Form Cr-Th1 - Sustainable Forest Incentive Act Enrollment Application - 2014 Page 4
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1
2
3
4program and to receive incentive pay-
Attach a copy of the property tax state-
• certifying that no delinquent property
ments on behalf of the entity. However, the
ment for each parcel of land you wish to
taxes are due on the land you wish to
authorized representative must apply in
enroll in the program.
enroll.
the name of the entity that owns the land.
Column D — Number of Eligible Acres.
Both your signature and the plan writer’s
The current mailing address will be used
For each parcel, you must separately list
signature are required. An unsigned ap-
to mail any correspondence, including
the number of eligible acres you wish to
plication is considered incomplete.
incentive payments. If you change your
enroll. Round the amount of acres for
Making false statements on this applica-
address, you must notify the department
each parcel to the nearest whole acre.
tion is against the law. Criminal and/or
of the change by calling 651-556-6088.
If you do not provide the number of acres
civil penalties may apply for filing a false
for each parcel, processing your applica-
or fraudulent application.
Section 3 — Parcel Information
tion will be delayed.
For each parcel of land you wish to enroll,
you must provide the requested informa-
If You’re Approved
Section 4 — Signatures
tion. If all the information is not provided
Once you’re approved and enrolled in the
After you complete Sections 1 through 3,
for each parcel, including the number
program, the department will send you
the DNR-approved plan writer must sign
of eligible acres, your application will be
an annual certification letter every July,
the application and provide his or her
delayed or denied.
beginning July 1, 2015. If you properly
SFIA identification number.
complete the certification and return it by
Column A — Code for Minnesota
By signing the application, the approved
the due date as instructed, you can expect
County. Using the chart below, find the
plan writer:
to receive your first incentive payment on
county in which each parcel is located
or before Oct. 1, 2015.
• certifies that the forest management
and enter the corresponding three-digit
plan on the land listed in Section 3 was
number in Column A of Section 3.
If you fail to return the certification letter
developed within the last 10 years; and
as required, you will not receive an incen-
Column B — Covenant Recording
tive payment for that year.
• claims that the number of eligible acres
Number. Enter the covenant recording
for each parcel is correct.
number for each parcel of land you wish
Questions? Need Forms?
to enroll. The recording number is issued
After the DNR-approved plan writer has
Website:
by the county at the time your covenant is
signed the application, you must also sign
recorded and is found on the covenant.
Phone: 651-556-6088 (TTY: Call 711
in Section 4.
for Minnesota Relay)
Attach a copy of the covenant recorded
By signing the application, you are:
for each parcel of land you wish to enroll
• declaring that the form is correct and
in the program. Be sure to also include
complete to the best of your knowledge;
copies of Exhibits A and B.
• certifying that you are the owner or
Column C — Property Identification
authorized representative of the entity
Number (PID). Enter the PID for each
that owns the land;
parcel of land you wish to enroll. You can
• agreeing to follow the land’s forest man-
find the PID on the property tax state-
agement plan and all provisions of the
ment for that parcel.
Sustainable Forest Incentive Act (M.S.
290C.01 to M.S. 290C.12); and
Codes for Minnesota Counties (for use in Section 3, Column A, of Form TH1)
County
Code
County
Code
County
Code
County
Code
County
Code
County
Code
Aitkin . . . . . . . . . . . 001
Cook . . . . . . . . . . . 031
Isanti . . . . . . . . . . . 059
McLeod . . . . . . . . . 085
Pine . . . . . . . . . . . . 115
Stearns . . . . . . . . . 145
Anoka . . . . . . . . . . 003
Cottonwood . . . . . . 033
Itasca . . . . . . . . . . 061
Mahnomen . . . . . . 087
Pipestone . . . . . . . 117
Steele . . . . . . . . . . 147
Crow Wing . . . . . . . 035
Marshall . . . . . . . . 089
Polk . . . . . . . . . . . . 119
Stevens . . . . . . . . . 149
Becker . . . . . . . . . . 005
Jackson . . . . . . . . . 063
Martin . . . . . . . . . . 091
Pope . . . . . . . . . . . 121
Swift . . . . . . . . . . . 151
Beltrami . . . . . . . . 007
Dakota. . . . . . . . . . 037
Meeker . . . . . . . . . 093
Kanabec . . . . . . . . 065
Benton . . . . . . . . . 009
Dodge . . . . . . . . . . 039
Ramsey . . . . . . . . . 123
Todd . . . . . . . . . . . 153
Mille Lacs . . . . . . . 095
Kandiyohi . . . . . . . 067
Big Stone . . . . . . . 011
Douglas . . . . . . . . . 041
Red Lake . . . . . . . . 125
Traverse . . . . . . . . 155
Morrison . . . . . . . . 097
Kittson . . . . . . . . . . 069
Blue Earth . . . . . . . 013
Redwood . . . . . . . . 127
Mower . . . . . . . . . . 099
Faribault . . . . . . . . 043
Koochiching . . . . . 071
Wabasha . . . . . . . . 157
Brown . . . . . . . . . . 015
Renville . . . . . . . . . 129
Murray . . . . . . . . . . 101
Fillmore . . . . . . . . . 045
Wadena . . . . . . . . . 159
Rice . . . . . . . . . . . . 131
Lac qui Parle . . . . . 073
Carlton . . . . . . . . . 017
Freeborn . . . . . . . . 047
Waseca . . . . . . . . . 161
Nicollet . . . . . . . . . 103
Rock . . . . . . . . . . . 133
Lake . . . . . . . . . . . 075
Carver . . . . . . . . . . 019
Washington . . . . . . 163
Nobles . . . . . . . . . . 105
Roseau . . . . . . . . . 135
Goodhue . . . . . . . . 049
Lake of the
Cass . . . . . . . . . . . 021
Watonwan . . . . . . . 165
Norman . . . . . . . . . 107
Grant . . . . . . . . . . . 051
Woods . . . . . . . 077
Chippewa . . . . . . . 023
St. Louis . . . . . . . . 137
Wilken . . . . . . . . . . 167
LeSueur . . . . . . . . 079
Chisago . . . . . . . . . 025
Olmsted . . . . . . . . . 109
Scott . . . . . . . . . . . 139
Winona . . . . . . . . . 169
Hennepin . . . . . . . 053
Lincoln . . . . . . . . . 081
Clay . . . . . . . . . . . . 027
Otter Tail . . . . . . . . 111
Sherburne . . . . . . . 141
Wright . . . . . . . . . . 171
Houston . . . . . . . . 055
Lyon . . . . . . . . . . . . 083
Sibley . . . . . . . . . . . 143
Clearwater . . . . . . 029
Hubbard . . . . . . . . 057
Pennington . . . . . . 113
Yellow Medicine . . 173
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