Form A-10 - Administration Application For Current Use

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FOR REGISTER OF DEEDS USE ONLY
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FORM
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
A-10
APPLICATION FOR CURRENT USE
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
ACRES IN PARCEL
ACRES IN CURRENT USE
ACRES OF THIS APPLICATION
BOOK #
PAGE #
MAP #
LOT #
MAP #
LOT #
MAP #
LOT #
NOTE: Lots must be contiguous. Non-contiguous lots must be submitted on a separate application.
STEP 3 DOCUMENTATION
(a) Is a Soil Potential Index (SPI) percentage for Farm Land submitted:
Yes
No
(b) Is documentation to support an assessment within the
"Forestland with Documented Stewardship" category submitted:
Yes
No
(c) If yes, indicate the type of documentation:
Documentation of a Certified Tree Farm;
A Forest Stewardship plan signed by a licensed forester, or
Form CU-12 "Summary of Forest Stewardship Plan".
(d) Did you submit a map of each parcel of property going into Current Use?
Yes
No
(e) Does your map show both the current use land and non-current use land
and orientations of the property?
Yes
No
A-10
Rev. 3/13
Page 1 of 3

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