Form 7-2180 - Certification Of Individual'S Landholdings - 2016 Page 2

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FORM 7-2180 (2016)
9. LANDHOLDER’S NAME:
LAND YOU DIRECTLY OWN
10.
List all irrigable and/or irrigation land parcels westwide that are 100-percent owned by you. Include land directly owned by any entity in which you own 100-percent interest. Include land you lease from a public
entity here instead of including it under item 13. Identify such land as leased from a public entity and include the name of that public entity after the legal description of the land. For additional space, use Form
7-21CONT-O or your own similar continuation sheet.
Lease Information
(c) Operated by:
(b)
(check one)
Legal Description of Land Parcel(s) or
(g)
(a)
Assessor's Parcel Number(s)
(d)
(e)
(f)
Number of
District Name
(There is space to list four different parcels
Identification of the Lessee, Sublessee, or Other Operator
Starting Date
Ending Date
Acres
[one parcel per line] if they all are operated by the
(m/d/yr)
(m/d/yr)
same natural person or entity in the same district.)
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Name:
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Address:
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Telephone:
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Name:
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Address:
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Telephone:
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Name:
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Address:
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Telephone:
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Name:
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Address:
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Telephone:
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Name:
Address:
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Telephone:
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Name:
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Address:
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Telephone:
11.
TOTAL NUMBER OF ACRES YOU DIRECTLY OWN
2

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