AGRICULTURAL EXEMPTION FOR TAXPAYERS PROVING INCOME

REQUIREMENTS ON LAND OWNERSHIP OF FIVE ACRES OR LESS

SECTION 63-604

Agricultural use is the growing of agricultural field crops, timber grazing on the land or if

the land is in a cropland rotation program.  Land utilized for the grazing of animals

kept for primarily personal use or pleasure rather than as part of a bona fide, profit making

agricultural enterprise, shall not be considered land which is actively devoted to agriculture.

Please complete one form for each parcel being considered.

PARCEL NUMBER:

# OF ACRES:

OWNERS NAME:

PHONE:

ADDRESS:

LEGAL DESCRIPTION:

DATE PROPERTY WAS PURCHASED:

PURCHASE PRICE:

YES

NO

Has all the acreage exclusive of the homesite, been devoted to

agriculture for the last three (3) years?

Has the land agriculturally produced gross revenue in the

immediate preceding year of $1,000 or more?  Proof of $1,000 gross

income from crops must be attached.

ACRES IN PRODUCTION:

CROPS PRODUCED:

ANNUAL YIELD:

COMMENTS:

I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE, THE INFORMATION CONTAINED

HEREIN IS TRUE, ACCURATE & COMPLETE.

DATE:

SIGNATURE:

DATE:

SIGNATURE:

APPLICATION MUST BE RETURNED BY MARCH 15TH