BLANK - Inclusion
BLANK - Inclusion
Municipality of Sapad
Barangay Pancilan
CERTIFICATION
That I am a landless citizen and working as tenant since at the age of ______________.
This certification is being issued to any legal purposes that may serve worth.
Done this _________ day of _________ 2018, at Barangay Pancilan, Sapad, Lanao del
Norte.
ANTONIO HOMAW-AS
BARC CHAIRMAN
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF LANAO DEL NORTE) S.S
MUNICIPALITY OF SAPAD)
x--------------------------------------------------/
That I executed this affidavit to established the foregoing fact and using this affidavit
for any legal purposes that may serve worth.
IN WITNESS WHEREOF, I hereby set my hand this ________ day of ________________ 2018
at Sapad, Lanao del Norte, Philippines.
___________________________________
Affiant
SUBSCRIBED AND SWORN to before me a Notary Public for and in the jurisdiction
above cited Affiant __________________________________________, exhibited to me his/her ID No.
________________ issued at _____________________________ on ____________________.
JALALODIN P. BANGCOLA
Municipal Agrarian Reform Officer
DAR, Sapad, Lanao del Norte
_____________________
Date
S I R:
________________________________
Farmer Beneficiary
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF LANAO DEL NORTE) S.S
MUNICIPALITY OF SAPAD)
x--------------------------------------------------/
That we executed this affidavit to establish the foregoing fact and using this affidavit
for INCLUSION of name of ___________________________________ in a parcel of land owned by the
SPS. CLEOPATRA M. PANINSORO AND NESTOR PANINSORO, located at of Barangay
Pancilan, Municipality of Sapad, Lanao del Norte, covering the TCT No. CLOA-14,478,
CLOA No. 01110095, Lot No. 421, Pls-35 and containing an area of 72,621 square
meters.
IN WITNESS WHEREOF, we hereby set our hands this ______ of ______ 2018 at Sapad,
Lanao del Norte, Philippines.
_________________________ _______________________________
Affiant Affiant
Doc No.
Page No. ______ Notary Public
Book no. ______
Series of 2018
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF LANAO DEL NORTE) S.S
MUNICIPALITY OF SAPAD)
x--------------------------------------------------/
That we executed this affidavit to establish the foregoing fact and using this affidavit
for EXCLUSION of name of __________________________________________ in a parcel of land owned
by the SPS. CLEOPATRA M. PANINSORO AND NESTOR PANINSORO, located at of
Barangay Pancilan, Municipality of Sapad, Lanao del Norte, covering the TCT No. CLOA-
14,478, CLOA No. 01110095, Lot No. 421, Pls-35 and containing an area of 72,621
square meters.
IN WITNESS WHEREOF, we hereby set our hands this ______ of ______ 2018 at Sapad,
Lanao del Norte, Philippines.
_________________________ ____________________________
Affiant Affiant