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37 <br /> OWNER[S] CERTIFICATION- <br /> [We], the applicant[s]and landowner(s), hereby certify that,to the best of my <br /> [our] knowledge, the foregoing application is complete and accurate <br /> Signature <br /> Signature Date a � <br /> Signature Date <br /> Signature Date. <br /> Signature Date <br /> Signature Date* <br /> Signature Date <br /> SUPPLEMENTARY INFORMATION- <br /> P/ease complgp this information for general information about your farm <br /> Must Complete.this section; <br /> If.y"ou are:'NOT participating in'the farm present use taxatio�i program,. ;FOR - _ <br /> If you do NOT have a plan on file with the Natural Resources Conservat�on_Service or " <br /> the NC Forest;Serwce „: <br /> 1. How long have you owned your farm? years <br /> 2 How long have you lived on your farm? years <br /> 3. Has your farm exceeded$1,000 in gross income in each of the past three years? <br /> Yes No <br /> 4 How many acres on your farm are under cultivation? Acres(estimated) <br /> 5 What are the mayor crops that you plant each year? <br /> 6 How many acres on your farm are used for pasture? Acres (estimated) <br /> For questions or more information, please contact: <br /> Gail M Hughes <br /> Orange County Department of Environment,Agriculture, Parks and Recreation <br /> Sod and Water Conservation Division <br /> P O Box 8181 -306 Revere Road <br /> Hillsborough, NC 27278 <br /> (9 19)245-2753 Office <br /> (919)644-3351 (fax) updated July 2012 <br />