Form Fa-1 - Application For Farmland Assessment

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APPLICATION FOR FARMLAND ASSESSMENT
FORM FA-1
DIV. OF TAXATION
____________
(REVISED 7/2011)
SEE INSTRUCTIONS ON REVERSE
N.J.S.A. 54:4-23.1 et seq.; N.J.A.C. 18:15-1.1 et seq.
COUNTY____________________________________ MUNICIPALITY_____________________________________ TAX YEAR____________________
SECTION 1 - IDENTIFICATION INFORMATION (Please print or type all information)
(1) Owner's Name ___________________________________________________
(9) Farm operator(s) other than owner:
(a1) Name ____________________________________________________________________
(2) Mailing Address __________________________________________________
(b1) Address __________________________________________________________________
_______________________________________________________________
___________________________________________________________________
(3) Telephone (
) ________________________________________________
(c1) Telephone (
) ___________________________________________________________
(4) Email Address ____________________________________________________
(a2) Name ____________________________________________________________________
(5) Land Location ____________________________________________________
(b2) Address __________________________________________________________________
(6) Block(s), Lot(s), Qual. No. ___________________________________________
__________________________________________________________________
(7) The land is [
] farmed solely by owner
[
] rented to farmer
(c2) Telephone (
) ___________________________________________________________
[
] farmed by owner and tenant
(8) Is farm deed restricted to agriculture? Yes
No
# of Acres _________
SECTION 2 - BREAKDOWN OF LAND USE CLASSES (All entries and totals must be accurate)
Insert the current year's acreage in the appropriate land use class. Indicate acres to the nearest hundredth (0.00) - DO NOT USE DIMENSIONS
REFER TO DEFINITIONS OF LAND USE CLASSES UNDER "INSTRUCTIONS"
ACTIVELY DEVOTED LAND
Acreage
LAND NOT ACTIVELY DEVOTED
Acreage
(1) Cropland harvested
(1) _____________._____
(9) Land under and land used in connection with farmhouse.
(9) _______._____
(2) Cropland pastured
Don't include
(2) _____________._____
(10) All other land not devoted to agricultural or horticultural use.
(10) _______._____
acreage in #6
(11) TOTAL NOT DEVOTED TO AGRICULTURAL OR HORTICULTURAL
(3) Permanent pasture
(3) _____________._____
USE (Sum of lines 9 & 10)
(11) _______._____
(4) Non-appurtenant woodland
(4) _____________._____
(12)TOTAL ACREAGE OF ALL LAND (Sum of lines 8 & 11)
(12) _______._____
(See instructions before making entry)
(5) Appurtenant woodland or wetland
(5) _____________._____
*If less than 5 acres, cite the municipality, block(s) and lot(s) of contiguous acreage in adjacent
(See instructions before making entry)
municipality. __________________________________________________
(6) Acres used for: (don't include pastured acres)
(6) _____________._____
(13) Is there a claim for land under:
(a) _________ (b) _________ (c) _________
Total a, b & c
Seasonal farm markets? Yes__________ No__________
boarding
rehabilitating
training
(7) Acres used for renewable energy
Seasonal agricultural labor housing? Yes__________ No__________
(7) _____________._____
(8) *TOTAL DEVOTED TO AGRICULTURAL OR
(14) Is there a claim for land used for:
HORTICULTURAL USE (Sum of lines 1 to 7)
(8) _____________._____
solar_____wind_____biomass_____
SECTION 3 – CURRENT YEAR FARMING ACTIVITY – Indicate acres to nearest tenth (0.0). Include Double Cropping, for example, two plantings on fifty acres should be reported as 100.0 acres.
INSERT CURRENT YEAR HARVESTED OR TO BE HARVESTED ACRES FOR LAND ONLY IN SECTION II
A. FIELD CROPS (Harvested Acres)
Acres
Trees & shrubs (nursery)...……….(30)
____________._____
Lettuce……………………….…(54)
____________._____
Irrigated Acres……………………….….....(80)
____________._____
Sod (cultivated)…….….…………..(31)
____________._____
Onions………………………….(55)
____________._____
Barley (grain)……………………………….(11)
____________._____
Christmas trees…….………...……(32)
____________._____
Peas……………………….……(56)
____________._____
Corn for grain…………………………...….(12)
____________._____
Other:
Peppers(sweet)………………..(57)
____________._____
Corn for silage……………………………..(13)
____________._____
(specify)_______________________
____________._____
Potatoes (white)……...….…….(58)
____________._____
Hay(alfalfa)…………………………………(15)
____________._____
D. LIVESTOCK
Avg. No. of
Potatoes (sweet)…….….……..(59)
____________._____
Hay (other excluding salt hay)……………(16)
____________._____
Livestock
Pumpkins..……………………..(60)
____________._____
Oats (grain)…………………………………(17)
____________._____
All beef cattle…….…...……………(33)
__________________
Spinach…………………………(61)
____________._____
Rye (grain)………………………………….(18)
____________._____
Dairy….…..…………………………(34)
__________________
Squash………………………….(62)
____________._____
Sorghum……………………………………(19)
____________._____
Dairy (young)…………….….……..(35)
__________________
Tomatoes………………..……..(63)
____________._______
Soybeans…………………………...………(20)
____________._____
Horses & ponies……………..…….(36)
__________________
Melons………………………….(64)
____________._____
Wheat……………………………………….(21)
____________._____
Sheep………………………….……(37)
__________________
Mixed and other vegetable…...(65)
____________._____
Cover Crops Planted:
Swine………………………….……(38)
__________________
Other(specify):_______________
____________._____
(specify)_____________________________
____________._____
Bees (Hives)………………….……(39)
__________________
F. AQUACULTURE
Acres
Other Field Crops:
Ducks……………………….....……(40)
__________________
Clams, oysters (other specify).(66)
____________._____
(specify)_____________________________
____________._____
Fur animals…………………….…..(41)
__________________
Fresh water, pond fish………..(67)
____________._____
B. FRUIT CROPS (Bearing Acres)
Acres
Goats……………………………….(42)
__________________
Other:
Irrigated Acres…………………………….(81)
____________._____
Chickens (meat)..…………………(43)
__________________
(specify)____________________
____________._____
Apples………………...………………...….(22)
____________._____
Chickens (layers)…………….……(44)
__________________
G. ANNUAL HARVEST OF
Cords, Board
Blueberries…………………………………(23)
____________._____
Turkeys……………………………..(45)
__________________
WOODLAND PRODUCTS
Feet, Etc.
Cranberries…………………………………(24)
____________._____
Other:
Fuelwood (cords)..…………….(68)
__________________
Grapes………………………………………(25)
____________._____
(specify)_______________________
__________________
Pulpwood (cords)……...………(69)
__________________
Nectarines………………………………….(86)
____________._____
E. VEGETABLE CROPS (Harvested Acres)
Timber (Bd. Ft.)………………..(70)
__________________
Peaches…...………………………………..(26)
____________._____
Acres
Other:
Strawberries…………………..……………(27)
____________._____
Irrigated Acres…………………….(83)
____________._____
(specify)____________________
__________________
Other fruit crops:
Asparagus………………………….(46)
____________._____
H. LAND IN FEDERAL GOVERNMENT PROGRAM
(specify)_____________________________
____________._____
Beans,lima…………………………(47)
____________._____
Name of Program __________________________________
Non-bearing fruit:
Beans,snap………………………...(48)
____________._____
Program Number___________________________________
(specify)_____________________________
____________._____
Cabbage……………………………(49)
____________._____
Acres in Program……………...(73)
__________________
C. ORNAMENTAL CROPS
Acres
Carrots………………………..…….(50)
____________._____
I. RENEWABLE ENERGY
Acres
Irrigated Acres…………………….……….(82)
____________._____
Corn, sweet……………………...…(51)
____________._____
Solar…………………………….(74)
____________._____
Bedding plants……………………………..(28)
____________._____
Cucumbers…………………………(52)
____________._____
Wind………………………….....(75)
____________._____
Flowers (cut)………………………….…....(29)
____________._____
Eggplant……………………………(53)
____________._____
Biomass………………………...(76)
____________._____
SECTION 4 - SIGNATURE AND VERIFICATION OF OWNER(S)
ANNUALLY FILE BY AUGUST 1 (SEE INSTRUCTION 2d)
The undersigned declares under the penalties provided by law, that this application, including any accompanying schedules and statements, has been examined by him (her) and
to the best of his (her) knowledge and belief is true and correct. Filing of this application is also a representation that the land will continue to be devoted to an agricultural or
horticultural use during the year for which farmland assessment is requested.
__________________________________________________ ____________________OR__________________________ ____________________ ____________________
Signature of Individual Owner or Co-owner
Date
Signature of Corporate Officer
Date
Corporate Name
(
) APPROVED
This application is
RESERVED FOR OFFICIAL USE
(
) DISAPPROVED
___________________________________
________________________________________________
Date
ASSESSOR
APPLICATION IN DUPLICATE TO BE FILED WITH ASSESSOR
TAXPAYER SHOULD RETAIN A COPY FOR HIS FILES
(IF ENTRY MADE IN SECTION II, LINE 4, COPY MUST ALSO BE FILED WITH DEPT. OF ENVIRONMENTAL PROTECTION)

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