Republic of the Philippines

Department of Environment and Natural Resources

COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
PENR Bldg., Airport Road, Masbate City

FINAL INVESTIGATION REPORT

____________________
Date

I have the honor to certify that on __________, I was on and examined the land applied for by
_______________________ married to ________________________ under Free Patent Application No.
__________situated in Sitio of ___________________ Barrio of ___________ Municipality of ____________
Province of ____________, and in conformity with Circular No. 30 (report the following):

1. The occupation and cultivation of the applicant as far as I have been able to ascertain, dates from ________
and his occupation and cultivation had been continuous, open notorious and exclusive.
2. That the said land was first occupied by _______ in the year _______ and the occupation and cultivation
were continued by the applicant who acquired the thereto through ______________________________
from his/her ________________ and predecessor in interest (inheritance, purchased or donation).
3. That the land is claimed by ______________________________ whose post office address is
___________________________________.
4. That of the ________ hectares applied for _______ hectares is under actual cultivation ________hectares
are entered but not cultivated and ________hectares are still untouched.
5. That the improvement on the land consists of the following: _____________________________.
6. That the land applied for is inside _____________________zone under Project No. _____L.C. Map No.
_______ and Certified on _____________________.
7. That the applicant is not a CARP beneficiary.
8. That the land has been surveyed for ____________________________ , and its corresponds to Lot No.
______ Cad/PLS ________, which was declared public land by the Court of first instance of
________________in its decisions rendered on _________________________.
9. That the applicant is a natural born citizen of the Philippines and He is not the owner
10. 0
11. That the land applied for /is not mortgaged with ______________________________.
(Name of Banking or Financial Institutions) a copy of Deed of Mortgage or which is hereto attached.
12. REMARKS: That the said land neither is not marked mortgage in any banking institution nor posted as bail
bond in any criminal and/or civil case in court.
_______________________________________________________________________________________
_____________________________________________________________________

In view of the foregoing, It is recommended that patent be ________ be granted to the applicant.

Very truly yours,

___________________________
DPLI
Sketch of the land on the reverse side hereof.

1st ENDORSEMENT
CENRO, Mobo, Masbate ________________

Respectfully forwarded to ____________________, Recommending that entry of the applicant be

confirmed and that a Free Patent be issued.

ENGR. JERRY R. ARENA

OIC, CENR Officer