Homestead Patent
Homestead Patent
Homestead Patent
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Department 01 Agrarian Relorm I
/I;lol1c>l~ ISU-14-08332~
HP Form No.1
Republic of the Philippines )
Province of )5.5
Municipality/City of )
X --- ------------- -. ------ X
LANDOWNER'S AFFIDAVIT
I, (LO's name) of legal age, Filipino,
single/married/widow/widower, and a resident of
under oath, hereby depose and say:
1. That I am the registered owner of a certain parcel of land embraced by
Title No.
denominated as Lot No. containing an area of
hectares and located at
2. That I have never cultivated nor directly managed the above-mentioned
parcel of land long
before the effectivity of the Comprehensive Agrarian Reform Program (CARP)and
up to
present, due to the fact that the same is tilled or cultivated by my
tenants/farmworkers/tillers;
3. That I have no interest and capability to cultivate or till said parcel of land
for the fact that I
presently live and have settled with my family in
---=c--------------' where 1 have already established my
source of living;
4. That due to my absence therein for a long time, I entrusted my landholding
to my
tenants/farmworkers/tillers to cultivate or till the same;
5. That I interpose no objection or opposition to the coverage of said parcel
of land under the
Comprehensive Agrarian Reform Program (CARP); and
6. That I execute this Affidavit to prove the foregoing facts.
IN WITNESS WHEREOF, I have hereunto affixed my signature this__day of ..J
20_at , Philippines.
Signature Over Printed Name of Affiant
Certified by: Witness:
Signature Over Printed Name of MARPO/PARPO Signature Over Printed Name of
Witness