Form Idr 54-023 - Application For Family Farm Tax Credit
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1IOWA
Application For Family Farm Tax Credit
Iowa Code Chapter 425A
This application must be filed or mailed to your city or county assessor by November 1.An application filed or postmarked
after November 1 will be considered as an application for the following year. Iowa assessors’ addresses can be found at
the Iowa State Association of Assessors Web site.
Applicant Contact Information
PLEASE PRINT
________________________________________________________
Name:
___________________
_______________________
Phone Number:
eMail: _
Claimant: ___________________________________________________________________________
Form of Ownership:
Sole Proprietorship
Authorized Farm Corporation
Partnership
Family Farm Limited Liability Company
Family Farm Corporation
Authorized Limited Liability Company
Property Owners
Ownership Share
Relationship of Owners
______________________________
_____________________________
____________________________
______________________________
_____________________________
____________________________
______________________________
_____________________________
____________________________
(The designated person must be
Designated Person actively engaged in farming: _____________________________
personally involved in the
production of crops or livestock on
Relationship of designated person to owner of property: _______________________
the eligible tracts on a regular,
continuous and substantial basis.)
Is the tract leased or rented under a cash or crop share agreement?
Yes
No
If leased, what is the relationship of the lessee to the owner of the tract? ______________________________________
Parcel # _________________
Legal ________________________________
Acres _____________________
Parcel # _________________
Legal ________________________________
Acres _____________________
Parcel # _________________
Legal ________________________________
Acres _____________________
Parcel # _________________
Legal ________________________________
Acres _____________________
Parcel # _________________
Legal ________________________________
Acres _____________________
Parcel # _________________
Legal ________________________________
Acres _____________________
When filing a valid claim, the claim will be allowed on that tract for successive years without additional filing, as long
as the property is legally or equitably owned by that person or that person’s spouse on July 1 of each of those successive
years, and the designated person who is actively engaged in farming remains the same during these years. When the
property is sold or transferred, the buyer or transferee who wishes to qualify will file for the credit. However, when the
property is transferred as part of a distribution made according to chapter 598, the transferee who is the spouse retaining
ownership of the property is not required to file for the credit. In the case where the owner remains the same but the
person who is actively engaged in farming changes, the owner will refile for the credit. The owner must provide written
notice if the person actively engaged in farming changes.
A person who fails to notify the assessor of a change in the person who is actively engaged in farming the tract for
which the credit under section 425A.3 is allowed will be liable for the amount of the credit plus a penalty equal to five
percent of the amount of the credit. The amounts will be collected by the county treasurer in the same manner as other
property taxes along with any penalty, and paid to the Iowa Department of Revenue.
I declare that, to the best of my knowledge and belief, the information provided on this claim is true, correct and
complete.
Signed: ______________________________________
_______________
Claimant
Date
Acknowledge: ____________________________________________________
________________
Date
TO BE FILLED IN BY BOARD OF SUPERVISORS
[
] APPROVED
[
] DENIED
__________________________________________
____________________
Chair
Date
Assessed Value: ___________________ School Levy: ___________________ Amount of Credit: ____________________
IDR 54-023 (03/05/12)
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