PSD-2-05-004386_____
OCT/TCT/TD No. _T-4928, 2014-00-00383___________________________
Location of Landholding: Barangay of DILAG_________________________
Municiplaity of _TABUK_____________________
Province of _KALINGA______________________
Containing an area of _10,001_____________________ square meters/hectares

This sketch map shows the approximate location area I have chosen for retention
area in my landholding, contour and improvements thereon.

This area is / X / currently being tilled by a tenant/lessee/regular farmworker

/ / idle
/ / others (pls. specify) ________________________________
Other Information: _______________________________________________

Sketched by: __ENGR. JAMES WACDAGAN_______________________

Signature over Printed Name
Date Sketched: _________________________________________

Landowner: ___________________________________________
Signature over Printed Name
Indicate Landmarks
Distribution of Copies: Original - Retention Folder or Claim folder
Duplicate - Landowner
Triplicate - DARMO