Downloadable Forms at: www.dar.gov.

ph free of charge

CARPER LAD Form No. 8 (New)

As of Dec. 2011

LANDOWNERS CERTIFICATION

(LANDOWNERS ATTESTATION)
LIST OF TENANTS, LESSEES, REGULAR FARM WORKERS This is to certify that to the best of my personal knowledge and based on all documents in my possession, my attested tenants/lessees/regular farm workers are the following: NAME (Last Name, First Name, Middle Initial) 1. 2. 3. 4. 5. 6. 7. 8. 9. (use additional sheets of this form, if necessary) The above-named person/s are my/our tenants, lessees and/or regular farm workers in my/our Landholding described as follows. Tax Declaration No. : _______________________________ Lot No. : _______________________________ Location of Property : ___________________________________________________ (Municipality, Barangay) NOTE: LANDOWNER/S SHOULD INITIAL EACH PAGE (ON THE RIGHT HAND SIDE OF THE PAGE) TCT/OCT No. : Approved Survey No. : Total Area per Title/TD : ___________________________________ ___________________________________ ____________________________________ COMPLETE ADDRESS (Street, Purok or Sitio, Barangay, Municipality/City) POSITION (TENANT, LESSEE, REGULAR FARMWORKER) AREA OF TILLAGE (Hectares)

CARPER LAD Form No. 8/ Page 1 of 4 Pages

Downloadable Forms at: www.dar.gov.ph free of charge

This is to certify further that I have not omitted from the list any tenant, lessee, and/or regular farm worker thereat. IN WITNESS WHEREOF, I have hereunto affixed my signature this ______ day of ___________________, 20____ in ________________________________, Philippines.

Name of Landowner/Co-Owners/ Authorized Representative (PRINT- Family Name, First Name, Middle Name)

Signature

WITNESS: ____________________________ (Signature over Printed Name)

NOTE: LANDOWNER/S SHOULD INITIAL EACH PAGE (ON THE RIGHT HAND SIDE OF THE PAGE)
CARPER LAD Form No. 8/ Page 2 of 4 Pages

Downloadable Forms at: www.dar.gov.ph free of charge

SUBSCRIBED AND SWORN to before me, A Notary Public, this ______ day of __________________________, 20______, affiant/s presented his/her

Name of Landowner/Co-owners/Authorized Representative (Family Name, First Name, Middle Name)

Identification No.

Issued by:

Valid Until:

Doc. No. ______ Page No. ______ Book No. ______ Series of ______

______________________________________ Administering Officer/ Notary Public

COPY DISTRIBUTION: Original - CF Duplicate - DARMO FILE Triplicate - DARPO FILE

CARPER LAD Form No. 8/ Page 3 of 4 Pages

Downloadable Forms at: www.dar.gov.ph free of charge

ADDITIONAL SHEETS FOR LIST OF TENANTS, LESSEESS, REGULAR FARMWORKERS NAME (Last Name, First Name, Middle Initial) COMPLETE ADDRESS (Street, Purok or Sitio, Barangay, Municipality/City) POSITION (TENANT, LESSEE, REGULAR FARMWORKER) AREA OF TILLAGE (Hectares)

Note: If this additional sheet is not yet enough, make photocopy/photocopies.

CARPER LAD Form No. 8/ Page 4 of 4 Pages