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LMB Application Form

This document is a request form submitted to the Land Management Bureau of the Philippines Department of Environment and Natural Resources. The requestor is asking for certified copies of land records including status, survey records, plans, technical descriptions, and cadastral maps. They provide their name, the lot and survey numbers, location of the land, and purpose of the request. The form notes that the request must be claimed within 30 days or a new request will need to be filed, and that no transactions are done on Fridays.

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Renato Abalos
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401 views2 pages

LMB Application Form

This document is a request form submitted to the Land Management Bureau of the Philippines Department of Environment and Natural Resources. The requestor is asking for certified copies of land records including status, survey records, plans, technical descriptions, and cadastral maps. They provide their name, the lot and survey numbers, location of the land, and purpose of the request. The form notes that the request must be claimed within 30 days or a new request will need to be filed, and that no transactions are done on Fridays.

Uploaded by

Renato Abalos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

REQUEST: ____________
Department of Environment and Natural Resources
Land Management Bureau No. _________________
Plaza Cervantes, Binondo, Manila
Due Date: ____________
The Director
Land Management Bureau
Plaza Cervantes, Binondo, Manila

Sir:
For whatever Legal purpose it may serve and upon payment of the required fees, may I respectfully request the
following:
[ ] Status [ ] Survey Records
[ ] Public Land [ ] Taguig
[ ] Friar Lands [ ] Others [ ] Plan [ ] T.D [ ] Cadastral Map
GSD Accession No.
Application No. : ________________________________________
Verify/
Name of Applicant : __________________________________________
Lot No. : __________________________________________ Signed by:
Survey No. : __________________________________________ Date Verified:
Location : __________________________________________ Note: Accession nos. do not guarantee
availability of the plan
Certified Photocopy of the following:

Purpose of the request:

Hoping that this request will be acted upon with dispatch

Requesting Party : ___________________________________________________________________


(Pangalan)
Sex : Male Female Age :________________________
(Kasarian) (Edad)
Address : ___________________________________________________________________
(Tirahan)
Identification No.: _________________________________Type/Kind : ________________________
(Pagkakakilanlan) (Uri o Klase)
Date Requested : _________________________________Date Due : _______________________
(Petsa ng Request) (Takdang Panahon)
Log Book Ref. Page No. : ___________________________ Line No. : _______________________

THUMBMARK
Very truly yours,

L R ____________________
(If case party cannot sign/has no Identification) Signature

NOTE: Request not claimed within a period of 30 days shall be subject to the filing of another request.
Strictly no follow-up/transaction ON FRIDAYS.
…………………………………………………………………………………………………………………………………………………………………
CLAIM STUB FORM
[ ] STATUS [ ] PLAN [ ] CAD MAP [ ] T.D
Name: ______________________________________________ Date Due: ______________________________
Lot Location: _________________________________________ Page No. _____________ Line No. __________
Received by: _________________________________________ Date Received: __________________________
NOTE: Accession numbers do not guarantee availability of the plan. CLAIM STUB FORM
REMINDERS: Request not claimed within 30 days shall be subject to the filling of another request. Strictly no follow – up/transaction
On Fridays. Dial 480-00-10 for your Inquiries/Further Information.
ACTION TAKEN:

Use another sheet if necessary

Verified/signed by: Date:

Checked signed by: Date:

Legal Fees:
Official Receipt No. : _________________________
1. Certification Fee P____________________

2. Copy Fee P____________________ Date Issued: _______________________________

TOTAL P____________________
FOR RESTRICTED DOCUMENTS
Pursuant to Section 3.1.4 DENR A.O. No. 97-24 dated July 30, 1997

ATTY. EMELYNE V. TALABIS


Acting Director
MR. NEMESIO R. ANTARAN
OIC, Records and Knowledge Management Division

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