PURCHASE OF
DEVELOPMENT RIGHTS PROGRAM
PROPERTY OWNER APPLICATION FORM
Landowner: Evening Phone:
Address: Daytime Phone:
City & Zip: Email:
PROPERTY LOCATION:
Property address (if different from above):
Parcel ID Number(s):
Township:
Number of acres: Acres nominated: In agriculture production:
I
own the nominated property by Deed Land
Contract
If a land contract, the seller’s signature is required in the certification section.
Are there any liens and encumbrances on the parcel?:
Yes No
If so, please list all liens and encumbrances on the property (please attached list if you can not fit them here):
Are there any surface or subsurface leases or easements on the parcel?:
Yes No
If so, please list all surface and subsurface leases or easements on the parcel (please attached list if you can not fit them here):
Are
you aware of the existence of any environmental contaminants or concerns with
the property? Yes No
If so, please describe:
Check
one of the following: I own all
mineral rights I own some mineral rights
I
do not own any mineral rights I
do not know who owns the mineral rights
Is the property certified by the Michigan Agricultural Environmental Assurance Program?
Yes
No
Is
there a conservation plan developed by the Natural Resources Conservation
Service or other pertinent agency for the property? Yes No Don’t Know
Please describe other conservation practices employed on the property:
Please describe the agricultural use carried out on the property and other current uses of the property:
Is the property enrolled in a P.A. 116 Farmland and Open Space Agreement (FDRA)?
Yes
No
Are there unique historical or architectural features on the property, or is it a Centennial Farm?
Yes
No
If so, please describe:
Do you know of any presence of water bodies, scenic views, streams, wetlands, rare species or other features on the property?:
Yes No
If so, please describe:
Is the landowner willing to accept a price for development rights lower than the appraised value?*
Yes No
If so, enter a percentage:
*this willingness generates points on county, state and federal scoring systems and may result in a federal income tax deduction as a charitable contribution
Please describe any future plans for this property that may affect this property in the future (this may include estate plans, plans after a death in the family, etc):
Please include a copy of a legal description for the property, a copy of the deed to the property and an aerial photograph (if available), as well as a map. If you are excluding some land from consideration, please indicate that area on the aerial photo and/or map. Feel free to attach photographs, reports or other depictions of the property and additional sheets of paper with descriptions of any of the questions on this application form.
I (we) hereby submit this application for the Webster Township Purchase of Development Rights Program. I (we) certify that the statements made above are a true and accurate representation of the facts regarding the nominated parcel(s). I (we) understand that this submission does not commit me to selling development rights and that permission is hereby given to Webster Township, or its employees or contractors and the Webster Township Farm Land and Open Space Preservation Board, to access my property to perform necessary evaluations, such as an inspection or an appraisal, should my property be selected.
__________________________________________ ________________________
Signature Date
__________________________________________ ________________________
Signature Date
Send to:
Mary Dee Heller, Clerk