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02 AS
AMENDED BY A.O. 04,SERIES OF 2018
a) Form No. 1
b) The Certificate of Finality of the ALI Decision as
well as a Certified True Copy of the Final and
Executory Decision to be both issued by the Court
or Office which rendered and promulgated the
Decision.
c) Certified True Copy of Title.
2. For Cancellation actions which are for
dismissal by motion of the petitioner(s) or by
the parties:
a) Form No. 1
b) The Motion to Withdraw the Cancellation Action
signed by the Petitioner(s) or by all the parties with the
participation of their respective counsel or
representative.
c). Certified True Copy of Title.
3. For cancellation actions due to the sale,
donation, assignment of rights, succession as well
as any other form of conveyance of the awarded
land approved by the DAR:
a) Form No. 1
b) The correct technical description embodied in
the proper Certification issued by the Department
of Environment and Natural Resources (DENR),
together with the Report of the concerned PARPO
II.
c) Certified True Copy of Title.
For all cancellation actions, the certified true
copy of the EP, CLOA or other title issued under
any Agrarian Reform Program, shall be
submitted and attached to CANCELLATION
FORM NO. 1.
3. Transfer of title/s on the basis of a conveyance approved through a valid DAR transfer
Tclearance
T
4. Motion of the petitioner/s or all the parties to withdraw the Cancellation Action.
Hereto attached are the applicable document/s to support the processing of my request:
(Please check appropriate box.)
Certified True copy of the Decision of the court/office
Certification from the court/office that the Decision has become final and executory
Motion to Dismiss or Withdraw in Case no. _________ pending at ______________
Docketed as _______________
DAR Transfer Clearance
Corrected Technical Description of the subject EP/CLOA/other title issued under agrarian
reform program certified as true and correct by the DEBR-LMS/LRA
I hereby certify under oath that all statements I made in this request are true and correct
based on my personal knowledge and that all documents attached are authentic.
___________________________________________
Signature over Printed Name of Applicant/Owner
_____________
Date
SUBSCRIBED AND SWORN to before me this____ day of ____,2018 at _____________,Philippines,
The above named of applicant/owner presented to me his identification No. ______ issued at _____ on
_____,and attested to me that the statements contained in herein are all truth and factual.
Notary Public
Doc.No.___
Page No. ___
Book No.____
CANCELLATION FORM NO. 2
Republic of the Philippines
DEPARTMENT OF AGRARIAN REFORM
Province of _______
Region No._______
I have examined the said application or the verified Petition for Cancellation and the attached
documents and found the same complete and in order pursuant to the requirements set forth
under Administrative Order No.2,Series of 2018,as amended and Memorandum Circular
No.___, Series of 2018.
_______________________________________
SIGNATURE OVER PRINTED NAMEOF PARPO II
______________
Date
Copy Distribution:
Original:Applicant/BALA
Duplicate:DARPO/File
Triplicate: ULAO/UFOO
THANK YOU…
THANK YOU…