REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF AGRARIAN REFORM

Tunay na Pagbabago sa Repormang Agraryo
Cert. No. QMS-21-93-0052

Application No. 0403 -____-

0729 2023 Docket No. _____
072023 -____-
1101 CNVV

CERTIFICATION
(Land Transfer Clearance)

This is to certify that the Application for the Issuance of Land Transfer Clearance
(Application) filed to this Office, to wit:

Registered Owner __________________________________________

MACALALAG, GEORGE COLLIN M/TO MARLENE NOVAL
Title No. _______________________
- Tax Dec No. ______________
AC-19011-01272
Lot No. ______________
946-B Approved Survey No. ______________
-
Location _________________________________________________
MAGDAPIO, PAGSANJAN, LAGUNA
Area (in ha) ___________,
0.3799 more or less Area Applied for ________________,
0.0302

and which transfer is evidenced by:

Deed/Instrument _________________________________________
Addendum to the Existing Deed of Sale
dated __________________
8 May 2023
executed by/between ________________________________________________
George C. Macalalag and Marlene Noval
in favor of/and _____________________________________________,
Sps. Aida Marqueses and Pedro Marqueses and
acknowledged before _________________________
Toradio R. Esplana and found in his/her Notarial Register under
Doc. No. ____,
266 Page No. ____,
54 Book No. ______,
XXV s. of ____,
2023

Remarks _______________________________________________________
This transaction has reference to Deed of Sale dated 29 January 2021, notarized by Atty. Ledor E.
_______________________________________________________
Macalalag with Doc. No. 272, Page No. 55, Book No. 177, Series of 2021.
_______________________________________________________

is hereby APPROVED based on the Attestation of the CARPO-LTS/FOD and Recommendation of

the Chief, Legal Division/Authorized Legal Officer pursuant to A.O. No. 4, s. of 2021 issued by the
Department of Agrarian Reform (DAR).

Any actual change in the use of and/or development over the subject land shall require a prior
Order of Conversion/Exemption/Exclusion from the Office of the DAR Regional Director.

This Office reserves the right to revoke this Certification, in case of findings of
misrepresentation or submission of falsified documents by either or both parties to the deed of
transfer and any third-person who may be affected by the transfer.

This Certification is hereby issued only for the purpose stated in the Application.

Done and issued this _______________ at DAR Provincial Official, Santa Cruz, Laguna.

ANTONIO B. SANCHEZ
Provincial Agrarian Reform Program Officer II
NOT VALID WITHOUT
DAR OFFICIAL SEAL

Conditions:
 (1) The APPROVAL of the Application does not preclude further verification nor mean exemption from
CARP coverage, and is without prejudice to legal remedies of any party adversely affected by the transfer;
and (2) The use and productivity of the subject land shall not be altered.
 This Certification is valid within six (6) months from issuance, and for registration purposes only.

2nd Fl. Josefina B. Lo Bldg., Pagsawitan, Santa Cruz, 4009 Laguna

www.dar.gov.ph | (049) 501-0275 | 0917.853.6584/0998.564.2260 | darpo.laguna@gmail.com