Schedule B Form Lpc-1 - Application For A Land Preservation Credit Statement By The Recipient With Respect To Tax Credits Of 1 Million Or More From A Donation Made On Or After 1/1/07 Of Less-Than-Fee Interest In Land Page 5

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Schedule B
*VALPCB508888*
Application for a Land Preservation Credit
Form LPC-1
Statement by the Recipient With Respect
Page 5
to Tax Credits of $1 Million or More From
a Donation Made on or After 1/1/07 of
Less-Than-Fee Interest in Land
Section III - General Water Quality and Forest Management (Cont’d)
C)
Management Plans for Forestlands that Contain 20 Acres or More:
Check If Applicable
Page/Paragraph Number
Deed of conservation easement requires the landowner to have a current written forest management
plan or Virginia Forest Stewardship Plan in place prior to the commencement of timber harvesting
or other significant forest management activities. The deed of easement requires the forest
management plan to include a provision that all forest management and harvesting activities be
developed by, or in consultation with, the Virginia Department of Forestry, or be consistent with
Virginia’s Forestry Best Management Practices for Water Quality Guide.
Identify page and paragraph numbers in the deed of conservation easement.
Section IV - Attesting Statement
The easement holder hereby attests to the accuracy of the information provided above or attached related to the conservation value of the property.
Signature of Authorized Representative of Holder
Date
Printed Name of Authorized Representative of Holder
Title
5
Va. Dept. of Taxation LPC-1 W (Rev 8/08)

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