Form Dte 109(A) - Current Agricultural Use Valuation Renewal Application

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DTE 109(A)
Rev. 5/13
Current Agricultural Use Valuation Renewal Application
File with the county auditor prior to the fi rst Monday in March.
To continue to receive current agricultural use valuation, the owner must fi le this renewal application with the county
auditor prior to the fi rst Monday in March each year. Failure to do so may result in a tax increase and a penalty
will be charged. A new owner must fi le an initial application form (DTE 109) even if the previous owner was on the
program. The back of this page has details concerning eligibility requirements.
Legal owner’s name
Application number
Owner’s mailing address
Tax year
Address
County
If the total acres used for a qualifying commercial agricultural purpose is less than ten (10) acres, show the gross income
produced from agricultural products last year from these acres $
and projected gross income for
the current year $
. In the table below, provide the number of bushels or tons per acre by crop, the
price per bushel or ton and the gross income for last year. Specify other units of measure as needed. Any income received
for rent of land is not included.
Farmed Acres
Use of Land (crop)
Units/Acre
Price/Unit
Gross Income
Will the general farming operations on any of these parcels change this year?
(yes/no)
If yes, please attach an explanation regarding the use of these parcels for this year.
20XX
20XX
Parcel Number
Total Acres
CAUV Acres
Market Value*
CAUV Value*
*CAUV Acres
I declare under penalties of perjury that I have examined this application and, to the best of my knowledge and belief, it is
true, correct and complete. I authorize the county auditor to inspect this property and I agree to provide documentation of
income, if requested, to verify the accuracy of this application.
Signature of owner
Date
Phone number and e-mail

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