Form Cr-Th1 - Sustainable Forest Incentive Act Enrollment Application - 2014

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CR-TH1
2014 Sustainable Forest Incentive Act Enrollment Application
Apply by Sept. 30, 2014, to enroll your land for incentive payment in 2015.
SECTION 1 — Before you complete or submit this form, the following statements must be true:
I have read the separate instructions and have determined that I and the land I wish to enroll meet the requirements to partici-
pate in the SFIA program.
I understand that as a condition of enrolling the land in the SFIA program, I agree not to develop the land for a minimum of eight
years and have recorded a covenant showing a recording date prior to the Sept. 30 deadline with each county office in which the
land is located. (The county may require two to three months to process your request to record a covenant.)
I certify that the land is not enrolled in Reinvest in Minnesota (RIM), Conservation Reserve Enhancement Program (CREP), Conser-
vation Reserve Program (CRP), Green Acres, Ag Preserves, Rural Preserve Program or 2c Managed Timberland.
I understand that before I submit this form, it is my responsibility to have the approved plan writer sign, date and provide his or her
SFIA identification number. (The application will not be accepted without the plan writer’s signature and valid SFIA ID number.)
I have attached copies of the recorded covenant(s), including Exhibit(s) A and B, for the land I wish to enroll and copies of the
Statement of Property Taxes Payable in 2013 for each qualifying parcel. I have also attached a copy of the forest management
plan map or eligible acres map that clearly shows which acres are being enrolled and any excluded acres (or an aerial photo and/
or map of the vegetation and other natural features of the land clearly indicating the boundaries of the land and of the forest
land).
SECTION 2 — Landowner information: You must apply in the name of the individual or entity that owns the land. Complete a
separate application for individual-owned and entity-owned property.
The land is owned by (check one box only):
an individual person or multiple people (complete Part 1 below and skip Part 2)
a business or organization (complete Part 2 below and skip Part 1)
Part 1 — Complete only if the land is owned by an individual person or multiple people (only one name is allowed).
Landowner’s first name and middle initial
Last name
Social Security number
Date of birth
Current address
City
State
Zip code
Part 2 — Complete only if the land is owned by a business or organization.
Name of business or organization
Federal ID or Minnesota tax ID number (required)
Name of authorized representative (first, middle initial and last name)
Title
Current business address of authorized representative
City
State
Zip code
SECTION 3. Provide the following information for each parcel of land you wish to enroll. If you fail to provide the required information,
including the number of eligible acres for each parcel, your application will be delayed or denied.
A
B
C
D
Code for
Covenant Recording Number
Property Identification Number (PID)
Number of Eligible Acres
Minnesota County
(attach a copy of the covenant, including
(The PID is not the legal description. Attach a copy
(separately list for each parcel;
(3-digit code from instructions)
Exhibits A and B, for each parcel)
of your property tax statement for each parcel)
round to nearest whole acre)
Continued on page 2.
Subtotal of acres to be enrolled
(also enter on page 2, Section 3): . . . .

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