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May 15, 1999

 

DAR MEMORANDUM CIRCULAR NO. 09-99

TO                :     All Regional Directors, RCLUPPIs, CLUPPI 1 and 2 and Concerned

SUBJECT    :     Internal/Clarificatory Guidelines for the Processing of Land Use
                          Conversion Applications Pursuant to Administrative Order No. 1, Series of
                          1999 entitled "Revised Rules and Regulations on the Conversion of
                          Agricultural to Non-Agricultural Uses"

 

To fully implement DAR Administrative Order No. 1, Series of 1999, following internal/clarificatory guidelines for the processing of land use conversion applications are hereby promulgated:   DEIHAa

1.0    Filing of Application

1.1       An applicant can secure one complete set of Land Use Conversion (LUC) Application and Certification forms together with a checklist of requirements from any of the following DAR offices at the cost of fifty pesos (P50.00) per set:

a)         DAR Central Office — Center for Land Use Policy, Planning and Implementation (CLUPPI)

b)        DAR Regional Office — Regional CLUPPI (RCLUPPI)

1.2       All applications filed and received after the effectivity of AO 1, Series of 1999, shall use the new set of applications/certification forms (LUC Form Nos. 1 to 7) attached to this Memorandum Circular. The CLUPPI/RCLUPPI shall likewise use the new set of internal forms (LUC Form A-K also attached) for processing of applications.

1.3       Applications filed under AO 1, Series of 1999 but with NIA, DA, DENR and HLURB Certifications based on the prescribed forms under AO 7, Series of 1998 and issued prior to December 28, 1998, the date the President temporarily suspended the issuance of land conversion clearances, shall be accepted up to June 30, 1999 only subject to verification with the issuing agencies/authorities. For purposes of verification, CLUPPI shall request from the DA, NIA, DENR and HLURB for a listing of certifications issued by them to applicants for the period January 2 to December 27, 1998. RCLUPPI shall also request for a listing of such certifications where appropriate. CLUPPI shall furnish RCLUPPI a list of the DA-issued certifications.

1.4       The CLUPPI shall be responsible for the centralized printing of the complete set of application and certification forms and shall provide copies of the LUC forms to the RCLUPPIs. It shall assign a control number to each application and certification and certification form for inventory purposes.

1.5       Duly accomplished and notarized application form and complete documentary requirements must be submitted in three (3) sets (one [1] set of original copy and two [2] sets of photocopy) with the following offices:

a)         RCLUPPI — applications involving five (5) ha and below, except for those within Cavite, Laguna, Batangas, Rizal and Quezon which shall be filed with CLUPPI-2

b)        CLUPPI 1 — applications involving more than five (5) ha

1.6       All applications within priority development areas for land conversion in Sec. 6 of AO 1, Series of 1999, regardless of the size, shall be filed with or endorsed to the CLUPPI.

2.0    Receipt of Application

2.1       The CLUPPI/RCLUPPI shall designate a receiving officer who shall perform the following functions:

a)         Receive the application (in 3 sets) and immediately review the same for completeness;

b)        Accomplish LUC Form A;

c)         Return the application if incomplete/insufficient;

d)        Advise the applicant, where necessary, to submit lacking requirements.

2.2       The CLUPPI/RCLUPPI shall designate a technical staff who shall assist the receiving officer in reviewing the application and accomplishing LUC Form A.

2.3       Only applications with original copies of the required certifications shall be accepted.

3.0    Assessment for Filing Fee and Cash Bond

3.1       If application is complete and sufficient, the technical staff shall issue an assessment for the filing fee (LUC Form B1) to the applicant through the receiving officer.

3.2       The filing fees shall be as follows;

Area Applied                Fixed Fee       Inspection Fee

5 ha & below                P1,000.00      P10,000.00

More than 5 ha            P2,000.00      P10,000.00

3.3       The technical staff shall likewise issue an assessment for the cash bond (LUC Form B2) to the applicant through the receiving officer. Only applications filed after the effectivity of AO 1, Series of 1999 shall be required to post a cash bond.

3.4       The cash bond shall be computed at two point five percent (2.5%) of the zonal value of the land as per latest issuances of the Department of Finance. The RCLUPPI shall secure from the BIR Regional Office a copy of the prescribed zonal values of all the lands within the region for verification purposes.

3.5       Upon issuance of the assessment for filing fee and cash bond, the applicant shall proceed to the Accounting Division of the Regional/Central Office for issuance of Order of Payment. Payment shall be made to the Cashier of said office. The cash bond shall be held in trust in accordance with accounting and auditing rules and regulations and shall be refundable upon issuance of the order of conversion, or convertible into performance bond at the applicants' option.   TEHIaD

3.6       The amount paid, number and date of the Official Receipt (OR), together with the application number, must be written on the application form (LUC Form No. 1) by the CLUPPI/RCLUPPI receiving officer: Provided, That only applications with OR number shall be marked officially received and processed accordingly.

4.0    Posting of Notice

4.1       Upon receipt of the application, the CLUPPI/RCLUPPI shall prepare, on the same day or immediately thereafter, the Notice of Application for Land Use Conversion (LUC Form D) and memorandum to the Municipal Agrarian Reform Officer (MARO) (LUC Form C), and transmit the same to the MARO by express mail: Provided, That the applicant may also be permitted to handcarry a copy of the accomplished LUC Form C and D to the MARO. In all instances, the Provincial Agrarian Reform Officer (FARO) shall be furnished copies of LUC Form C and D.

4.2       Within two (2) days from receipt of the accomplished LUC Form D, the MARO shall post the same in two (2) conspicuous places in the municipality, in the barangay(s) where the property is located, and in the property itself, for a period of fifteen (15) calendar days.

4.3       The MARO shall accomplish the Certificate of Posting of Notice (LUC Form E) within one (1) day from the lapse of the prescribed period for posting, and, thereafter, transmit the same to the CLUPPI/RCLUPPI by express mail: Provided, That the applicant may also be permitted to handcarry a copy of the accomplished LUC Form E to the CLUPPI/RCLUPPI.

4.4       In case of applications involving priority development areas, the MARO shall post the LUC Form D within three (3) days from receipt thereof for a period of seven (7) calendar days.

5.0    Evaluation of Application

5.1       Simultaneous with the posting of Notice of Application, a CLUPPI/RCLUPPI technical staff shall evaluate the application as to its completeness and sufficiency and prepare the briefer (LUC Form F) which shall serve as reference material in the conduct of field investigation.

5.2       The CLUPPI/RCLUPPI through official communication shall immediately inform the applicant of any issues that have to be clarified including, among others, inconsistent and/or insufficient information provided for in the documents submitted.

5.3       All subdivision housing development projects with a mixed Socialized Housing Non-Socialized Housing Project, where Socialized Housing is at least 80%, will be processed as applications involving priority development areas.

5.4       Any protest or opposition filed against the conversion shall be disposed simultaneously with the application. However, if the protest or opposition requires the action of another entity such as the DAR Adjudication Board, prejudicial to the application, the latter shall be held in abeyance until the protest/opposition is finally resolved.

6.0    Field Investigation

6.1       The CLUPPI Executive Director/RCLUPPI Chairman shall designate the members of the investigating team within eight (8) days from posting of the Notice, who shall conduct field investigation and dialogue with the application and the affected farmer-beneficiaries, if any, to ascertain the information necessary for the in-depth evaluation of the application using as guide the Field Investigation Report (LUC Form K).

6.2       Prior to the conduct of field investigation, the CLUPPI/RCLUPPI shall send a radio message (LUC Form G) to the PARO requesting him to advise the MARO to accompany the investigating team. Notice of the field investigation/ocular inspection shall likewise be transmitted to the applicant.

6.3       The field investigation shall be conducted on the eighth 8th day from posting of the Notice: Provided, That for priority development areas, the field investigation must be conducted within five (5) days from acceptance of the application.

6.4       The investigating team shall verify, among others, the following:

a)         Veracity of information contained in the application for land use conversion;

b)        Coverage under CARP;

c)         Whether or not the land falls within the appropriate zone in the land use plan of the city or municipality;

d)        Existence of tenants/farmworkers/bona fide occupants;

e)         Whether or not the tenants/farmworkers/bona fide occupants have been paid or have agreed to the terms of the disturbance compensation;

f)         Whether or not the area is irrigated; and

g)         Other information relevant and useful in deciding whether to approve/disapprove the conversion application.

6.5       The CLUPPI/RCLUPPI investigating team shall proceed first to the MARO before going to the site to be inspected.   TDESCa

6.6       The MARO shall request the tenants, farmworkers or bona fide occupants if any, to be present at the site during the ocular inspection.

6.7       Immediately after the field investigation, the MARO shall issue the following certifications:

a)         Certification on Conduct of Field Investigation (LUC Form H);

b)        Certification on Tenancy/Non-Tenancy and CARP Coverage and Non-Coverage (LUC Form I); and

c)         Certification on Completion of Posting of Notice of LUC Application and With Protest/Without Protest (LUC Form J).

6.8       The CLUPPI/RCLUPPI Investigating Team shall complete the field investigation within seven (7) days. However, investigation involving priority development areas must be accomplished within three (3) days.

6.9       The investigating team shall prepare a field investigation report (LUC Form K) within three (3) days from the date of inspection and transmit the same to the Chairperson of RCLUPPI or Executive Director of CLUPPI through the Head of the CLUPPI/RCLUPPI Secretariat.

7.0    Deliberation and Resolution of Application

7.1       On the twentieth (20th) day from posting of the notice and after completion of inspection, the CLUPPI/RCLUPPI shall deliberate on the merits of the application and recommend appropriate action thereon. The body deliberating on the application may call the applicant and/or the oppositors, if any, for clarificatory questioning in order to judiciously resolve the application for conversion.

7.2       For areas highly restricted from conversion, the CLUPPI/RCLUPPI shall endorse the application to PLUTC together with its recommendation for further review/evaluation within ten (10) days from receipt thereof.

7.3       Within ten (10) days from the date of deliberation, the CLUPPI/RCLUPPI shall prepare draft a Order of Approval or Denial, with corresponding control number, and transmit the same to the proper approving authority.

7.4       Within ten (10) days from submission of the recommendation, the approving authority shall resolve the application.

7.5       For applications involving priority development areas, the recommendation and draft order prepared by the investigating team shall be acted upon from receipt thereof.

8.0    Conditions of Conversion Order

The approval of the conversion application shall be subject to the following conditions, among others:

a)         Disturbance compensation to affected tenants, farmworkers, or bonafide occupant in such amount or kinds as maybe mutually agreed and approved by the DAR, shall be paid within 60 days from the date of approval of the application for conversion.

b)        The use of authorized in the order of conversion shall be annotated on the title of the property within 60 days from issuance of the order of conversion.

c)         The development of the area approved for conversion shall commence within one (1) year from approval of the conversion. Completion of development shall be subject to the schedule indicated in the detailed site development plan but in no case shall it extend beyond five (5) years from issuance of the Order, except as authorized by the Secretary or by the approving official on meritorious grounds.

d)        The applicant shall allow duly authorized representatives of DAR free and unhampered access to the property subject of the conversion order for the purpose of monitoring compliance with the terms and conditions thereof.

e)         The performance bond shall be posted within five (5) days from issuance of the order of conversion: Provided, That only applications filed and approved after the effectivity of AO 1, Series of 1999, shall be required to post performance bond.

f)         For priority development areas, the applicant shall secure an ECC prior to undertaking any development therein, where applicable, i.e., the project is considered environmentally critical or within environmentally critical areas as defined by law.

9.0    Release and Transmittal of Order

9.1       The Order of Approval/Denial, as well as the entire Land Use Conversion Folder (LUCF), shall be forwarded to the Records Division which shall distribute copies of the Order to the concerned parties and keep custody of the LUCFs.

9.2       The Records Division of the DAR Central Office shall furnish a copy of the Order to the CLUPPI, RCLUPPI and concerned PARO and MARO.

9.3       The Records Division of the Regional Office shall furnish a copy of the Order to the RCLUPPI and concerned PARO and MARO. It shall also provide a copy of the Order, together with a copy of the LUCF to the DAR Central Office Records Division and the CLUPPI.   DHSCEc

9.4       The respective Records Division shall retain the original copy of the LUCF for custody and safekeeping.

This Memorandum Circular takes effect immediately and repeals, supersedes or modifies DAR Memorandum Circular No. 3, Series of 1998 and all other issuances inconsistent hereof.

Diliman, Quezon City, May 15, 1999.

 

(SGD.) HORACIO R. MORALES, JR.
Secretary


LUC Checklist

Series of 1999

Department of Agrarian Reform

Center for Land Use Policy, Planning and Implementation (CLUPPI)

DOCUMENTARY REQUIREMENTS FOR LAND USE CONVERSION

A.        Standard Requirements. Three (3) sets of land use conversion folder (LUCF) consisting of the following: (One [1] set of original copy and two [2] sets photocopy)

1.         Application for Conversion (Land Use Conversion [LUC] Form No. 1)

2.         Special Power of Attorney, if the petitioner is other than the owner of the land or Board Resolution if the owner is a corporation.

3.         True copy of the Original Certificate of Title (OCT) or Transfer Certificate of Title (TCT) certified by the Register of Deeds not later than thirty (30) days prior to filing. However, if at the time of application, the landholding is an untitled agricultural land, the following shall be required in lieu of the copy of title:

a)         DENR Community Environment and Natural Resources Officer (CENTRO) Certification that the landholding has been classified as alienable and disposable; and

b)         Certification from DENR CENTRO (for administrative confirmation of imperfect title) or the Clerk of Court of regular courts (for judicial confirmation of imperfect title) that:

1.         the titling process/proceeding has commenced; and

2.         there are no adverse claimants.

4.         Location Map, vicinity Map and Sketch Plan showing the relative position of subject lots, TCT/OCT No/s. Lot No., area per title and area applied for conversion, all duly certified by a licensed geodetic engineer.

5.         Recent 5R photographs of the property duly certified by the photographer/applicant.

6.         Socio-economic benefit cost study inclusive of detailed site development plan and work and financial plan.

7.         Proof of financial and organizational capability to develop land to include: profile of developer, financial statement duly authenticated by a certified public accountant, and articles of incorporation or partnership if applicant/developer is a corporation or partnership: Provided, That if the land is to be used for socialized housing by the LGU under EO 124, S. 1993, a sangguniang resolution appropriating funds for the project and authorizing the LGU to undertake the same shall be required: Provided, further, that if the socialized housing shall be undertaken by other government agencies such as the National Housing Authority and the like, a board resolution approving the project and appropriating funds therefor shall likewise be submitted.

8.         List of tenants/farmworkers/bona fide occupants who will be affected by the land use conversion and proof of payment or agreement to pay disturbance compensation, duly attested to by the MARO.

9.         Certification from the HLURB Regional Officer or the Deputized Zoning Administrator stating, among others, the zonal classification of the land citing the Municipal or City Zoning Ordinance and the date of its approval (LUC Form No. 2)

10.       Certification from the authorized DA official stating, among others, the classification of the property under the NPAAAD; its convertibility status whether non-negotiable or highly restricted from conversion; and its irrigation coverage suitability for agriculture (LUC Form No. 3). *

11.       Certification from the DENR Regional Executive Director whether or not the subject area is within NIPAS, within environmentally critical areas (ECA), or will involve the establishment of an environmentally critical project (ECP) (LUC Form No. 4).

12.       Official receipt showing proof of payment of filing fee and cash bonds.   HESIcT

13.       Affidavit of Undertaking (LUC Form No. 5)

 

B.        Special Requirements

 

1.         If applicant is beneficiary of agrarian reform program:

a.         Certification from the Provincial Agrarian Reform Officer (PARO) certifying, among others, that at least five (5) years have lapsed since the award of the land (LUC Form No. 6)

b.         Certification from the local office of Land Bank of the Philippines (LBP) that the beneficiary has fully paid his obligations with the LBP (LUC Form No. 7): Provided, That if the land involves landed-estate or those acquired under Voluntary Land Transfer/Direct Payment Scheme (VLT/DPS), the certification of the PARO that the same has been fully paid by the applicant shall be required in lieu of that of the LBP.

c.         Joint venture agreement or any other business arrangement between the EP/CLOA title holders and the developer where the land was awarded under the agrarian reform program; and where the proposed use is compatible with its agricultural character or support, maintain or enhance the agricultural productivity of the land.

2.         If area is highly restricted from conversion:

a.         Project feasibility study.

3.         If application involves ECPs or within ECAs:

a.         Environmental Compliance Certificate (ECC)

4.         If application involves priority development areas: *

a.         NEDA-NLUC endorsement, if under EO 124

b.         HLURB endorsement, if for socialized housing

c.         PEZA Board Resolution approving the project, if for ECOZONE project.

*          Under existing DA policy, the certification shall be issued by the Secretary

*          NOTE: ECC shall not be a pre-condition to the approval of conversion application; instead, it shall form part of the conditions thereof where applicable.

LUC FORM NO. 1

Series of 1999                       APPLICATION NO. ___________

(To be filled-up by the applicant)

                                                Filing Fee Paid Under:                                 Cash Bond Paid Under:

                                                O.R. No.: ________                                     O.R. No.: __________

                                                Date: ___________                                     Date: ______________

                                                Amount: _________                                   Amount: ___________

            (To be filled-up by the CLUPPI/RCLUPPI)

SWORN APPLICATION FOR LAND USE CONVERSION *

(Must be filled-up completely otherwise will not be accepted)

The Honorable Secretary

Department of Agrarian Reform

Quezon City

S i r :

Pursuant to DAR Administrative Order No. 1, Series of 1999, I hereby apply for the conversion of the landholding/s from agricultural to _______ use/s and submit the following information:

I.          APPLICANT'S PERSONAL CIRCUMSTANCES

A.        Individual Landowner

            (If the applicant is the landowner)

Name _____________________________________________

Postal Address ______________________________________

Telephone Number ___________________________________

B.        Corporate/Partnership/Co-ownership/Gov't. Entity

Name _____________________________________________

Postal Address ______________________________________

Telephone Number ___________________________________

If incorporated, name of President/Head ___________________

If co-ownership; name(s) of co-owner(s)

__________________________________________________

__________________________________________________

__________________________________________________

C.        Representative

            (If applicant is other than the landowner)

Name __________________________________________

Postal Address ___________________________________

Telephone Number ________________________________

Nature of Authority (To be attached):

[ ] SPA         [ ] Board Resolution

II.        LAND DEVELOPER

(To be filled-up regardless of whether or not the developer is the applicant. Please attach contract for the development of the property, if the developer is other than the applicant)

Name ______________________________________________________

Postal Address _______________________________________________

Telephone Number ____________________________________________

License/Registration Number _____________________________________

III.       DESCRIPTION OF LANDHOLDING/S

A.        LAND TITLES AND AREA APPLIED

   Registered Owner Lot No./    OCT/TCT/TD         Area Per      Area Applied for         Location

                            Survey      Patent/Deed         Title (Ha)     Conversion (Ha)        (Specific

                               No.                No.                                                                            Barangay

1. ____________     _____      __________       ________     _____________        ________

2. ____________     _____      __________       ________     _____________        ________

3. ____________     _____      __________       ________     _____________        ________

4. ____________     _____      __________       ________     _____________        ________

5. ____________     _____      __________       ________     _____________        ________

                                                     TOTAL ____________

(Please attach Sketch Plan showing the relative position of lots applied for conversion to other lots and the TCT/OCT No., Lot No., area per TCT/OCT and area applied)   cHCaIE

B.        LOCATION: _____________________________

                   (Barangay, Municipality, Province)

C.        ZONAL VALUE: (Latest as prescribed in the administrative issuances of the Department of Finance)

1.         TOTAL P _____________

2.         P/sq.m. _______________

D.        CARP COVERAGE (If any)

[ ]         With Notice of Land Valuation and Acquisition

[ ]         With Approved Stock Distribution Option

[ ]         With Perfected Agreement on Voluntary Land Transfer/Direct Payment Scheme

[ ]         Within landed estate/resettlement

[ ]         Not covered by any of the above

E.         LAND COVER AND USE OF APPLIED AREA

                             Land Cover (e.g., grass,          Land                    Area

                                crops structures)                   Use                      (Ha.)

                             i.      Dominant

                             ii.     Others

F.         SURROUNDING LAND COVER AND USE

                             Land Cover (e.g., grass,          Land                    Area

                                crops structures                    Use                      (Ha.)

                             i.      Dominant

                             ii.     Others

G.        TERRAIN/TOPOGRAPHY

[ ] Flat                                  [ ] Hilly

[ ] Upland                 [ ] Mountainous

(NOTE: If upland, hilly or mountainous, please attach Topographic Map).

H.        APPROXIMATE DISTANCE TO ANY OF THE FOLLOWING (In km:)

Municipal Hall ____________        Barangay Center ________

Public Market ____________          Public School __________

National Highway _________         Provincial Road ________

Municipal Road ___________        Barangay Road _________

(NOTE: Please attach Location and Vicinity Maps)

I.          TENURIAL STATUS: (PLS. CHECK)

[ ] Tenanted; No. ______                 [ ] Untenanted

[ ] With Farmworkers; No. ____      [ ] Without

                                                              Farmworkers

[ ] With Occupants; No. ______      [ ] Without

                                                              Occupants

(NOTE: Please attach list of affected tenants, farmworkers or occupants, if any)

J.          ENCUMBRANCES

[ ] Yes                      [ ] None

If yes, specify type of encumbrance ______________________

(NOTE: Attach letter of concurrence of the mortgagee [or/of the individual/entity in whose favor the encumbrances was constituted] to the proposed conversion of the property.)

If covered with several land titles, specify OCT/TCT Nos.

_________________________________________________

_________________________________________________

I hereby certify that all information stated above are true and correct to the best of my knowledge and that no similar/previous application has been filed, in my name or in my behalf, over the same or portion of the area applied for; either is this application part of a bigger project involving other landholdings. It is understood that any misrepresentation on my part will be sufficient cause for denial of this application or cancellation or withdrawal of conversion approval and a perpetual ban of my person or entity or my representative from any transaction involving land conversions with the DAR.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of _________, ___________ at _______________________.

                                                                           _____________________________

                                                                           Signature of Landowner/Authorized

                                                                                                Representative

SUBSCRIBED AND SWORN to before me this _____ day of ____, ________ at __________________. Landowner/Representative exhibiting his/her Residence Certificate No. _________ issued on _______ at ______________________.

Doc. No. _________

Page No. _________

Book No. ________

Series of __________                                                          ________________

                                                                                      Notary Public

*          To be submitted by the applicant to the DAR Regional CLUPPI (RCLUPPI) or Central Office CLUPPI together with pertinent documentary requirements as in the attached list in three (3) copies (1 set original and 2 sets of photocopy). All applications covering a total of more than five hectares shall be filed with the CLUPPI. Application for landholdings with an aggregate area of five (5) hectares and below on a project basis shall be filed with the RCLUPPI. For the purpose of determining the aggregate area involving, the area of the application/s regardless of the number of land use conversion applications or folders shall mean the total area of all applications involving:

1.         Properties owned by the same persons or entity or the owners of which are represented by the same person or entity; and

2.         Properties located in the same barangay or adjacent barangay within the same Municipality/ies.

In cases where the subject of the applications is adjacent to areas where the DAR has previously issued conversion orders the test above on the determination of aggregate areas shall be applied for purposes of determining the approving authority.

HLURB Region ___________

LUC FORM NO. 2

Series of 1999

(To be filled-up by the Regional HLURB)

Republic of the Philippines

HOUSING AND LAND USE REGULATORY BOARD

Office of the Regional Officer

CERTIFICATION

1.         [ ] WITH APPROVED COMPREHENSIVE LAND USE PLAN/ZONING ORDINANCE   HcSDIE

THIS IS TO CERTIFY that the _______ parcel(s) of land situated in Barangay(s) _____________ City/Municipality of _____________ Province of _____________, covering an area of __________ hectares, specifically identified as follows:

Registered    Lot           OCT/TCT         Area            Area                  Zoning
Owner            No.           No.                   Per              Applied for        Classification
                                                                 Title             Conversion
          
                                                       Has.            Has.

________     ______   ________       ______     __________      ___________

________     ______   ________       ______     __________      ___________

________     ______   ________       ______     __________      ___________

________     ______   ________       ______     __________      ___________

________     ______   ________       ______     __________      ___________

TOTAL        ______   ________       ______     __________      ___________

which will be subject of an application for land use conversion into ______________ based on the duly certified location and vicinity maps submitted by the applicant, is/are zoned for use/s specified in the above table per approved Comprehensive Land Use Plan/Zoning Ordinance of the city/municipality of ____________, dated _____________ ratified by the Housing and Land Use Regulatory Board (HLURB)/Sangguniang Panlalawigan (SP) through Board/SP Resolution No. ________ dated _________ in accordance with pertinent issuances;

Further, the proposed conversion:

[ ]         Conforms/is compatible with the approved land use plan and/or Zoning Ordinance

[ ]         Does not conform/is not compatible with the approved land use plan and/or Zoning Ordinance

Per record of this Office, the city/municipality of ___________ has a total zoned agricultural land of ____________ hectares of which ___________ hectares have been reclassified since ____________, as approved by the HLURB/SP per HLURB/SP Resolution No. ___________ dated ______________.

2.         [ ] WITH COMPREHENSIVE LAND USE PLAN/ZONING ORDINANCE PENDING APPROVAL BY HLURB/SP

THIS IS TO CERTIFY that the subject property is located within the area zoned for ___________ use per comprehensive Land Use Plan/Zoning Ordinance No. _________ dated _________ submitted to HLURB/SP for approval on ____________ and same remains pending to date.

3.         [ ] WITHOUT COMPREHENSIVE LAND USE PLAN/ZONING ORDINANCE

THIS IS TO CERTIFY that the municipality/city of _______________ has not submitted its Comprehensive Land Use Plan/Zoning Ordinance to this Office.

This Certification is issued upon the request, of Mr./Mrs./Ms. _______ submitted its Comprehensive Land Use Plan/Zoning Ordinance to this Office.

Given this ___________ day of ______________, __________.

______________________________________

Regional Officer/Deputized Zoning Administrator/

Zoning Officer

NOTE:

1.         This certification is issued relative to the requirement of DAR regarding the implementation of the Comprehensive Agrarian Reform Law and shall not be construed as a Certificate of Eligibility for Conversion;

2.         This certification shall not be construed as a Locational Clearance/Certificate of Zoning Conformance/Development Permit or License to Sell;

3.         This shall not be construed as a certification as to the ownership by the applicant of the abovelisted parcel(s) of land

LUC FORM NO. 3

Series of 1999

(To be filled-up by the DA)

Republic of the Philippines

DEPARTMENT OF AGRICULTURE

CERTIFICATION

THIS IS TO CERTIFY that the ____________ parcel(s) of land situated in Barangay(s) ___________ Municipality of ____________ Province of ______________, covering an area of ___________ hectares, specifically identified as follows:

Registered    Lot                OCT/TCT              Area Per            Area Applied for
Owner            No.               No.                         Title(Ha.)            Conversion (Ha.)

________     ______         ________           __________       ___________

________     ______         ________           __________       ___________

________     ______         ________           __________       ___________

________     ______         ________           __________       ___________

________     ______         ________           __________       ___________

TOTAL        ______         ________           __________       ___________

was/were evaluated pursuant to Department of Agriculture (DA) Administrative Order (A.O.) No. ______, Series of ______, its Network and Map of Protected Areas, DA A.O. NO. 6 (1998) its Implementing Rules and Regulations (IRR) pursuant to RA 8435, and RA 8048 and its IRR series of 1998, and subjected to actual soil testing analysis, field evaluation and verification.   DAEcIS

Control No.: ________

The findings are as follows:

A.        GENERAL DESCRIPTION OF THE PROPERTY

1.         Slope Gradient (%) ______; Area by Slope class (ha) _______

2.         Elevation (m) ___________________________________

3.         Texture and depth of soil (cm) ______________________

4.         Terrain/Topography _____________________________

B.        LAND COVER OF THE APPLIED AREA (Please check and specify)

1.         [ ] Planted to coconut, specify:

a.         Percentage or actual area: _____________________

b.         No. of trees: _______________________________

c.         Ages of trees: ______________________________

d.         Average production (3 years): __________________

e.         Crops planted as intercrop: ____________________

f.          PCA Program Coverage

[ ]         Within program/projects areas

[ ]         Not within program/projects areas

2.         [ ] Agricultural crop(s): specify type of crops) and percentage or actual area ________________.

3.         [ ] Grasses/shrubs; specify percentage or actual area __________.

4.         [ ] Forest; specify type: ______; specify percentage or area covered ___________.

5.         [ ] Others; specify __________; specify percentage or actual area covered _________________.

6.         [ ] The land use conversion shall result to fragmentation of agricultural land.

            [ ] The land use conversion shall not result to fragmentation of agricultural land.

F.         CONVERTIBILITY STATUS

1.         [ ] Non-negotiable for conversion

2.         [ ] Highly restricted from conversion

3.         [ ] None of the above

(NOTE: If within highly restricted area from conversion, a project feasibility study, shall be submitted as additional requirement).

This Certification is issued, upon the request of Mr./Mrs./Ms. ______________ in relation to his/her application for conversion.

Given this _________ day of ________, ___________.

                                                                         ________________

                                                                         Authorized Official

NOTE:

1.         This Certification shall not be considered as Development Permit.

2.         This Certification shall not be considered as permit to cut coconut trees.

3.         This Certification shall be attached in the Land Use Conversion Folder (LUCF) as one of the standard documentary requirements.

DENR Region ________

LUC FORM NO. 4

Series of 1999

(To be filled-up by the DENR)

Republic of the Philippines

DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

Office of the Regional Executive Director

CERTIFICATION

THIS IS TO CERTIFY that the __________ parcel(s) of land situated in Barangay(s) __________ Municipality of ______________ Province of ___________, covering an area of _____________ hectares specifically identified as follows:

Registered    Lot                OCT/TCT             Area Per                Area Applied for

Owner            No.                No.                       Title (Ha.)               Conversion (Ha.)

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

TOTAL        ______         ________           __________          ___________

is/are classified as: (Please check)

1.         [ ] Within protected areas under the National Integrated Protected Area System (NIPAS)   ECSHAD

2.         [ ] Within Environmentally Critical Area (ECA); specify: ____

3.         [ ] Within recharged acquifers

4.         [ ] Within mossy and virgin forests

5.         [ ] Within riverbanks

6.         [ ] Within swamp forests and marshlands

7.         [ ] None of the above

Further, the proposed project to be undertaken in the area applied for conversion is:

1.         [ ] Environmentally critical project (ECP); specify: ________

2.         [ ] Not environmentally critical project (ECP)

(NOTE: If the subject properly falls within ECA or the proposed project is an ECP, an ECC shall be secured and attached to his certification as additional documentary requirement. However, for applications priority development areas, an ECC shall not be a precondition to the approval of the conversion application, instead, it shall form part of the condition thereof when applicable.)

This Certification is issued upon the request of Mr./Mrs./Ms. _________ relative to his/her application for land use conversion.

Given this ___________ day of ____________, ___________.

                                                       ______________________

                                                      Regional Executive Director

Note:

1.         This Certification shall not be considered as development permit.

2.         This Certification shall not be construed as an Environment Compliance Certificate (ECC).

3.         This Certification shall be attached in the Land Use Conversion Folder (LUCF) as one of the standard documentary requirements.

Control No. ________

LUC FORM NO. 5

Series of 1999

(to be filled-up by the applicant)

REPUBLIC OF THE PHILIPPINES                        )

MUNICIPALITY OF                                                )S.S.

PROVINCE OF                                                         )

AFFIDAVIT OF UNDERTAKING

I, ________________, of legal age, Filipino, single/married to _______ and with residence address at ______________, having been duly sworn in accordance with law hereby depose and say that:

1.         I am the owner/authorized representative of the owner of the parcel(s) of land subject of an application for conversion;

2.         The land subject of my application for conversion has no vertical nor horizontal development of any kind that is related to any non-agricultural use;

3.         As a sign of good faith, I have posted a cash bond paid under Official Receipt No. _________ issued by DAR ___________ in the amount of ________________ (Php __________) which is equivalent to two and a half-percent (2.5%) of the zonal value of the property;

4.         The cash bond guarantees the present status of the land and our obligation not to conduct and not to allow any development of any nature by any person, whether or not acting on our behalf, over the entire property subject of the conversion application until such time that DAR has issued the Order of Conversion authorizing the development of project as applied for;

5.         With this instrument, I authorize DAR to forfeit the said cash bond should it find, upon proper notice, that there is development within the area, undertaken either before or after the filing of our conversion application, that is related to any non-agricultural use before the issuance of an order of conversion.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _________ day of ______, ________ at __________________.

                                                            _____________________________

                                                            Landowner/Authorized Representative

SUBSCRIBE AND SWORN to before me this ___________ day of ________, _______ at __________ affiant exhibiting his/her Community Tax Certificate No. ___________ issued on ______ at ___________________.

Doc. No. _______

Page No. _______                                                             _____________

Book No. _______                                                                Notary Public

Series of _______

Control No. ________

LUC FORM NO. 6                                                                        Province ________

Series of 1999

(To be filled-up by the PARO)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office

CERTIFICATION

THIS IS TO CERTIFY that the __________ parcel(s) of land situated in Barangay(s) ______________ Municipality of _____________ Province of _______________, covering an area of ______________ hectares, specifically identified as follows:

Registered      Lot                OCT/TCT             Area Per              Area Applied for

Owner             No.                 No.                       Title (Ha.)             Conversion (Ha.)

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

TOTAL           ______         ________           __________          ___________

is/are found to be covered and distributed under the Agrarian Reform Program and awarded to the farmer-beneficiaries (FBs) specifically described as follows:

Name of FBs            Coverage                 Date of         Status of             Remarks

(e.g., VOS/CA, VLT, D                                Award          Payment

 PS, landed estate)

________                 __________          ________     _________   __________

________                 __________          ________     _________   __________

________                 __________          ________     _________   __________

________                 __________          ________     _________   __________

TOTAL                       __________          ________     _________   __________

                     (Please attach additional sheet if necessary)

In summary the total number of FBs involved are ________ of which _________ (no.) have fully paid their obligation and ___________ (no.) have at least reached the five (5) year-lapse since the award of the land.   aEIcHA

Control No. ___________

LUC FORM NO. 7

Series of 1999

(To be filled-up by the LBP Branch/Field Manager)

Republic of the Philippines

LAND BANK OF THE PHILIPPINES

Office of the Branch/Field Manager

Branch/Field Office _______________

______________________________

CERTIFICATE OF FULL PAYMENT OF ARBs OBLIGATIONS

THIS IS TO CERTIFY that the ___________ parcel(s) of land situated in Barangay(s) _____________ Municipality of ______________ Province of _______________, covering an area of _____________ hectares, specifically identified as follows:

Registered      Lot               OCT/TCT             Area Per                Area Applied for
Owner              No.               Case No.            Title(Has)              Conversion (Has.)

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

TOTAL        ______         ________           __________          ___________

FURTHER, it is certified that the subject landholding/petition was found to be awarded to the following farmer-beneficiaries, namely:

1.      ______________________    6.        ______________________

2.      ______________________    7.        ______________________

3.      ______________________    8.        ______________________

4.      ______________________    9.        ______________________

5.      ______________________   10.      ______________________

                   (attach list if necessary)

FURTHERMORE, the abovementioned farmer-beneficiaries of the agrarian reform program have [ ] fully paid [ ] not fully paid their obligations.

This Certification is issued upon the request of Mr./Mrs./Ms. ___________________ in relation to his/her application for land use conversion.

Given this ________ day of __________, __________.

                                                                                      _________________

                                                                                      Branch/Field Manager

NOTE:

1.         This Certification shall be required when the applicant/landowner is a beneficiary of agrarian reform program; and

2.         Accomplished copy of this Certification shall be attached to the Land Use Conversion Folder (LUCF) as additional requirement.

LUC FORM A

(To be filled-up by Receiving Officer of CLUPPI/RCLUPPI)

Republic of the Philippines

Department of Agrarian Reform

Center for Land Use Policy, Planning

and Implementation (CLUPPI)

Office (Central/RCLUPPI): ____________

CHECKLIST FOR APPLICATION FOR LAND USE CONVERSION OF ALL PRIVATE AGRICULTURAL LANDS

A.        PETITIONER

1.         Name of Applicant: __________________________________

            (Signatory in the Sworn Application for Conversion)

2.         Postal Address: _____________________________________

3.         Date of Filing of Petition: ______________________________

4.         Proposed Use of the Land: _____________________________

5.         Total Area Applied for Conversion (in hectare): ____________

            Location of the Property: ______________________________

6.         Name of Developer: __________________________________

            Address: ___________________________________________

            Tel. No.: ___________________________________________

            If the developer is not the applicant, specify proof of authority to develop the land:

            __________________________________________________

B.        LANDHOLDING INFORMATION

1.         Name of Registered      Title No.       Lot No./       Date of Registration      Area Per

            Landowner/s                                         Survey No.                of Title                    Title

             ________                        ______        ________          __________      ___________

               ________                        ______        ________          __________      ___________

             ________                        ______        ________          __________      ___________

             ________                        ______        ________          __________      ___________

             ________                        ______        ________          __________      ___________

2.         With encumbrance/s [ ] yes  [ ] No

If yes, specify type of encumbrance/s _____________________

If covered with several land titles, specify OCT/TCT Nos.

__________________________________________________

__________________________________________________

[ ]         With concurrence of mortgagee or of individual/entity in whose favor the encumbrance was constituted.   TAIESD

[ ]         Without concurrence of mortgagee or/of individuality/entity in whose favor the encumbrance was constituted.

3.         If land is tenanted: (Check)

[ ]         With proof of payment of disturbance compensation (acknowledgement receipt by tenant/farmworker), attested by the MARO; or

[ ]         With proof of undertaking to pay disturbance compensation (duly notarized agreement signed by tenant/farmworker and applicant, embodying undertaking of applicant to pay disturbance compensation)

         Type of Document                      With               Suffi           Not          W/O

                                                               Docu-            cient         Suffi-        Docu

                                                               ment                                cient         ment

1.      Notarized Application for           _____          _____        _____       _____

         conversion (LUC Form

         No. 1)

2.      SPA/Board Resolution (if           _____          _____        _____       _____

         applicant is other than the

         owner)

3.      Photocopy of TCT/OCT              _____          _____        _____       _____

         Certified by ROD not

         later than 30 days prior to

         filling; if the property is

         untitled:

               DENR certification              _____          _____        _____       _____

                 that the property is

                 alienable &

                 disposable; and

               Certification from the          _____          _____        _____       _____

                 Clerk of Court/LMB

                 that:

                 a)      the titling process

                          /proceedings has

                          commenced;

                 b)      there are no

                          adverse claimants

4.      Location and Vicinity

         Maps                                            _____          _____        _____       _____

5.      Sketch Plan showing the

         relative positions of lots              _____          _____        _____       _____

         applied for conversion

         and the TCT and Lot

         Nos., area per TCT and

         area applied for

         conversion, duly prepared

         by a licensed Geodetic

         Engineer

6.      Topographic map of

         subject property is                       _____          _____        _____       _____

         mountainous, upland, or

         hilly)

7.      Photos of the property

8.      Socio-economic benefit               _____          _____        _____       _____

         cost study inclusive of the           _____          _____        _____       _____

         detailed:

               Area development

                 Plan                                      _____          _____        _____       _____

               Work and Financial

                 Plan                                      _____          _____        _____       _____

9.      Proof of financial and

         organizational capability              _____          _____        _____       _____

         to develop the land, such

         as:

               Profile of developer

                 including details of              _____          _____        _____       _____

                 past or current

                 development projects

               Financial Statements

                 duly authenticated by          _____          _____        _____       _____

                 a certified public

                 accountant

               Articles of

                 Incorporation or                   _____          _____        _____       _____

                 Partnership, if the

                 applicant/developer is

                 a corporation or

                 partnership

10.    For socialized housing                 _____          _____        _____       _____

         projects to be

         implemented by LGU

               SB/SP Resolution

                 appropriating funds

                 for the project

               SB Resolution

                 authorizing LGU to

                 undertake the

                 implementation of the

                 project

11.    For socialized housing                 _____          _____        _____       _____

         projects to be

         implemented by NHA or

         other govt. agencies

               Resolution approving

                 the project

               Resolution

                 appropriating funds

                 for the project

                 implementation

12.    HLRB Certification                    _____          _____        _____       _____

         (LUC Form No. 2)

13.    DA Certification (LUC               _____          _____        _____       _____

         Form No. 3)

14.    DENR Certification                    _____          _____        _____       _____

         (LUC Form No. 4)

15.    Filing fee and cash bond             _____          _____        _____       _____

16.    Affidavit of Undertaking            _____          _____        _____       _____

         (LUC Form No. 5)

17.    If the applicant is FB of

         CARP:

               Certification from the          _____          _____        _____       _____

                 PARO (LUC Form

                 No. 6)

               Certification from

                 LBP (LUC Form No.           _____          _____        _____       _____

                 7)

18.    Joint venture agreement              _____          _____        _____       _____

         on the use of the land

         between the EP/CLOA

         holders and the developer

         where land was awarded

         under the CARP.

19.    If applicant involves

         priority development

         areas:

         [ ]    NEDA-NLUC                     _____          _____        _____       _____

                 endorsement if under EO

                 124

         [ ]    HLRB endorsement             _____          _____        _____       _____

                 if socialized housing

         [ ]    PEZA board                         _____          _____        _____       _____

                 resolution approving the

                 project for ECOZONE

                 project

                 (Note: ECC shall not be a

                 precondition to the

                 approved conversion

                 application)

20.    If area is highly restricted

         from conversion

               Project Feasibility                _____          _____        _____       _____

                 Study

21.    If application involves

         ECP or within ECA

               ECC                                     _____          _____        _____       _____

Remarks:

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

                                                                                       Checked by: ________

                                                                                                   Date: ________

LUC FORM B

Accomplish in Triplicate

(Applicant/CLUPPI/RCLUPPI/Accounting Div.)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and Implementation

Office (Central/RCLUPPI): __________

To be filled up by CLUPPI/RCLUPPI:

LUC APPLICATION FORMS

Name of Applicant: ____________________________________________

Location of Property/Landholdings: ________________________________

Area: _______________________________________________________

Amount to be paid:

                        P __________________

                                                                           Approved for payment:

                                                                           ________________________

                                                                           Authorized CLUPPI/RCLUPPI

                                                                                      Representative

To be filled up by Accounting Division

ORDER OF PAYMENT

Date __________

PAYOR ______________________________________________

PARTICULAR _________________________________________

AGRARIAN REFORM FUND (FUND 158)

JOURNAL ENTRIES

Account Symbol                                 Debit                            Credit

________________                         ________                    ________

________________                         ________                    ________

________________                         ________                    ________

________________                         ________                    ________

Obligation No.

Deposit to:   BTR ( )            Trust ( )

O.R. NO. __________              Date _________

Amount ____________

Collecting Officer

                                                                           _______________

                                                                            Chief Accountant

LUC FORM B1

Accomplish in Triplicate

(Applicant/CLUPPI/RCLUPPI/Accounting Div.)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and Implementation

Office (Central/RCLUPPI): __________

To be filled up by CLUPPI/RCLUPPI

ASSESSMENT OF LUC APPLICATION FILING FEE

Name of Applicant: ____________________________________________

Location of Property/Landholdings: ________________________________

Area: _______________________________________________________

Amount to be paid:

                                             Fixed Fee       Inspection Fee        Total

                                             P_______      P__________     P_______

                                                                           Approved for payment:

                                                                           ________________________

                                                                           Authorized CLUPPI/RCLUPPI

                                                                                       Representative

To be filled up by Accounting Division

ORDER OF PAYMENT

Date ________

PAYOR _____________________________________________________

PARTICULAR ________________________________________________

AGRARIAN REFORM FUND (FUND 158)

JOURNAL ENTRIES

Account Symbol                                   Debit                                   Credit

________________                           _________                        _________

________________                           _________                        _________

________________                           _________                        _________

________________                           _________                        _________

Obligation No.

Deposit to:                              BTR ( )                     Trust ( )

O.R. No. _______                  Date ________

Amount ________

Collecting Officer

                                                                                             ______________

                                                                                             Chief Accountant

LUC FORM B2

Accomplish in Triplicate

(Applicant/CLUPPI/RCLUPPI/Accounting Div.)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and Implementation

Office (Central/RCLUPPI): ________________

To be filled up by CLUPPI/RCLUPPI:

ASSESSMENT OF LUC APPLICATION CASH BOND

Name of Applicant: ___________________________________________

Location of Property/Landholdings: _______________________________

Area: ______________________________________________________

Province:     Area (Ha)                Zonal Value                         Total (P)

                                                            P/m2

Brgy. A     _________                __________               ____________

Brgy. B     _________                __________               ____________

Brgy. C     _________                __________               ____________

         TOTAL _________            __________               ____________

Cash Bond (2.5 % of total zonal value) P

                                                                        Approved for payment:

                                                ________________________

                                             Authorized CLUPPI/RCLUPPI

                                                                        Representative

To be filled up by Accounting Division

ORDER OF PAYMENT

Date ____________

PAYOR ________________________________________________

PARTICULAR ___________________________________________

AGRARIAN REFORM FUND (FUND 158)

JOURNAL ENTRIES

Account Symbol                              Debit                                  Credit

______________                          _________                        _________

______________                          _________                        _________

______________                          _________                        _________

______________                          _________                        _________

Obligation No.

Deposit to:                           BTR ( )            Trust ( )

O.R. No. ___________       Date __________

Amount ____________

Collecting Officer

                                                                                             ______________

                                                                                             Chief Accountant

LUC FORM C

To be filled up by CLUPPI/RCLUPPI

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and Implementation

Office (Central/RCLUPPI): __________

DATE: ________________

MEMORANDUM

TO                :     MARO __________________

                           Municipality of _____________

SUBJECT    :     POSTING OF NOTICE OF CONVERSION

1.      Please be informed that ___________ filed an application for conversion described in the attached Notice of Land Use Conversion Application.

2.      In this regard, you are hereby instructed to post the attached Notice of Conversion Application in two (2) conspicuous places in the municipality, in the barangay(s) where the property is located, and in the property itself for a period of fifteen (15) days for the information of all concerned.   DaTICc

_____________________

Head, CLUPPI Secretariat/

Chairman, RCLUPPI

Copy Furnished:

         PARO _____________

         Province of _________

LUC FORM D

(To be filled up by CLUPPI/RCLUPPI                          Application No. _____

and to be posted by the MARO)                                    Date received: ______

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and Implementation

Office (Central/RCLUPPI): __________

NOTICE OF LAND USE CONVERSION APPLICATION

NOTICE is hereby given that _________ has filed with DAR an Application for Land Use Conversion over __________ parcel(s) of land situated in Barangay __________, Municipality of _____________, Province of ___________ covering an area of hectares, specifically identified as follows:

Registered      Lot               OCT/TCT           Area Per                Area Applied for

Owner              No.               No.                     Title (Ha.)               Conversion (Ha.)

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

________     ______         ________           __________          ___________

TOTAL        ______         ________           __________          ___________

The above parcel(s) are sought to be converted from agricultural to ___________ use.

Any person with valid objection to the said application for land use conversion may file his/her objection/protest thereto, in writing, addressed to the Head, CLUPPI/RCLUPPI Secretariat through the Municipal Agrarian Reform Officer, not later than fifteen (15) days from the Period of Posting. The Period of Posting shall be completed after fifteen (15) days.

                                                                  _____________________________

                                                                  Head, CLUPPI/RCLUPPI Secretariat

Posted by: _______________         Date: ________

                        MARO

NOTE:   Accomplished copy of this Notice is to be attached in the Application for Land Use Conversion while duplicate copies shall be posted at the Barangay hall, Municipal Hall and in conspicuous premises of the land sought to be converted.

LUC FORM D

(To be filled up by CLUPPI/RCLUPPI                        Application No. _____

and to be posted by the MARO)                                   Date received: ______

PATALASTAS SA PAGPAPALIT-GAMIT NG LUPA

Sa pamamagitan ng paskil na ito, ipinagbibigay-alam na si ________ ay nagsumite sa Kagawaran na Repormang Pansakahan ng Aplikasyon para sa pagpapalit ng Gamit ng Lupa ng sumasakop ng _____________ na parsela ng lupa sa Barangay ___________, Bayan ng ___________, Lalawigan ng __________ na may kabuuang lawak na ektarya na tukoy na kinilala ayon sa sumusunod:

Nakarehistrong     Numero      OCT/TCT          Sukat            Lawak ng Lupang Nais

May-ari ng             ng Lote       Case No.          Kada                     Ipapalit-Gamit

Lupa                                                                     Titulo

________              ______     ________       __________          ___________

________              ______     ________       __________          ___________

________              ______     ________       __________          ___________

________              ______     ________       __________          ___________

________              ______     ________       __________          ___________

________              ______     ________       __________          ___________

________              ______     ________       __________          ___________

________              ______     ________       __________          ___________

                                   Kabuuang Lawak

Ang mga nasabing parsela ay hangad na ang gamit-lupa nito maging pang- ________________ mula sa kasalukuyang gamit pansakahan.

Sino man ang may lehitimong pagtutol sa nasabing aplikasyon para sa pagpapalit gamit ay maglahad ng kanyang pagtutol o protesta sa pamamagitan ng kasulatang ipinapaabot sa Punong Tagapagpaganap ng Sentrong Pampatakaran, Pagpaplano, at Pagpapatupad Hinggil sa Gamit-Lupa nang hindi hihigit ng ika-labinlimang (15) araw mula ng Panahon ng Pagpapaskil. Ang panahon ng pagpapaskil ay matatapos sa loob ng labinlimang (15) araw mula sa petsang nakasaad sa ilalim:

                 ___________________________________

              Punong Tagapagpaganap CLUPPI/RCLUPPI

Ipinaskil ni: _________________               Noong: _________________

                             MARO                                                    Petsa

PAALALA:    Isang sipi nitong napunuang Paskil Pambigay-Alay ay isasama sa Aplikasyon para sa Pagpapalit-Gamit na Lupa habang ang mga tulad-sipi ay tig-isang ipapaskil sa Bulwagang Pambarangay. Bulwagang Pambayan at sa isang panulukan sa loob ng lupaing hangad na palitan ng gamit-lupa na madaling mapansin ng madla.

LUC FORM E

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and

Implementation

Office (Central/RCLUPPI):_________

CERTIFICATION ON POSTING OF NOTICE OF LAND USE CONVERSION APPLICATION

This is to certify that the Notice of Land Use Conversion Application of the property owned by _____________ involving _____________ hectares of land situated at Barangay ______________, Municipality of _____________, Province of __________________ has been posted at the:   TcCDIS

Barangay Hall on ______________________

Premises of the land sought to be converted on ______________.

                                        ____________________________

                                       Municipal Agrarian Reform Officer

                                                                      _____________

                                                                                        Date

Note: Should be accomplished by the MARO at the start of posting.

LUC FORM F

(To be filled-up by CLUPPI/RCLUPPI)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and

Implementation

Office (Central/RCLUPPI): ____________

BRIEFER

APPLICATION FOR LAND USE CONVERSION

Name of Applicant       : _________________________________________

Representative              : _________________________________________

Address                        : _________________________________________

Location of Property    : _________________________________________

Total Area (Ha)            : _________________________________________

Proposed Use               : _________________________________________

Date of Filing               : _________________________________________

Developer                     : _________________________________________

Address                        : _________________________________________

No. of Parcels               : _________________________________________

(Attached Description of Landholdings Per Sworn Application for Land Use Conversion)

Agency             Remarks                 Certifying                         Date

                                                            Officer

HLURB _____________          ___________         ____________

DA       _____________           ___________         ____________

DENR  _____________           ___________         ____________

Other Documents                                                     Remarks

(Attach additional

sheet if necessary)

Findings/issues:

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

LUC FORM G

(To be filled-up by CLUPPI/RCLUPPI)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and

Implementation

Office (Central/RCLUPPI): _____

RADIO MESSAGE

FOR             :     PARO _____________

                           Province of __________

FROM          :     ______________________________

                           HEAD, CLUPPI/RCLUPPI Secretariat

SUBJECT    :     CONDUCT OF OCULAR INSPECTION

DATE          :     _________________________

Please be informed that CLUPPI/RCLUPPI members will conduct ocular inspection on ____________ on the property being applied for land use conversion by ___________ located at Brgy. _____________, Municipality of ______________, Province of __________________.

Please advise the concerned MARO to inform the applicant and make himself available on the said date to accompany CLUPPI/RCLUPPI members at the site. CLUPPI/RCLUPPI members will proceed to the MARO Office before proceeding to the area.

If the landholdings are tenanted, the MARO is further requested to inform the tenants to be at the site during the ocular inspection.

APPROVED FOR TRANSMISSION:

______________________________

         Head, CLUPPI/RCLUPPI

LUC FORM H

(To be accomplished by the MARO)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and

Implementation

Office (Central/RCLUPPI):__________

CERTIFICATION ON CONDUCT OF FIELD INVESTIGATION

This is to certify that the CLUPPI/RCLUPPI Field Investigation Team composed of ___________________________________ has conducted a thorough field investigation-verification on ______________, pursuant to DAR A.O. No. _______, Series of ______, in relation to the application for:   aSIHcT

[ ]      Land Use Conversion

[ ]      Exemption / Exclusion

[ ]      Lifting of Notice of Acquisition

Filed by __________ on ___________ over parcels of land with TCT/OCT No/s. __________ covering an aggregate area of ____________ hectares more or less situated in Brgy. ________________, Municipality of ____________ Province of ________________.

                                                               __________________

                                                                                       MARO

                                                               __________________

                                                                                           Date

LUC FORM I

(To be accomplished by the MARO)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and

Implementation

Office (Central/RCLUPPI): __________

CERTIFICATION ON TENANCY/NON-TENANCY AND CARP COVERAGE/NON COVERAGE

The undersigned certifies that the landholding/s described hereunder:

Registered         OCT/TCT           Lot                 Area                    Location/Brgy

Owner                  No/s.                  No.                (Ha)

________          ________          ______         __________       ___________

________          ________          ______         __________       ___________

________          ________          ______         __________       ___________

________          ________          ______         __________       ___________

________          ________          ______         __________       ___________

________          ________          ______         __________       ___________

________          ________          ______         __________       ___________

________          ________          ______         __________       ___________

is/are found to be:

[ ] Untenanted

[ ] Tenanted; No. of Tenants ________________

[ ] With Farmworkers; No. of Farmworkers _____________

[ ] With Occupants; No. of Occupants ________________

[ ] None of the above

and that

[ ] Notice of Acquisition/Valuation has been issued

[ ] No Notice of Acquisition/Valuation has been issued

[ ] VLT Agreement has been executed between the LO and the tenants

[ ] No VLT Agreement has executed between the LO and the tenants

[ ] Compulsory Acquisition has been issued by DAR

[ ] No Compulsory Acquisition has been issued by DAR

[ ] Retained area

[ ] Others, specify ________________________

                                                                         ________________

                                                                                             MARO

                                                                         ________________

                                                                                                 Date

LUC FORM J

(To be accomplished by the MARO after period of posting)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

Center for Land Use Policy, Planning and

Implementation

Office (Central/RCLUPPI): _____________

CERTIFICATION ON COMPLETION OF POSTING AND WITH PROTEST/WITHOUT PROTEST

This is to certify that the Notice for land Use Conversion Application for landholding/s described hereunder:

Registered Owner              OCT/TCT                Lot No.               Area (Ha)

                                              No/s.

______________              ________           __________          ___________

______________              ________           __________          ___________

______________              ________           __________          ___________

______________              ________           __________          ___________

______________              ________           __________          ___________

______________              ________           __________          ___________

______________              ________           __________          ___________

______________              ________           __________          ___________

involving ____________ hectares of land situated at Barangay ___________, Municipality of ___________, Province of __________ was posted at:

[ ]  Barangay Hall

[ ] Municipal Hall

[ ] Premised of the land sought to be converted on __________ until __________.

and that:

[ ] There is no protest filed against land use conversion application

 There is protest against land use conversion application

         Filed by: ____________

         No. of Protestants: _______________

         Grounds: ________________

                                                                   ________________

                                                                                       MARO

                                                                   ________________

                                                                                           Date

LUC FORM K

(To be filled up by the Investigating Team)

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM

(Must be filled-up completely)

FIELD INVESTIGATION REPORT

I.          BASIC INFORMATION

A.        Name of Applicant: ________________________

B.        Location of Property: _______________________

C.        Total Area (ha): ___________________________

D.        Proposed Use: ____________________________

E.         Date of Inspection: _________________________

II.        DESCRIPTION OF LANDHOLDINGS

A.        BASIC DATA

Registered     Lot/             OCT/TCT              Area          Area               Location

Owner             Survey        No.                        Per            (Ha)                (Brgy.)

                        No.              Patent/                 Title            Applied

                                            Deed No.

________     ______        ________          ________  _________   __________

________     ______        ________          ________  _________   __________

________     ______        ________          ________  _________   __________

________     ______        ________          ________  _________   __________

________     ______        ________          ________  _________   __________

________     ______        ________          ________  _________   __________

________     ______        ________          ________  _________   __________

TOTAL        ______        ________          ________  _________   __________

B.        DISTRIBUTION

[ ]         Contiguous               [ ]         Scattered

C.        TERRAIN/TOPOGRAPHY

TOPOGRAPHY                EVALUATION:

[ ]         Flat                         Area: ______       [ ] Less than 500

[ ]         Upland                    Area: ______             meters

[ ]         Hilly                        Area: ______       [ ] App. 500

[ ]         Mountainous           Area: ______             meters or

[ ]         Plateau                    Area: ______             above

[ ]         Valley                     Area: ______

Remarks: __________________________________________

__________________________________________________

III.       LAND USE

A.        APPLIED AREA

1.         Dominant

LAND                     LAND                        AREA                   Remarks (If planted to

COVER (e.g.,        USE                          (Has.)                    crop, specify type of

crop, grass,                                                                            crop, level of

structure                                                                                  productivity, others)

___________      _____________      ___________       ___________________

___________      _____________      ___________       ___________________

___________      _____________      ___________       ___________________

___________      _____________      ___________       ___________________

___________      _____________      ___________       ___________________

2.         Others

LAND                     LAND                        AREA                   Remarks (If planted to

COVER (e.g.,        USE                          (Has.)                    crop, specify type of

crop, grass,                                                                            crop, level of

structure                                                                                  productivity, others)

___________      _____________      ___________       ___________________

___________      _____________      ___________       ___________________

___________      _____________      ___________       ___________________

___________      _____________      ___________       ___________________

___________      _____________      ___________       ___________________

                     Other Observation: ____________________________________________

B.        SURROUNDING AREAS

               LAND               LAND                  AREA                Remarks (if planted

               COVER            USE                    (Has.)                 to crop, specify type

               (e.g., crop,                                                               of crop, level of

               grass,                                                                       productivity, others)

               structure

NORTH    __________    __________    ___________  ________________

SOUTH     __________    __________    ___________  ________________

EAST        __________    __________    ___________  ________________

WEST       __________    __________    ___________  ________________

Other Observation: _______________________________________________

IV.       ACCESSIBILITY (Distance to any of the following in km.)

Municipal Hall         _________      Barangay Center     _________

Public Market           _________      School                     _________

National Highway    _________      Provincial Road      _________

Municipal Road       _________      Barangay Road       _________

Other landmarks      _________

Remarks: (Specify type of road, means of access, others)

__________________________________________________

__________________________________________________

V.        IRRIGABILITY

A.        [ ]      Irrigated land where water is available to support rice and other crop production.   ISHaCD

B.        [ ]      Within irrigated service areas served with irrigation water at least in one cropping season in a year

C.        [ ]      Irrigated land where water is not available to support rice and other crop production due to __________________, but are within areas programmed for irrigation facility rehabilitation by the DA and the NIA.

D.        [ ]      With existing irrigation facility but not being served by DA/NIA since ______________________ due to ____________

E.         [ ]      Lots are only partly within irrigation service areas; specify: _________________________

F.         [ ]      With irrigation canal traversing/adjacent to the property

G.        [ ]      Irrigable land already covered by irrigation projects with firm funding commitment

H.        [ ]      Irrigable land not covered by irrigation projects with firm funding commitment

I.          [ ]      With existing irrigation facility operated by private organization/individual; specify type of irrigation facility and source of water _____________________

J.          [ ]      No existing irrigation within the property

K.        [ ]      With existing irrigation in the adjacent/nearby farmland

L.         [ ]      No existing irrigation in the adjacent/nearby farmland

M.        [ ]      With existing source of water; specify __________________

N.        [ ]      Others, specify: _________________________________

            __________________________________________________

Other observation: _________________________________________

________________________________________________________

VI.       TENURIAL STATUS

[ ]         Tenanted; No. __________                         [ ]         Untenanted

[ ]         With farmworkers (FWs); specify:              [ ]         Without

            No. of regular FWs ________                                 Farmworker

            No. of seasonal FWs _______                     [ ]         Without

            No. of other FWs ________                                    Occupants

[ ]         With Bonafide Occupants; No. ______

Remarks: ______________________________________

List of Affected Tenants/Farmworkers/Occupants:

 

              NAME                                     AREA                        CROPS PLANTED

 

 

                                                       CULTIVATED/

 

 

                                                        OCCUPIED

 

________________       ____________________     ___________________

________________       ____________________     ___________________

________________       ____________________     ___________________

________________       ____________________     ___________________

 

                              (Attach additional sheet if necessary)

 

VII.     CARP COVERAGE

[ ]         With notice of land valuation and acquisition

[ ]         Covered under VLT/DPS

[ ]         Without notice of land valuation and acquisition

[ ]         Not covered under VLT/DPS

[ ]         Retained area

[ ]                                    Others, specify ____________________________

Remarks: ______________________________________

______________________________________________

Key Informants: _________________________________

(Specify name of MARO, BARC Chairman, Barangay Chairman, Coop Leader/Official. Affected Tenants/Farmworkers/Occupants)

VIII.    DISTURBANCE COMPENSATION

[ ]         Without proof of disturbance compensation or undertaking to pay disturbance compensation

[ ]         With proof of disturbance compensation attested by the MARO

[ ]         With oath of undertaking to pay disturbance compensation, issued by ___________, attested by the MARO, in the form/amount of (specify package of compensation benefits) __________________________________________________

[ ]         With substantial agreement of the tenant/farmworkers/bonafide occupants to the terms of the disturbance compensation, attested by the MARO, (specify package of compensation benefits) __________________________________________________

Remarks: ________________________________________________

________________________________________________________

Key Informants: ___________________________________________

(Specify name of MARO, BARC Chairman, Barangay Chairman, Coop Leader/Official. Affected Tenants/Farmworkers/Occupants)

IX.       CITY/MUNICIPALITY CLASSIFICATION

The city/municipality of ______________ is classified as:

[ ]         Highly urbanized city

[ ]         Independent component city

[ ]         Component city

[ ]         1st class municipality

[ ]         2nd class municipality

[ ]         3rd class municipality

[ ]         4th class municipality

[ ]         5th class municipality

[ ]         6th class municipality

As of _______________________________.

X.        ZONING

A.        CLASSIFICATION STATUS

[ ]         Agricultural        Area ____________ (ha)

[ ]         Residential         Area ____________ (ha)

[ ]         Industrial            Area ____________ (ha)

[ ]         Commercial        Area ____________ (ha)

[ ]         Others; specify: _____________________

B.        BASIS

1.         Zoning Ordinance No.       : ______; Dated: _______

2.         HLRB Board Resolution No.: ______; Dated: ______

3.         SP Resolution No.              : ______; Dated: _______

Remarks: _________________________________________

___________________________________________

XI.       AREA DEVELOPMENT

A.        [ ] Without land development

            [ ] With land development

            Specify (e.g., road construction, excavation, drainage, tracing, etc.)

            __________________________________________________

            __________________________________________________

B.        [ ] Without vertical infrastructure development

            [ ] With vertical infrastructure development

            Specify:
            __________________________________________________

            __________________________________________________

XII.     PROTEST/STRONG PUBLIC OPPOSITION

A.        [ ] Without protest against land use conversion application

B.        [ ] With protest against land use conversion application

1.         Protestant(s)

            Name(s): ____________________________________

                           ________________________________

            Number: ____________________________________

2.         Grounds:

            ____________________________________________

            ____________________________________________

3.         Status:

Filed with:

[ ]      MARO                     [ ]      Office of the Secretary

[ ]      PARO                      [ ]      DARAB

[ ]      RARO                      [ ]      Inspection Team

[ ]      Others, specify

XIII.    OTHER ISSUES/OBSERVATIONS

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

XIV.    RECOMMENDATIONS

A.        RESOLUTION OF APPLICATION

[ ]         Approval                  Area(ha) ___________

[ ]         Denial                       Area(ha) ___________

[ ]         Defer                        Area(ha) ___________

[ ]         Others, specify _______________________

B.        PROPOSED CONDITIONS

_______________________________________________________

_______________________________________________________

_______________________________________________________

NOTE:   Photographs of the property, the improvements/developments (if any), and the surrounding areas shall be attached to this report.   IDTcHa

INVESTIGATION TEAM

________________________       ___________________

(Signature over Printed Name)                                    Date

________________________       ___________________

(Signature over Printed Name)                                    Date

________________________       ___________________

(Signature over Printed Name)                                    Date

This Certification is issued upon the request of Mr./Ms./Mrs. _______________ in relation to his/her application for land use conversion.

Given this _______ day of ______________, ________________.

                                            __________________________

                                       Provincial Agrarian Reform Officer

(Please state in the remarks if under LBP financing and other comments, if any. If under LBP financing, Certification of Full Payment (LUC No. 7) shall be secured and attached to the LUCF as additional requirement).

NOTE:

1.         This Certification shall be required when the applicant/landowner is a beneficiary of agrarian reform program; and

2.         This Certification shall be attached to the Land Use Conversion Folder (LUCF) as additional requirement.

 




CONTACT INFORMATION

Department of Agrarian Reform
Elliptical Road, Diliman
Quezon City, Philippines
Tel. No.: (632) 928-7031 to 39

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