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2. Owner Information

4. File with the Kootenai County Assessors Office on or before APRIL 15th of the present years tax roll.

6. Name*
8. Mailing Address*
10. City*
11. State*
12. Zip Code*
14. AIN #*
15. Parcel #
17. Telephone*
18. Email*
24. CROPLAND SECTION
26. 1. Is the Land Irrigated?

    If you have both irrigated & non-irrigated land on this parcel, check both boxes and indicate the acreages of each in the additional comments box at the end of this form.

    1. Yes
    2. No
28. 2. Total number of acres in this parcel devoted solely as cropland
30. 3. Is this parcel actively producing field crops such as grain, feed crops, berries, vegetables, etc.?

    1. Yes
    2. No
32. 4. Is your land leased to another operator?

    ***LEASE MUST ACCOMPANY APPLICATION

    1. Yes
    2. No
33. If yes, please upload you lease agreement here:
    Lease must include signatures from both parties and the lessee's contact information.
35. 5. Do you participate in the CRP Program or receive FSA payments?

    ***ALL CONTRACTS MUST ACCOMPANY APPLICATION

    1. Yes
    2. No
36. If yes, please upload your CRP contract or proof of FSA payments here:
38. 6. Describe the agricultural crops produced on this unit
    If you produce more than one type of crop, please list any additional crops along with their acreage and yield in the comments box at the end of this form.
40. Crop
41. Acres Farmed
42. Yield/Ac
    ( i.e., tons/ac, Bu/ac or lbs./ac )
44. 7. Is the property fenced to keep animals from destroying crops?

    1. Yes
    2. No
46. 8. Estimate the percentage of total production that is sold
50. GRAZING SECTION
52. 1. Is the Land Irrigated?

    If you have both irrigated & non-irrigated pasture on this parcel, check both boxes and indicate the acreages of each in the additional comments box at the end of this form.

    1. Yes
    2. No
54. 2. Total number of fenced acres in this parcel devoted to grazing
56. 3. Is the pasture land used primarily for grazing animals used for your personal use or pleasure?

    1. Yes
    2. No
58. 4. Is pastureland leased or rented to another operator?

    ***LEASE MUST ACCOMPANY APPLICATION

    1. Yes
    2. No
59. If yes, please upload your lease agreement here:
    Lease must include signatures from both parties and the lessee's contact information.
61. 5. List type of livestock and number of head on this unit
    If you have multiple kinds of livestock, please list any additional types with the associated no. head, acres grazed and no. months grazed in the comments box at the end of this form.
63. Livestock Type
64. No. Head
65. No. Acres Grazed
66. No. Months Grazed
    (without supplemental feed)
68. 6. Average number of animals sold annually?
70. Additional Comments
74. I certify that to the best of my knowledge and belief the information provided herein is true, correct, and complete, and that I agree to have my parcel inspected by THE KOOTENAI COUNTY APPRAISER.
76. Electronic Signature Agreement**

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree
    2. I do not agree
80. Signature*
81. Date*
    Date
83. Signature
84. Date
    Date
86. Signature
87. Date
    Date
89. Signature
90. Date
    Date
92. Signature
93. Date
    Date
95. Signature
96. Date
    Date
98. The landowner must notify the Assessor's Office of ANY changes to the parce to maintain the Agricultural Exemption.
101. -- REMEMBER TO CHECK YOUR ASSESSMENT NOTICE YEARLY--
Leave This Blank:


103. 1. Receive an email copy of this form.
104. Email address

     This field is not part of the form submission.

105. Submit

* indicates a required field