Republic of the Philippines

City of Ormoc

LOCAL HOUSING BOARD

APPLICATION FOR CERTIFICATE OF COMPLIANCE

FOR ADMINISTRATIVE DEMOLITION AND EVICTION
Pursuant to Execute Order No. 708 s. 2008

Name of Proponent: _______________________________________________________________

Contact Person: ___________________________________________________________________
Official Designation: _______________________________________________________________
Official Address: ___________________________________________________________________
Telephone Number/s: ______________________________________________________________

Purpose of Clearing: _______________________________________________________________

Duration of Clearing Operation

Expected Starting Date of Clearing: __________________________________________________
Expected Day of Completion of Clearing Activities: ______________________________________
Location/Address of Affected Families: ________________________________________________

Checklist of Documents to be Attached to this Application

(Based on Pertinent Provisions of IRR of Sec 28 UDHA)
Annex 1 Master list of underprivileged and homeless beneficiaries (include full maiden
name of spouse and basis for underprivileged and homeless status)

Annex 2 Minutes and attendance of consultation meeting/s conducted (include three (3)
notices of meeting and three (3) notices of meeting receipts

Annex 3 Copies of all Notice of Demolition issued to all affected families bearing
acknowledgement receipt

Annex 4 Certified Photocopy of Title, as may be appropriate

Annex 5 Tax Declaration or Tax Receipt, as may be appropriate

Annex 6 Location Plan or Vicinity Map showing the boundary and illegal construction

Annex 7 Pictures of the Area

Annex 8 Certification from LGU or other concerned agency that the area is included in the
list of danger areas and public areas that are subject for clearing, or

Annex 8 Certification from LGU or other concerned agency that the area is the site of an
infrastructure project with available funding and shall commence within sixty (60)
days after clearing of the said area, if applicable

Annex 9 Proposed Development Plan of the property to be cleared

Annex 10 Affidavit and/or copy of MOA of negotiated and voluntary dismantling with Board
Resolution designating People’s Organization’s representatives, as may be
appropriate

Annex 11 Certification of Availability of Resettlement/Relocation

Annex 12 Development Plan of relocation site

Endorsed/Submitted by: _______________________________________

Authorized Official of the Project Proponent

Date Received: __________________ Time: __________________

Received by: ________________________

(Signature over Printed Name)
 I attest to the completeness and truthfulness of the foregoing. This is for the purpose of
applying for a compliance certificate from the Local Housing Board for administrative demolition
and eviction activities.

IN WITNESS WHERE OF, I hereby affix my signature this ___ day of ______, 200__,
at ________________________.

___________________________________
Applicant/Contact Person

SUBSCRIBED AND SWORN BEFORE me by the Applicant/Contact Person this ____

day of ____, 200__ in __________, and who personally exhibited to me his/her Community Tax
Certificate No. _______________, issued at _____________ on ___________.

IN WITNESS WHEREOF, I hereby affix my signature and seal this _____ day of ____,
200 __ at _______________.

NOTARY PUBLIC
 Republic of the Philippines

City of Ormoc

LOCAL HOUSING BOARD

APPLICATION FOR CERTIFICATE OF COMPLIANCE

FOR SUMMARY DEMOLITION AND EVICTION
Pursuant to Execute Order No. 708 s. 2008

Name of Proponent: _______________________________________________________________

Contact Person: ___________________________________________________________________
Official Designation: _______________________________________________________________
Official Address: ___________________________________________________________________
Telephone Number/s: ______________________________________________________________

Duration of Clearing Operation

Expected Starting Date of Clearing: __________________________________________________
Expected Day of Completion of Clearing Activities: ______________________________________
Location/Address of Affected Families: ________________________________________________

Number of Affected Families: _______________________________________________________

Endorsed/Submitted by: ___________________________________________

Authorized Official of the Project Proponent

Checklist of Documents to be Attached to this Application

(Based on Pertinent Provisions of IRR of Sec 27 UDHA)
Annex 1 List of Affected Families with Addresses or Location

Annex 2 Sample Notices of Summary Eviction and Demolition given to Affected Families

Annex 3 Grounds Constitution the Basis for the Summary Eviction and Demolition

Annex 4 Certification that the Affected Persons are not included in the List of Potential
Socialized Housing Beneficiaries as provided by Section 17 UDHA

Annex 5 Other Supporting Proofs or Evidences relative to Annex 4 Requirement

Date Received: ___________________ Time: _______________________

Received by: __________________________

(Signature over Printed Name)
 I attest to the completeness and truthfulness of the foregoing. This is for the purpose of
applying for a compliance certificate from the Local Housing Board for summary demolition and
eviction activities.

IN WITHNESS WHEREOF, I hereby affix my signature this ____ day of _____, 200__,
at __________________________.

_________________________
Applicant/Contact Person

SUBSCRIBED AND SWORN BEFORE me by the Applicant/Contact Person this ___

day of ____, 200__ in __________, and who personally exhibited to me his/her Community Tax
Certificate No. _______________________, issued at ________________ on
_______________.

IN WITNESS WHEREOF, I Hereby affix my signature and seal this ____ day of
_________, 200___ at _________________.

NOTARY PUBLIC
 Republic of the Philippines

City of Ormoc

LOCAL HOUSING BOARD

VERIFICATION REPORT
Pursuant to Pertinent Provisions of IRR of Section 28, UDHA

Name of Proponent: _______________________________________________________________

Contact Person: ___________________________________________________________________
Official Designation: _______________________________________________________________
Official Address: ___________________________________________________________________
Telephone Number/s: ______________________________________________________________

Purpose of Clearing:________________________________________________________________

Duration of Clearing Operation:

Expected starting date of clearing: ___________________________________________________
Expected day of completion of clearing activities: _______________________________________
Location/address of affected areas: __________________________________________________

Name of UPO/s affected: __________________________________________________________

UPO President/Contact Person: _____________________________________________________
Number of affected families: _______________________________________________________

A. Verification of Documents Submitted

(For Administrative Demolition and Eviction)
Annex 1 Master list of Underprivileged and Homeless Beneficiaries (include full maiden
name of spouse and basis for underprivileged and homeless status)

Annex 2 Minutes and Attendance of Consultation Meeting/s Conducted (include three (3)
notices of meetings and three (3) notices of meeting receipts)

Annex 3 Copies of all Notice of Demolition issued to all Affected Families bearing
Acknowledgement Receipts

Annex 4 Certified Photocopy of Title, as may be appropriate

Annex 5 Tax Declaration or Tax Receipt, as may be appropriate

Annex 6 Location Plan or Vicinity Map showing the Boundary and Illegal Construction

Annex 7 Pictures of the Areas

Annex 8 Certification from LGU or other concerned agency that the area is included in the
list of danger areas and public areas that are subject for clearing, or

Annex 8 Certification from LGU or other concerned agency that the area is the site of an
infrastructure project with available funding and shall commence within sixty (60)
days after clearing of the said area, if applicable

Annex 9 Proposed Development Plan of the property to be cleared

Annex 10 Affidavit and/or copy of MOA of negotiated and voluntary dismantling with Board
Resolution designating People’s Organization’s representatives, as may be
appropriate

Annex 11 Certification of Availability of Resettlement/Relocation

Annex 12 Development Plan of relocation site

(For Summary Demolition and Eviction)
Annex 1 List of Affected Families with Addresses or Location

Annex 2 Sample Notices of Summary Eviction and Demolition given to Affected Families

Annex 3 Grounds Constituting the Basis for the Summary Eviction and Demolition

Annex 4 Certification that the Affected Personas are not included in the List of Potential
Socialized Housing Beneficiaries as provided by Section 17 UDHA

Annex 5 Other Supporting Proofs or Evidences relative to Annex 4 Requirement

B. Issuance of 30-Day Notice

Written Notices to Affected Persons
Posters Displayed Conspicuously in the Community
Written Notices & Posters with Stated Reasons for Demolition

C. Conduct of Consultation Meeting

Consultation Meetings Conducted, Including Two (2) Feedback Meetings within
20 days from the Issuance of the Notice of Demolition

Majority of Affected Families Consulted

Participating Agencies:

1. Local Government Units

City/Municipality Administrator’s Office
Legal Office
Engineer’s Office
Housing Office
Social Welfare Office
Local PNP
Barangay Officials
2. National Government Agencies
Presidential Commission for the Urban Poor
Housing and Urban Development Coordinating Council
National Housing Authority
Others: _____________________________________________________
3. Non-Government Organizations/People’s Organizations:
______________________________________________________________
______________________________________________________________
4. Others: _______________________________________________________

D. Adequate Relocation/Resettlement Area

Permanent Temporary

Location: _______________________________________________________________
Area : _______________________________________________________________
Total Generated Lots: ______________________ Average Lot Area: _______________
Project Cost: ____________________________________________________________
Funding Source: _________________________________________________________
Basic Services and Facilities Present
Potable Water
Power and Electricity and Adequate Power Distribution System
Sewerage Facilities and an Efficient and Adequate Solid Waste Disposal System
Accessible to Primary/Major Roads and Transportation Facilities

Other Basis Services/Facilities

Health Education
Security Others

Economic Opportunities Present in the Area:

_________________________________________________________________________
_________________________________________________________________________

E. Financial Assistance (in the absence of a resettlement site)

Total Financial Assistance Released: _________________________________________
Amount Released Per Beneficiary: ___________________________________________
Funding Source: _________________________________________________________

F. Remarks/Recommendation:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Prepared and Submitted by:

______________________________
(Signature over printed name)

Date Submitted: ________________

Noted by:

_____________________________
Chairman, Local Housing Board
 Republic of the Philippines

City of Ormoc

LOCAL HOUSING BOARD

CERTIFICATE OF COMPLIANCE ON DEMOLITION

Pursuant to Executive Order No. 708 s. 2008, “Amending Executive Order No. 152 Series
of 2002, and Devolving The Function Of The Presidential Commission For the Urban Poor As the
Clearing House For The Conduct Of Demolition And Eviction Activities Involving The Homeless
And Underprivileged Citizens To The Respective Local Government Units (LGUs) Having
Territorial Jurisdiction Over The Proposed Demolition And Eviction Activities Of Government
Agencies, this Certificate of Compliance is hereby issued to the

( Name of Proponent )

for the administrative demolition of structures within

( Location )

Said proponent has complied with the requirements of “Just and Humane Demolition
and Eviction” prescribed under Section 28, pre-relocation phase of Republic Act No. 7279 or the
Urban Development and Housing Act of 1992

Further, this Certificate authorize police assistance to the herein proponent.

This Certificate of Compliance shall be valid within sixty (60) days from the scheduled
date of demolition as stipulated in the Notice of Demolition issued by the said proponent.

Issued this _____ day _____, 200__ at _____________, Philippines.

_________________________
Chairman, Local Housing Board
 Republic of the Philippines

City of Ormoc

LOCAL HOUSING BOARD

CERTIFICATE OF COMPLIANCE ON DEMOLITION

Pursuant to Executive Order No. 708 s. 2008, “Amending Executive Order No. 152 Series
of 2002, and Devolving The Function Of The Presidential Commission For the Urban Poor As the
Clearing House For The Conduct Of Demolition And Eviction Activities Involving The Homeless
And Underprivileged Citizens To The Respective Local Government Units (LGUs) Having
Territorial Jurisdiction Over The Proposed Demolition And Eviction Activities Of Government
Agencies, this Certificate of Compliance is hereby issued to the

( Name of Proponent )

for the administrative demolition of structures within

( Location )

Said proponent has complied with the requirements prescribed under Section 27, pre-
eviction and demolition phase of Republic Act No. 7279 or the Urban Development and Housing
Act of 1992

Further, this Certificate authorize police assistance to the herein proponent.

This Certificate of Compliance shall be valid within fifteen (15) days from the scheduled
date of demolition as stipulated in the Notice of Demolition issued by the said proponent.

Issued this _____ day _____, 200__ at _____________, Philippines.

_________________________
Chairman, Local Housing Board