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CARPER LAD Form No. 64
(New)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM
Cordillera Administrative Region
PROVINCIAL AGRARIAN REFORM OFFICE
Lamut, Ifugao

Transmittal Memorandum to ROD of CLOAs for Registration

______________________
Date

MEMORANDUM

FOR : CLARENCE B. GUINID

Registry of Deeds of Ifugao

FROM : ARTEMIO L. DUMAOANG

Provincial Agrarian Reform Officer II

SUBJECT : CLOAS FOR REGISTRATION

May we transmit the following CLOAs for Registration in the name of ARBs within the Landholding of RURAL
BANK OF SAN MATEO (ISA) INC. covered by TCT/OCT No. T-5975,
TD No. Psd (CAR) 026058 (AR), RP Title No. (if applicable)____________________________ and located
at (Municipality, Barangay) Ngileb, Alfonso Lista, Ifugao.

To be filled up by the ROD

Area CLOA-Title Remarks
Name of ARB CLOA Serial Lot No. (sq.m.) (OCT/TCT) (ROD to indicate
(Last Name, First No. and Date signed or
Name, Middle (OCT or Survey No. Registered returned with
Initial) TCT) No. (MM/DD/Y reason)
YYY)

(Continued on Separate Sheet)

CARPER LAD Form No. 64/ Page 1 of 3

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It is requested that these CLOAs shall be processed within two (2) days from receipt hereof. Pursuant to the
Joint DAR-LRA Memorandum Circular 20, S. 1997, the reckoning date of the registration of the CLOAs shall
be the date of entry in the Primary Entry Book. All CLOAs entered in the Primary Entry Book shall be signed
and released immediately to the LBP, as the Mortgagee Financial Institution.

ARTEMIO L. DUMAOANG
OIC Provincial Agrarian Reform Officer II
(Signature over Printed Name)

========================================================================
(Please do not detach)

Action by the ROD: Remarks:

No. of CLOAs signed and returned to DAR _______________ __________________

No. of CLOAs defective and returned to DAR ________________ __________________

___________________________
Name and Signature of the ROD
or Authorized Representative

Copy Distribution:

Original : DARPO
Duplicate : ROD
Triplicate : DARMO
Quadruplicate : LDF

CARPER LAD Form No. 64/ Page 2 of 3

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CARPER LAD Form No. 64

(New)

ADDITIONAL SHEET FOR THE LIST OF CLOAs FOR REGISTRATION (RURAL BANK OF SAN MATEO (ISA) INC.

To be filled up by the ROD

Area CLOA-Title Remarks
Name of ARB CLOA Serial Lot No. (sq.m.) (OCT/TCT) (ROD to indicate
(Last Name, First No. and Date signed or returned
Name, Middle (OCT or Survey No. Registered with reason)
Initial) TCT) No. (MM/DD/Y
YYY)

Note: Put a big “X” in the row immediately after writing/typing/encoding the name of the last ARB in the
list. Then put the words “NOTHING FOLLOWS”. Use additional sheet, if necessary. Each additional sheet
should be initialed by the PARO.

CARPER LAD Form No. 64/ Page 3 of 3