Dos Daza Potot
Dos Daza Potot
Dos Daza Potot
WHEREAS, the BUYER has offered to buy and the SELLER has
agreed to sell the above-mentioned property for the amount of ONE
HUNDRED THOUSAND PESOS (P 100, 000.00) Philippine Currency;
NOW THEREFORE, for and in consideration of the amount of ONE
HUNDRED THOUSAND PESOS (P 100, 000.00) Philippine Currency, hand
paid to the SELLER by the BUYER and to former’s entire satisfaction,
herein SELLER do hereby SELL, CEDE, TRANSFER and CONVEY absolutely
and irrevocably unto the BUYER, their heirs, successors and assigns, the
above-described parcel of land.
________________________ _________________________
ACKNOWLEDGMENT
Republic of the Philippines)
FRANCISCO M. ALSISTO
With my Marital consent:
City__________________ ) SS.
The parties and their instrumental witnesses at the left-hand margin have
signed this instrument, consisting of Two (2) pages, including the page on
which this acknowledgment is written, hereof and over and above their
printed names.
SHIELA P. DAZA
NOTARY PUBLIC
______________
Witness:
WE, RINNA RILI-ALSISTO, of legal age, Filipino Citizen, married and resident of Poblacion, Libmanan,
Camarines Sur and SPS. ROMAN B. DAZA and SHIELA P. DAZA, likewise of legal age, both Filipino citizen
with residence and postal address at Zone 6 Brgy. Potot, Libmanan, Camarines Sur after being sworn in
accordance with law, hereby depose and state:
1. We are the parties in a Deed of Absolute Sale involving a parcel of land covered TRANSFER
CERTIFICATE OF TITLE No. 080-20150000393 PORTION with an area of 361 square meters,
more or less, and located at Potot, Libmanan, Camarines Sur or declared under Tax
Declaration (TD) No. 2016-18-052-00213;
2. This application for the issuance of Land Transfer Clearance (LTC) is not contrary to law
because both of us are qualified to dispose and acquire the land described above. In addition,
the said land is neither covered under the agrarian reform program nor within the CARPER
LAD balance, and that the deed/contract will not violate the retention limit provided under
the law;
3. In support thereto and in compliance with DAR A.O. No. ___, Series of 2020, the mandatory
documents are hereto attached and made integral parts hereof as (please check appropriate
box):
4. Having submitted/attached hereof the mandatory documents as required under DAR A.O. NO.
04 Series of 2021. I/we hereby file this instant application/request to facilitate the issuance of
the corresponding Certificate on LTC.
NOTARY PUBLIC
Copy Distribution:
Original-DARPO/LTC Folder
Duplicate-Applicant
That We, SPS. ROMAN B. DAZA and SHIELA P. DAZA, likewise of legal age, both Filipino citizen
with residence and postal address at Zone 6 Brgy. Potot, Libmanan, Camarines Sur , Philippines after
having sworn to in accordance with law hereby voluntarily depose and say:
1. The agricultural land we bought from RINNA RILI-ALSISTO, of legal age, Filipino,
married and resident of Poblacion, Libmanan, Camarines Sur, Philippines covered by
TRANSFER CERTIFICATE OF TITLE No. 080-20150000393 PORTION with an area of 361
square meters under Doc. No. ______; Page No. _______; Book No. ______; Series of
2024 notarized by Atty. ____________________ does not exceed five (5) hectares;
2. The said property (including the agricultural property we owned) does not exceed the
landownership ceiling or limit of ownership as provided under Section 6 of R.A. No.
6657 as amended or the Comprehensive Agrarian Reform Program;
3. This affidavit is executed as of the requirements for the issuance of DAR Land
Transaction Clearance pursuant to DAR Administrative Order No. 04 Series of 2021.
THE AFFIANTS:
______________
BARC Chairman
AFFIDAVIT OF TRANSFEROR
That I, RINNA RILI-ALSISTO, of legal age, Filipino, married and resident of Poblacion,
Libmanan, Camarines Sur, Philippines, after having sworn to in accordance with law hereby
voluntarily depose and say:
1. The agricultural land I sold to SPS. ROMAN B. DAZA & SHIELA P. DAZA, likewise a
Filipino citizen and resident of Zone 6, Brgy. Potot, Libmanan, Camarines Sur,
Philippines covered by TRANSFER CERTIFICATE OF TITLE No. 080-20150000393 PORTION
with an area of 361 square meters under Doc. No. ___; Page No. ____; Book No. ___;
Series of 2024 notarized by Atty. Aristeo P. Mariscal, CPA does not exceed five (5)
hectares;
3. There is no pending case before the regular courts or any other tribunal involving the
above-described landholding;
4. This affidavit is executed as one of the requirements for the issuance of DAR Land
Transaction Clearance pursuant to DAR Administrative Order No. 04 Series of 2021.
RINNA RILI-ALSISTO
Affiant
ACKNOWLEDGMENT RECEIPT
RINNA RILI-ALSISTO
Affiant/Vendor
ROMAN B. DAZA
Conforme/Vendee
SHIELA P. DAZA
Conforme/Vendee
____________________________ ________________________
Doc No.
Page No.
Book No.
Series of 2024
Republic of the Philippines
Naga City ____________)ss.
___________________ ________________________
RINNA RILI-ALSISTO ROMAN B. DAZA
Principal Principal
TIN ID No. 431-870-992 TIN ID No. 257-998-034
__________________________
SHIELA P. DAZA
TIN ID No. 461-458-253
___________________________
MARCO ANTONIO A. GENOVA
Attorney-in-fact
UMID CRN-0005-0533106-7
________________________ ______________________
ACKNOWLEDGMENT
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notary seal at
the place and on the date above- written.