CARPER LAD FORM No.

70- E

Republic of the Philippines

DEPARTMENT OF AGRARIAN REFORM
Region No. CARAGA XIII
Province of Surigao del Norte
Municipality of Tubod

LOT ALLOCATION AGREEMENT TO LAND COVERED BY A COLLECTIVE CLOA (CCLOA)

KNOW ALL MEN BY THESE PRESENTS:

That, this Lot Allocation Agreement entered into by and among hereunder names of
ARBs, all legal age, and Filipino:

Name of ARBs Name of Spouse Postal Address

WITNESSETH

WHERAS, we the abovementioned ARBs are registered owner of parcel of land agricultural
land covered by CCLOA pursuant to section 5 of R.A. No. 6657 as amended by Section 10, of
R.A. 9700, embraced by OCT/TCT No. __________________ more particularly described as
follows;

A parcel of land with Lot No. _______, Cadastral No. _________ , Survey Plan No.________,
LRC Record No. ____________ located at______________________________ containing a
total area of ___________________________________ (square meters) more or less.

Technical Description
_________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

WHEREAS, we have agreed to end the collective ownership and for this purpose,
have cause the CCLOA, be parcelized and subsequent issuance of individual CLOAs as per
validation and approval of the DAR.

WHEREAS, we have agreed to share and parcelize the agricultural land covered by
CCLOA to each ARB not exceeding the three (3) hectares award limit based on the
following:

___/ Actual area of tillage;

___/ Actual area of Occupancy;
___/ Equal area among the ARBs; and
___/ Organized group of ARBs who opted to subdivide into sub-group
 CARPER LAD FORM No. 70- E

WHEREAS, we have agreed to allocate the lots through raffle draw undertaken by the
____/ MARPO/Designated DAR Personnel____________________, or ____/ by among
ARBs in the presence of _________________________ BARC/Brgy. Chairman/or
representative of any civic organization in the area held on _________________________
at ______________,

WHEREAS, premises considered, we have agreed to the subdivision survey and bind
ourselves to our respective lots and area allocated and on the corresponding individual
CLOAs to be generated therefrom.

IN WITNESS WHEREOF, we have hereunto affix our signature corresponding our names
this____ day of _________________, 2021 at __________________,

Name of Lot Allocated Signature

ARBs/Farmers Area (sq.m) more or Location of Lot
Cooperative, less
Association/Group

(Use additional sheets if necessary)

Signed in the presence of :

_____________________________ _____________________________
(signature over Printed Name ) (Signature over Printed Name)

_____________________________
Notary Public

Doc No:______
Page No:_____
Book No:_____
 CARPER LAD FORM No. 70- E

Series of:_____