Date:

JULIUS P. BUENAFE
ENGR. IV/ OIC- MUNICIPAL ASSESSOR
SARA, ILOILO

Sir
I would like to request for the following:

Transfer Subdivision/Segregation
Consolidation Consolidation
Reclassification/Reassessment Asssessment/Declaration of New Property
Correction of Lot No./Name of Declared Owner/Location/Title No./Area/Boundaries
New Discovery
Others (Pls. specify)

SUBJECT LOT NO./NOS.

LOCATION:
Name of Declared Owner :
Address:

Attached herewith are the following documents:

⃝ 1 Letter Request
⃝ 2 Title
⃝ 3 Deed of Conveyance ( Deed of Sale; Waiver of Rights; Extra Judicial; Adjudication; Donation; Exchange
and Court Order with Finality
⃝ 4 O.R. of Current Realty Tax Payment / Tax Clearance
⃝ 5 Transfer Tax
⃝ 6 Sworn Statement
⃝ 7 Certificate of Authorizing Registration ( E-CAR)
⃝ 8 Transfer of Ownership Fee
⃝ 9 Special Power of Attorney(SPA)
⃝ 10 Additional Requirements for Simple - Subdivision/ Consolidation/Consolidation-Subdivision
⃝ 11 Approved Subdivision Plan ( Blueprint)
⃝ 12 Technical Description ( Optional)
⃝ 13 A survey plan Prepared by a liscensed Geodetic Engineer duly approved by the Land Management Bureau
(LMB) of DENR
⃝ 14 A Certification from the Regional Executive Director of the DENR stating
the land is alienable and disposable.
⃝ 15 An affidavit of ownership/administrator and/or Sworn Statement declaring the Market value
filed by the owner / administrator, affidavit that the applicant is in
continuous and notorious possession of the property.
⃝ 16 A Certification from the Barangay Captain that the declarant is the
present possessor and occupant of the land and the certification of the
adjoining owners duly sworn to by the Barangay Captain.
⃝ 17 An ocular inspection/ investigation report by the Assessor or his authorized
representative.
⃝ 18 Inspection fee (P200.00/lot)
⃝ 19 Other
REMARKS

Thank you for your kind consideration.

Very truly yours,

PRINTED NAME & SIGNATURE

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