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t ,„ \V'.5(Ito.ete;c) <br /> £I-75) <br /> Enter the gross income from the sale of agricultural, horticultural or forest products, including livestock and pout- <br /> 1T1.. ac tuttll) produced on the subject tract and any government payments for the past three years <br /> Near Gross Income Government Payments Tutu! <br /> Enter the crops,livestockorotherproducts produced on the tract, the number of acres devoted to each and the gross " '" <br /> income from each for the crop year immediately preceding the date of this application. <br /> Crop or Product Number of Acres Gross Income <br /> Total <br /> lfthis application covers a forest tract, state whether the owner has adopted a forest management plan approved or <br /> accepted by the State Forester., Yes[J No[] If yes, attach copy. If no, outline the plan of management for <br /> the tract. <br /> • <br /> • <br /> AFFIRMATION ._......,..—._ <br /> ! <br /> NO the undersigned declare under penalties of law that this application and tiny attachments hereto have been examined by <br /> me(us)and to the best of my(our)knowledge and belief are true and correct. r j <br /> . -771. <br /> (uate) <br /> Signaturc(s)of Owner(s) <br /> ThHIS SPACE FOR OFFICE USE ONLY <br /> r 1 Amino.::(1 Denied Tax.Supervisor <br />