Department
of Tax Assesor
Application For Farmland Assessment
REFER TO EXCERPTS
OF THE LAW INSTRUCTIONS BEFORE COMPLETING
DIV. OF TAXATION USE
____________________
COUNTY ____________
DISTRICT ___________ TAX YEAR ____________
SECTION I - IDENTIFICATION
INFORMATION (Please print or type all information)
(1) Owner's Name
________________________________________________
(2) Mailing Address ____________________________________________________
____________________________________________________________________
(3) Telephone ( ) _________________________________________
(4) Social Security/Fed. I.D. No. ___________________________________________
a) Qualification No. (if assigned by assessor) ________________
(5) Land Location _______________________________________________________
(6) Block(s) Lot(s) _______________________________________________________
______________________________________________________________________
| (7) The land
is: |
( )
farmed solely by owner |
| |
( )
rented by farmer |
| |
( )
farmed by owner and tenant |
(8) Farm operator(s)
other than owner:
(a1) Name ________________________________________________
(b1) Address ______________________________________________
_________________________________________________________
(c1) Social Security No. ______________________________________
(d1) Telephone ( )
___________________________________
(a2) Name ________________________________________________
(b2) Address ______________________________________________
_________________________________________________________
(c2) Social Security No. ______________________________________
(d2) Telephone ( )
___________________________________
SECTION II -
BREAKDOWN OF LAND USE CLASSES (All entries and totals must be
accurate)
Insert the current year's acreage in the appropriate land use class. Indicate
acres to the nearest hundredth (0.00) - DO NOT USE DIMENSIONS
REFER
TO DEFINITIONS OF LAND USE CLASSES UNDER "INSTRUCTIONS"
| ACTIVELY
DEVOTED LAND |
Acreage |
| (1)
Cropland harvested |
(1)
__________.____ |
| (2)
Cropland pastured (Don't include acreage in #6) |
(2)
__________.____ |
| (3)
Permanent pasture (Don't include acreage in #6) |
(3)
__________.____ |
(4)
Non-appurtenant woodland
(See instructions before making entry.) |
(4)
__________.____ |
(5)
Appurtenant woodland or wetland
(See instructions before making entry.) |
(5)
__________.____ |
(6)
Acres used for: (don't include pastured acres)
| a.)
______ |
b.)
______ |
c.)
______ |
| boarding |
rehabilitating |
training |
|
(6)
__________.____
Total a, b & c |
| (7)
*TOTAL DEVOTED TO AGRICULTURAL OR HORTICULTURAL USE (Sum of lines
1 to 6) |
(7)
__________.____ |
| LAND
NOT ACTIVELY DEVOTED |
Acreage |
| (8)
Land under and land used in connection with farmhouse. |
(8)
__________.____ |
| (9)
All other land not developed to agricultural or horticultural use. |
(9)
__________.____ |
| (10)
TOTAL NOT DEVOTED TO AGRICULTURAL OR HORTICULTURAL USE (Sum of
lines 8 and 9) |
(10)
__________.____ |
(11)
TOTAL ACREAGE OF ALL LAND (Sum of lines 7 and 10)
*If less than 5 acres, cite the municipality, block(s) and lot(s) of contiguous
acreage in adjacent municipality ______________________________________ |
(11)
__________.____ |
(12)
Is there a claim for land under:
- Seasonal farm markets? ______
- Seasonal agricultural labor housing? ______ |
|
SECTION III -
CURRENT YEAR FARMING ACTIVITY - Indicate acres to nearest tenth
(0.0). Include Double Cropping, for example, two plantings on fifty
acres should be reported as 100.0 acres.
INSERT
CURRENT YEAR HARVESTED OR TO BE HARVESTED ACRES FOR LAND ONLY IN SECTION
II
| A.
FIELD CROPS (Harvested Acres) |
Acres |
| Irrigated
acres |
(80) |
__________.____ |
| Barley
(grain) |
(11) |
__________.____ |
| Corn
for grain |
(12) |
__________.____ |
| Corn
for silage |
(13) |
__________.____ |
| Hay
(alfalfa) |
(15) |
__________.____ |
| Hay,
(other excluding salt hay) |
(16) |
__________.____ |
| Oats
(grain) |
(17) |
__________.____ |
| Rye
(grain) |
(18) |
__________.____ |
| Soybeans |
(20) |
__________.____ |
| Wheat |
(21) |
__________.____ |
Cover
Crops Planted:
(specify) ______________________ |
__________.____ |
| Other
Field Crops: ______________ |
__________.____ |
| (specify)
______________________ |
__________.____ |
| B.
FRUIT CROPS (Bearing Acres) |
Acres |
| Irrigated
Acres |
(81) |
__________.____ |
| Apples |
(22) |
__________.____ |
| Blueberries |
(23) |
__________.____ |
| Cranberries |
(24) |
__________.____ |
| Grapes |
(25) |
__________.____ |
| Peaches |
(26) |
__________.____ |
| Strawberries |
(27) |
__________.____ |
| Other
fruit crops ________________ |
__________.____ |
| (specify)
______________________ |
__________.____ |
| Non-bearing
fruit ________________ |
__________.____ |
| (specify)
______________________ |
__________.____ |
| C.
ORNAMENTAL CROPS |
Acres |
| Irrigated
Acres |
(82) |
__________.____ |
| Bedding
plants |
(28) |
__________.____ |
| Flowers
(cut) |
(29) |
__________.____ |
| Trees & shrubs
(nursery) |
(30) |
__________.____ |
| Sod
(cultivated) |
(31) |
__________.____ |
| Christmas
trees |
(32) |
__________.____ |
| Other
________________________ |
__________.____ |
| (specify)
______________________ |
__________.____ |
| D.
LIVESTOCK |
Avg.
No. of Livestock |
| All
beef cattle |
(33) |
__________________ |
| Dairy |
(34) |
__________________ |
| Dairy
(young) |
(35) |
__________________ |
| Horses & ponies |
(36) |
__________________ |
| Sheep |
(37) |
__________________ |
| Swine |
(38) |
__________________ |
| Bees
(Hives) |
(39) |
__________________ |
| Ducks |
(40) |
__________________ |
| Fur
Animals |
(41) |
__________________ |
| Goats |
(42) |
__________________ |
| Chickens
(meat) |
(43) |
__________________ |
| Chickens
(layers) |
(44) |
__________________ |
| Turkeys |
(45) |
__________________ |
| Other
________________________ |
__________________ |
| (specify)
______________________ |
__________________ |
E.
VEGETABLE CROPS
(Harvested Acres) |
Acres |
| Irrigated
Acres |
(83) |
__________.____ |
| Asparagus |
(46) |
__________.____ |
| Beans,
lima |
(47) |
__________.____ |
| Beans
snap |
(48) |
__________.____ |
| Cabbage |
(49) |
__________.____ |
| Carrots |
(50) |
__________.____ |
| Corn,
sweet |
(51) |
__________.____ |
| Cucumbers |
(52) |
__________.____ |
| Eggplant |
(53) |
__________.____ |
| Lettuce |
(54) |
__________.____ |
| Onions |
(55) |
__________.____ |
| Peas |
(56) |
__________.____ |
| Peppers
(sweet) |
(57) |
__________.____ |
| Potatoes
(white) |
(58) |
__________.____ |
| Potatoes
(sweet) |
(59) |
__________.____ |
| Pumpkins |
(60) |
__________.____ |
| Spinach |
(61) |
__________.____ |
| Squash |
(62) |
__________.____ |
| Tomatoes |
(63) |
__________.____ |
| Melons |
(64) |
__________.____ |
| Mixed
and other vegetables crops |
(65) |
__________.____ |
| Other
crops ____________________ |
__________.____ |
| (specify)
______________________ |
__________.____ |
| F.
AQUACULTURE |
Acres |
| Clams,
oysters (other specify) |
(66) |
__________.____ |
| Fresh
water, pond fish |
(67) |
__________.____ |
| Other
________________________ |
__________.____ |
| (specify)
______________________ |
__________.____ |
| G.
ANNUAL HARVEST OF WOODLAND PRODUCTS |
Cords,
Board Feet, Etc. |
| Fuelwood
(cords) |
(68) |
__________________ |
| Pulpwood
(cords) |
(69) |
__________________ |
| Timber
(Bd. Ft.) |
(70) |
__________________ |
| Other
________________________ |
__________________ |
| (specify)
______________________ |
__________________ |
| H.
LAND IN FEDERAL OR OTHER GOVERNMENT PROGRAM |
| Name
of Program ___________________________________________ |
| Program
Number ___________________________________________ |
| Acres
in Program |
(73) |
__________.____ |
SECTION IV -
SIGNATURE AND VERIFICATION OF OWNER(S) - ANNUALLY FILE BY AUGUST
1 (SEE INSTRUCTION 2d)
The undersigned declares under the penalties provided by law, that this application,
including any accompanying schedules and statements. has been examined by him
(her) and to the best of his (her) knowledge and belief is true and correct.
Filing of this application is also a representation that the land will continue
to be devoted to an agricultural or horticultural use during the year for which
farmland assessment is requested.
___________________________
Signature of Individual Owner or Co-owner |
______________
Date |
| OR |
|
___________________________
Signature of Corporate Officer |
______________
Date |
____________________
Corporate Name |
| |
( )
APPROVED |
RESERVED
FOR OFFICIAL USE |
|
| This application
is: |
|
|
|
| |
( )
DISAPPROVED |
______________
Date |
______________________
ASSESSOR |
APPLICATION
IN DUPLICATE TO BE FILED WITH LOCAL TAX ASSESSOR
TAX PAYER TO RETAIN THIRD COPY
(IF ENTRY MADE IN SECTION II, LINE 4, COPY MUST ALSO BE FILED WITH DEPT. OF
ENVIRONMENTAL PROTECTION)
INSTRUCTIONS
Return to Tax
Assesor Department
