Professional Documents
Culture Documents
Present Status
(i.e., Actual
Name of ARB in the Existing tiller/occupant,
Address Remarks
CCLOA farmworker,
deceased, transfer
action)
P3 SAN FRANSCISCO,
RODOLFO BALMEDINA ACTUAL TILLER
LEGAZPI CITY
P3 SAN FRANSCISCO, CORRECTION OF NAME
JOSEPH G. BANTIQUE ACTUAL TILLER
LEGAZPI CITY TO JOSE G. BANTIGUE
REPRESENTED BY PEDRO
P3 SAN FRANSCISCO,
FILOMENO A. PORTUGAL DECEASED B. PORTUGAL SON OF
LEGAZPI CITY
DECEASED ARB
P3 SAN FRANSCISCO,
WILFREDO ESPLANA ACTUAL TILLER
LEGAZPI CITY
XXX NOTHING FOLLOWS XXX
Total
Date Date Date Survey Location of
CLOA No. TCT No. Lot No. Area
Generated Registered Issued No. Property
(has.)
SAN
BSD-05-
25/03/200 FRANCISCO,
00621521 C-841 21/03/2002 21/03/2002 15258-A 003686- 0.3786
2 LEGAZPI
AR
CITY, ALBAY
XXX NOTHING FOLLOWS XXX
C. DESCRIPTION OF LAND
1. Topography Area (Has.)
__∕_ Below 18% slope ___0.068__
____ 18% slope and above __________
3. Type of Farm
____ Commercial Farm (Plantations planted to high value crops like Cavendish banana, pineapple,
rubber, oil palm, citrus, papaya, sugarcane, etc.)
__∕__ Regular farms or other than commercial
Water Supply
____ NIA ____ Deep well
____ Canal __∕_ Others (Specify) SAFRASA (Water Supply from
Barangay
D. PERMANENT IMPROVEMENT
1. Permanent Crops
Income Producing / Fruit Bearing Non-Income Producing / Fruit Bearing
Crops
Quantity Average Age Quantity Average Age
RICE 5-10 SACKS 3-4 months
COCONUT 100-200 PCS Within 45-60 days
BANANA 3-5 BAGS more than 1 year
Source/s of Information : ARBs and BARC CHAIRMAN
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CARPER LAD Form No 70-B
E. PRODUCTION AND INCOME
1. Production Data
b. For crops with more than one (1) year cropping season or production cycle, the formula shall be:
G. MEANS OF COMMUNICATION (Please check the appropriate box. If more than one (1) means of communication,
check all appropriate boxes.)
H. Community Leaders as source of relevant information. (Please specify three (3) names, position/nature of work,
address, and contact number.)
I. REMARKS/COMMENTS/RECOMMENDATIONS
f. There are actual occupants who also attended the consultation meeting.
g. Hereunder are the information on the actual occupants, to wit:
h. Both the ARBs and actual occupants were requested to be present during the subdivision survey to
pinpoint their tillage.
i. The original Owner’s Duplicate Certificate (ODC) of CCLOA is in the custody of ARB Rodolfo Balmedina
Page 4 of 6
CARPER LAD Form No 70-B
during the Consultation Meeting but not surrendered.
j. Barangay Agrarian Reform Committee (BARC) Chairman Rolando B. Ajero, Sr., witnessed the signing of
documents and attested the veracity of the information given by ARBs and/or actual occupants.
2. BARC Representative:
__∕_ A Consultation Meeting was conducted with the presence of the ARBs, actual occupants and officials of
the barangay.
____ A Field Validation was conducted to locate the boundaries of the lot.
____ No BARC representative was present during the conduct of field validation.
J. CERTIFICATION
We hereby certify that the true information and data contained in this report are based on ocular inspection of the
land covered by existing collective CLOA and that the same are true and correct to the best of our knowledge.
Page 5 of 6
CARPER LAD Form No 70-B
Copy Distribution:
Original - DARPO
Duplicate - MARO/Designated Personnel
Triplicate - Field Validation Team
Page 6 of 6