DEPARTMENT OF AGRARIAN REFORM

MUNICIPAL AGRARIAN REFORM OFFICE CLUSTER 2

San Roque, San Rafael, Bulacan
IN RE: IN THE MATTER OF REALLOCATION FOR THE APPLICATION
OF THE CERTIFICATE OF LAND OWNERSHIP AWARD FOR the
HEIRS OF PATRICIO BERNARDO represented by JULIANA BERNARDO CRUZ
DARAB order no. R-03-02-0367’00
Folder No. LDF/SIB 22-K Lot No. 1671, Psd-52045

_________ELVIRA MARCELO________
Petitioner
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PETITION
COMES NOW the petitioner and before the Officer of the Municipal Agrarian Reform
Office Cluster 2 respectfully states:
1. That the petitioner is of legal age, Filipino, Single and a residence of Brgy. Garlang
San Ildefonso, Bulacan.
2. That JULIANA BERNARDO CRUZ legal representative of the Heirs of Patricio Bernardo
issued a waiver of rights in favor of the petitioner.
3. That the petitioner has given the rights by the Heirs of Patricio Bernardo represented
by Juliana Bernardo Cruz to apply for the Certificate of Land Ownership Award under
the petitioner’s name.
4. That submit herewith are the following papers in support of this petition;
a. Special Power of Attorney from the heirs of Patricio Bernardo for Juliana
Bernardo Cruz as their attorney-in-fact.
b. Deed of Waiver of Rights
c. DARAB Case No. R-03-02-0367’00
d. Others.
PRAYER
WHEREFORE, it is respectfully prays that the Honorable Municipal Agrarian Reform
Office GRANT the instant petition for reallocation of the application for the CLOA of Patricio
Bernardo in favor of the Petitioner.
Date: ____________________ Place: ____________________
VERIFICATION
I, Elvira Marcelo, after having been duly sworn to in accordance with law, depose and say
that I have caused the preparation of the foregoing petition; that I have read the contents and
the fact stated herein are true and correct base on my own personal knowledge.
ELVIRA MARCELO
Petitioner
SUBSCRIBED AND SWORN TO before me this ___ day of June 2019, affiant exhibited to
me her Driver’s License No. CO5-15-013029 issued at San Miguel, Bulacan, Philippines.
NOTARY PUBLIC
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Series of 2019
REPUBLIC OF THE PHILIPPINES)
) S.S
AFFIDAVIT
I, ELVIRA MARCELO, Filipino of legal age, single and a resident of Brgy. Garlang, San
Ildefonso, Bulacan, Philippines after having been sworn in accordance with the law depose and
state;
1. That Mrs. Juliana Bernardo Cruz is the legal representative of the heirs of Patricio
Bernardo by virtue of Special Power of Attorney.
2. That Mrs. Juliana Bernardo Cruz issued a waiver of rights in favor of Elvira Marcelo
3. That the heirs of Patricio Bernardo represented by Juliana Bernardo Cruz transferred
their rights to me to apply for the Certificate of Land Ownership Award.
4. That I am executing this affidavit in connection with my petition of reallocation for
the application of the Certificate of Land Ownership Award for the heirs Patricio
Bernardo represented by Juliana Bernardo Cruz.
Further affiant sayeth none.

ELVIRA MARCELO
Affiant

SUBSCRIBED AND SWORN TO before me this ___ day of June 2019, affiant exhibited to
me her Driver’s License no. CO5-15-013029 issued at San Miguel, Bulacan, Philippines.

NOTARY PUBLIC

Doc No. ___;

Page No. ___;
Book No. ___;
Series of 2019.