Application For Agricultural Classification As Defined By 39-13-103(B)(X)
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1PARCEL (STATE) I.D. # __________________________
LOCAL I.D. # ______________________________
R# ___________________
DISTRICT ____________
Assessment Year _____________ Int. ________
APPLICATION FOR AGRICULTURAL CLASSIFICATION
AS DEFINED BY 39-13-103(b)(x)
Owner Name _________________________________________________________________
Mailing Address _______________________________________________________________
Legal Description of Property (if lengthy, please attach) ________________________________
____________________________________________________________________________
Wyoming statute requires that contiguous or noncontiguous parcels of land under one (1) operation
owned or leased shall qualify for classification as agricultural land if the land meets each of the following
four qualifications:
1.
Initial
the applicable classifications.
The land is presently being used and employed for an agricultural purpose:
_______
Cultivation of the soil for production of crops
_______
Production of timber products or grasses for forage
_______
Rearing, feeding, grazing or management of livestock
2. _______
Initial
if True. The land is not part of a platted subdivision. Except: any lot, unit, tract or
parcel not less than thirty-five (35) acres in size used for agricultural purposes within a platted subdivision
and otherwise qualifying as agricultural land for purposes of W.S.39-13-103(b)(x). the parcel shall be
deemed not to be part of a platted subdivision for purposes of W.S. 39-13-103(b)(B)(II).
3.
Initial
the applicable statement:
_______
The land is not leased land and the owner has derived annual gross revenues of not less
than five hundred dollars ($500.00) from the marketing of agricultural products from the
subject land.
_______
The land is leased and the lessee has derived annual gross revenues of not less than
one thousand dollars ($1,000.00) from the marketing of agricultural products. (The name
and address of the lessee must be provided.)
______________________________________________________________
Lessee Name
Mailing Address ____________________________________________________________________
The land has been used consistent with the land’s size, location and capability
4. _______
Initial
if True.
to produce as an agricultural operation as defined by Department of Revenue Rules and the Mapping &
Agricultural Manual that is published by the Department of Revenue.
If the land has not
met requirements 3 and 4 above, I state that one of the following occurred (initial one):
Attach explanation.
_______
The land has experienced an intervening cause of production failure beyond my control.
_______
I have caused a marketing delay for economic advantage.
_______
The land participates in a bonafide conservation program in which case proof by an
affidavit showing qualification in a previous year shall suffice
.
(MUST BE ENCLOSED)
A crop has been planted that will not yield an income in the taxable year.
_________
I, ______________________________________, the owner of the land described above, do solemnly
swear (or affirm) that land contained in the legal description noted above has met the requirements of 39-
13-103(b)(x)(B).
Signature __________________________________________________ Date _______________
Printed Name _____________________________________ Phone _________________________
State of ___________________)
)ss
Subscribed and sworn before me this _________ day of ______________,20____ by
County of _________________)
______________________________________________________________________________
___________________________________________________________
_________________________
Notary Public
My Commission Expires: ________________
(Seal)
WS39-1-103(b)(x)(C),,, when deemed necessary, the county assessor may further require supporting documentation.
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