Initial Report For Corporate Or Limited Liability Company Farming Or Ranching Page 2

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SFN 19445 (4-2012) Page 2
4.
Provide the description of the acreage (hectarage) owned or leased by the Corporation or Limited Liability Company and used for farming and ranching:
(List each parcel separately)
NUMBER OF ACRES
SECTION
TOWNSHIP
RANGE
COUNTY
5. Complete if a Corporation
OFFICERS AND DIRECTORS OF THE CORPORATION
Check If
COMPLETE MAILING ADDRESS
Officer Also
OFFICE
Serves As
NAME
Street/RR
PO Box
City
State
ZIP+4
Director
PRESIDENT
VICE PRESIDENT
SECRETARY
TREASURER
DIRECTOR
DIRECTOR
6. Complete if a Limited Liability Company
MANAGERS AND GOVERNORS OF THE LIMITED LIABILITY COMPANY
Check If
COMPLETE MAILING ADDRESS
Manager Also
Serves As
MANAGER
NAME
Street/RR
PO Box
City
State
ZIP+4
Governor
PRESIDENT
VICE PRESIDENT
SECRETARY
TREASURER
MANAGER
MANAGER
GOVERNOR
GOVERNOR
7.
"We the undersigned incorporators or organizers have read the foregoing report, know the contents thereof, and believe the statements made therein to
be true. We understand that if we make a false statement in this document, we may be subject to criminal penalties."
Signature
Date
Signature
Date
Signature
Date

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