LMB Application Form
LMB Application Form
LMB Application Form
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:
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:
Legal Fees:
Official Receipt No. : _________________________
1. Certification Fee P____________________
TOTAL P____________________
FOR RESTRICTED DOCUMENTS
Pursuant to Section 3.1.4 DENR A.O. No. 97-24 dated July 30, 1997