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Residential Free Patent Application Form

This document is an application for residential free patent from the Republic of the Philippines Department of Environment and Natural Resources. It collects information such as the applicant's name, address, citizenship, date and place of birth, location and details of the residential land being applied for, and a declaration that the applicant's total land holdings do not exceed 12 hectares and that the information provided is true. The applicant must sign and date the application before an authorized officer.

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Jose Bonifacio
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© Attribution Non-Commercial (BY-NC)
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24 views1 page

Residential Free Patent Application Form

This document is an application for residential free patent from the Republic of the Philippines Department of Environment and Natural Resources. It collects information such as the applicant's name, address, citizenship, date and place of birth, location and details of the residential land being applied for, and a declaration that the applicant's total land holdings do not exceed 12 hectares and that the information provided is true. The applicant must sign and date the application before an authorized officer.

Uploaded by

Jose Bonifacio
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Environment and Natural Resources


COMMUNITY ENVIRONMENT & NATURAL RESOURCES OFFICE
Barit, Laoag City
Tel. Nos. (077) 772-0970  (077) 771-5782  Fax No. (077) 772-0970

APPLICATION FOR RESIDENTIAL FREE PATENT

Application No._______________________ Entry No.______________________


Name of Applicant:________________________________________________________
Address:________________________________________________________________
Citizenship:_____________________ Married to: __________________________
Date of Birth: ___________________ Place of Birth:_______________________
Location of residential land applied for________________________________________
________________________________________________________________________
Lot No.__________________________ Pls:___________ Cad. ___________
Land Area:___________________ sq. m. CSD/CCS _____________________
Applicant’s predecessor-in-interest (if any):____________________________________
Date of entry by applicant or predecessor-in-interest upon the residential land
applied for (on or about)____________________________________________________
I declare, under the penalties of perjury, that my total land holdings are not more
than 12 hectares and that this application has been made in good faith and to the best of my
knowledge all information contained herein are true and correct.

________________________________
Applicant’s Name and Signature

SUBSCRIBED AND SWORN TO before me this _____ day of _____________


at ______________________________________.

______________________________
Officer Authorized to Administer Oath

This form is not for sale


This form must be accomplished in five (5) copies.

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