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CARPER LAD Form No. 58

(Revised CARP-LAD Form No. 57)

Republic of the Philippines

Department of Agrarian Reform
Cordillera Administrative Region
Province of Ifugao

TRANSMITTAL TO LBP OF COPY OF RP TITLE

January 3, 2019

MEMORANDUM

FOR : The President and CEO

Land Bank of the Philippines
Malate, Manila

ATTENTION : The Head

AOC/LBP-HO

FROM : The Provincial Agrarian Reform Officer II

SUBJECT : Transmittal of Copy of RP Title

Please be informed that pursuant to Section 16(e) of R.A. No. 6657, as amended, and the Certification
of Deposit (COD), this Office has already caused the issuance of Transfer Certificate of Title (TCT) in
name of the Republic of the Philippines of the landholding, particularly described as follows:

Name of LO/Claimant : ______________________________________

(Last name, First name, Middle Initial) : ______________________________________
: ______________________________________
Postal Address : ______________________________________
______________________________________
OCT/TCT No. : ______________________________________
TD No. : ______________________________________
Lot No. : ______________________________________
Approved Survey No. : ______________________________________
Area per OCT/TCT/TD (has.) : ______________________________________
Area Acquired (has.) : ______________________________________
Location (Municipality, Barangay) : ______________________________________
______________________________________

Attached herewith is the Owner’s Duplicate Copy (ODC) of TCT No.__________________, issued in the
name of Republic of the Philippines on _______________________________ (date) by the Registry of
Deeds (ROD) of _____________________________.

For your appropriate action.

__________________________________
Provincial Agrarian Reform Officer II
(Signature over Printed Name)

Copy Distribution:
Original - LBP
Duplicate - Former LO
Triplicate - DARPO
Quadruplicate - DARMO