12 Oct

9:00 am - 11:00 am

Viewing Date for BOA/PAC Hearing

Monday

Special Agricultural Homestead Application – Entity Owned

This application is to be used to apply for agricultural homestead on agricultural property owned by an authorized entity. If the property is unoccupied, the active farmer of the entity should complete this application. If the property is occupied by a member of the owning entity, that member should complete the application. If there are multiple active farmers, each farmer must submit an application.

Owner Section

Name of Owning Entity

Name of Applicant

Name of Operating Entity

Is the owning entity registered with the Minnesota Department of Agriculture?

Yes

Is the operating entity registered with the Minnesota Department of Agriculture?

Yes

If no, contact the Minnesota Department of Agriculture prior to completing the application.

Applicant Information – must be a qualifying person of the authorized entity

Applicant Name

First Last

Social Security Number(Required)

Phone Number

Are you married?(Required)

Yes

Applicant's Spouse Name

First Last

Social Security Number(Required)

Phone Number

Physical Address

Street Address City State ZIP Code

List all additional shareholders, members, or partner of the authorized entity:

Name

First Last

Social Security Number

Phone Number

Physical Address

Street Address City State ZIP Code

Name

First Last

Social Security Number

Phone Number

Physical Address

Street Address City State ZIP Code

Name

First Last

Social Security Number

Phone Number

Physical Address

Street Address City State ZIP Code

Name

First Last

Social Security Number

Phone Number

Physical Address

Street Address City State ZIP Code

Is the entity owned agricultural property occupied by a qualifying person of the entity?

Yes

If yes, complete the Occupied Section. If no, continue with Unoccupied Section.

Unoccupied Section – Do not complete this section if the property is occupied by a qualifying member

This section is dedicated to information regarding the active farmer(s) of this entity owned property. Complete all the information, answer all of the questions, and attach requested forms. If there are multiple active farmers, each farmer will need to submit an application.

Check all that apply to the farmer:

The farmer is a member, shareholder, or partner of the owning entity

The farmer is a member, shareholder, or partner of a operating entity

The farmer is actively farming the agricultural property (See instructions)

The Farm Service Agency (FSA) lists the farmer or farming entity as the operator (You may be required to provide a copy of From 156EZ)

The farmer is a Minnesota resident

The farmer does not claim another agricultural homestead in Minnesota and neither does their spouse

The farmer filed at least one of the following federal forms with their federal income tax return for the most recent tax year (copy required): Schedule F, Federal Form 1065 for partnerships, Federal Form 1120 for corporations, or Federal Form 1120S for S Corporations

Occupied Section – If you completed the Unoccupied section, skip to the Property section

This section is dedicated to information regarding the qualified person of this entity that occupies the property. Complete all the information, answer all of the questions and attach the requested forms.

Check all that apply to the farmer:

The occupant is a member, shareholder, or partner of the owning entity

The occupant is a member, shareholder, or partner of a operating entity

The occupant is actively engaged in farming the agricultural property (See instructions)

The occupant is a Minnesota resident

The occupant does not claim another agricultural homestead in Minnesota and neither does their spouse

Property Section

Parcel Identification Number

Example: 00-0000-000

Number of Acres

County Parcel is Located

Program Enrolled In

CRP

CREP

RIM

Number of Acres Enrolled

Parcel Identification Number

Example: 00-0000-000

Number of Acres

County Parcel is Located

Program Enrolled In

CRP

CREP

RIM

Number of Acres Enrolled

Parcel Identification Number

Example: 00-0000-000

Number of Acres

County Parcel is Located

Program Enrolled In

CRP

CREP

RIM

Number of Acres Enrolled

Parcel Identification Number

Example: 00-0000-000

Number of Acres

County Parcel is Located

Program Enrolled In

CRP

CREP

RIM

Number of Acres Enrolled

Parcel Identification Number

Example: 00-0000-000

Number of Acres

County Parcel is Located

Program Enrolled In

CRP

CREP

RIM

Number of Acres Enrolled

Parcel Identification Number

Example: 00-0000-000

Number of Acres

County Parcel is Located

Program Enrolled In

CRP

CREP

RIM

Number of Acres Enrolled

Parcel Identification Number

Example: 00-0000-000

Number of Acres

County Parcel is Located

Program Enrolled In

CRP

CREP

RIM

Number of Acres Enrolled

Parcel Identification Number

Example: 00-0000-000

Number of Acres

County Parcel is Located

Program Enrolled In

CRP

CREP

RIM

Number of Acres Enrolled

Required Attachments

The Pope County Assessor’s office requires ALL of the following, for your special agricultural application.

156EZ report from the Farm Service Agency(Required)

Max. file size: 256 MB.

578 Producer Print report and tract map(s) from the Farm Service Agency(Required)

Max. file size: 256 MB.

Schedule F of person farming the land(Required)

Max. file size: 256 MB.

All dollar amounts may be redacted

Front side of the active farmer's driver's license and the owner's driver's license(Required)

Max. file size: 256 MB.

Sign Here

I certify that the above information is true and correct to the best of my knowledge. Minnesota Statutes, section 609.41, states that anyone giving false information in order to avoid or reduce their tax obligations is subject to a fine of up to $3,000 and/or up to one year in prison. This application must be signed by the owner, owner’s spouse, active farmer & spouse (if applicable)

Signature of Occupant/Farmer(Required)

Date(Required)

Signature of Occupant/Farmer's Spouse(Required)

Date(Required)

Signature of Authorized Representative(Required)

Member of entity – Only required for unoccupied property

Date(Required)

CAPTCHA

Commissioners

Local Government Officials

Board of Adjustment/Planning Advisory Commission

Housing & Redevelopment Authority/Economic Development Authority

Elections & Voting

Other Information

County Departments

Calendars

News

Next Event…

Viewing Date for BOA/PAC Hearing

Latest…

Assessor

Auditor/Treasurer

Highway/Engineering

Human Resources

Land & Resource Management

Recorder

Rural Addressing

Attractions

Cities

Chambers of Commerce

Health & Help Resources

Public Transit

Roads

Utilities

Schools

Misc. Resources

Special Agricultural Homestead Application – Entity Owned

Owner Section

Applicant Information – must be a qualifying person of the authorized entity

List all additional shareholders, members, or partner of the authorized entity:

Unoccupied Section – Do not complete this section if the property is occupied by a qualifying member

Occupied Section – If you completed the Unoccupied section, skip to the Property section

Property Section

Required Attachments

Sign Here