Form Pa-60 - Conservation Restriction Assessment Application

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FOR REGISTER OF DEEDS USE ONLY
FORM
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
PA-60
CONSERVATION RESTRICTION ASSESSMENT APPLICATION
STEP 1 PROPERTY OWNER (S)
LAST NAME
FIRST NAME
LAST NAME
FIRST NAME
STREET ADDRESS
ADDRESS (continued)
TOWN/CITY
STATE
ZIP CODE
STEP 2 PROPERTY LOCATION
STREET
TOWN/CITY
COUNTY
TOTAL ACRES IN PARCEL
ACRES TO BE CLASSIFIED
MAP #
LOT #
BOOK #
PAGE #
STEP 3 CONSERVATION RESTRICTION INFORMATION
Restriction Granted to:
Restriction Recorded
Book #
Page #
STEP 4 DOCUMENTATION
Yes
No
Did you submit a map?
Does your map show the location and orientation of the property?
Does your map show the overall boundaries and acreages of land indicating that land
for which the conservation restriction assessment is and is not requested?
PA-60
Page 1 of 3
Rev. 3/13

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