Agricultural Use Verification Form CR-AGUSE This form is used to verify how your agricultural land is being used. Complete a separate form for each parcel. Property InformationTownship or CityCountyParcel ID Number(Required)Example: 00-0000-000Total Number of Acres of ParcelTillable AcresNumber of Tillable AcresThe tillable land that I/we own is currently actively farmed Yes No Number of tillable acres actually being tilled/actively farmedThe tillable land that I/we own is in one of the following programs:Check all that apply CRP RIM CREP Other If other, please identify below:If in CRP/RIM/CREP, what year does the contract expire?Total number of acres enrolled in CRP, CREP, RIM or other similar federal or state conservation programs:Non-Tillable AcresHow is you non-tillable open land currently being used? Please indicate the approximate number of acres for each of the followingNumber of Non-Tillable AcresActive pastureland for dairy cattle or livestock produced for saleNot used for agricultural purposesUsed for hunting/recreational purposesCut for HayOther usesSpecify other uses (e.g. pasture for horses)The non-tillable land that I/we own is in one of the following programs:Check all that apply CRP RIM CREP Other Non-tillable if other, please identify below:If in CRP/RIM/CREP, what year does the contract expire?Total number of acres enrolled in CRP, CREP, RIM or other similar federal or state conservation programs:Number of Non-Tillable Acres ContinuedHow is your woodland being used? Please indicate the approximate number of acres for each of the following:Active pastureland for dairy cattle or livestock produced for saleNot used for agricultural purposesCovered by a forest management planUsed for hunting/recreational purposesSFIA and 2c Managed Forest LandOther usesSpecify other uses (e.g. pasture for horses)The woodland land that I/we own is in one of the following programs:Check all that apply CRP RIM CREP Other If other, please identify below:If in CRP/RIM/CREP, what year does the contract expire?Total number of acres enrolled in CRP, CREP, RIM or other similar federal or state conservation programs:Sign HereBy signing below, I certify that the above information is true and correct to the best of my knowledge, and I am an owner of the property or an authorized member, partner, or shareholder of the farm entity that owns the property. I acknowledge that by signing this form I am representing 100 percent of the interest in the property.Signature of Property Owner(Required)Date(Required) Phone(Required)CAPTCHA
