Form Pa-48 - Farm Structures & Land Under Farm Structures Assessment Application

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FOR REGISTER OF DEEDS USE ONLY
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FORM
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
PA-48
FARM STRUCTURES & LAND UNDER FARM STRUCTURES
ASSESSMENT APPLICATION
STEP 1 PROPERTY OWNER(S)
LAST NAME
FIRST NAME
LAST NAME
FIRST NAME
STREET ADDRESS
STREET (continued)
TOWN/CITY
STATE
ZIP CODE
STEP 2 PROPERTY LOCATION OF LAND AND FARM STRUCTURE(S) BEING CLASSIFIED
STREET
TOWN/CITY
COUNTY
NUMBER OF ACRES
MAP #
LOT #
BOOK #
PAGE #
STEP 3 DESCRIPTION OF FARM STRUCTURES & LAND UNDER FARM STRUCTURES
Describe farm structure and use (example: barn - store hay)
Dimensions of farm structure (example: 20'x40')
How many square feet of land will be subject to the assessment?
Is the farm structure and the land under the farm structure contiguous to a minimum of 10 acres of open space as defi ned by
RSA 79-F:3 VI? Yes
No
STEP 4 SIGNATURES OF ALL PROPERTY OWNERS OF RECORD
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
TYPE OR PRINT NAME (in black ink)
SIGNATURE (in black ink)
DATE
PA-48
Page 1 of 3
Rev. 3/13

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