Sale Or Donation of Conservation Easement

Sale or Donation of Conservation Easement

Application Form

Date ______

General Information:

Name of Owner(s) ______Phone ______

______Phone ______

______Phone ______

Property Information:

Tax District ______Map Number ______Parcel _____

Location of Property ______

______

Deed Reference Book ______Page______

Acreage Total Acreage______Acreage Offered for Easement______

Farm Use Does the property have a current farm-use valuation for property

tax purposes? Yes ______No ______

What percent of acreage offered for Easement is in active agriculture?

______%

Agriculture Production

Acres Grown/or

Commodity Animal Units Yield per Acre

______

______

______

______

______

______

Property Information (continued)

Conservation Describe resource conservation efforts (attach documentation if approved LKCD or similar plan in place). Please note whether conservation recommendations are in progress or complete.

______

______

______

______

Site Evaluation Prime or unique soil _____ Other farmland_____

Wetlands ______Forestland _____

Unique Features (check) Stream frontage ____

Mature forests ____

Year-round spring ___

Archeological significance ___ (attach narrative)

Historic significance ___ (attach narrative)

Other ___ (attach narrative)

Mineral Rights Property owner(s) hold _____% mineral rights

Property owner(s) hold _____% mineral leasing rights

Debt Secured Deb/Liens? No ___ Yes ___ (indicate below)

Holder ______Amt: $______

Holder ______Amt: $______

Will lender(s) agree to subordinate the loan? Yes___ No ___

Price/Easement Owner’s Estimates:

Fair Market Value $______

Agriculture value $______

Has an appraisal been completed? Yes ___ No ___

Owner’s Offering Price $______

Official Contact

Name, address and phone number of the contact person who is authorized by all property owners to receive correspondence from the county and negotiate the terms of the easement:

Name ______Phone number______

Address ______

Signatures
All owners must sign this application giving consent to make application to the Roane County Farmland Protection Board for a conservation easement sale or donation:

Name______Signature______Date ______
Name______Signature______Date ______

Name______Signature______Date ______

Name______Signature______Date ______

NOTE: All applications must be completed and signed to be considered. Additional information may be required from the applicant.

Documentation Checklist The following documents must be attached:

______Property plat

______Deed description

______Tax map (available from Roane County Clerk’s Office)

1

Roane County Farmland Protection Board

200 Main Street Spencer, WV 25276