Agricultural Exemption Application

Owner Name(s)*

Mailing Address*

Phone Number*

E-Mail Address

1. Property's Address / Location*

2. Acreage used in connection with owner's dwelling house*
(this would include but not limited to lawns, drives, flower gardens, swimming pool, or other areas

3. Acreage for agricultural/horticultural use:*

4. Woodland Acreage

5. Other Acreage

6. Total Property Acreage*

Describe Current Agricultural/Horticultural use(s).*
(attach additional files if needed)

Number of Structures on Property

No Structures; Land Only
If there are no structures, check the box below.

# of Residences

# of Outbuildings

# of Mobile Homes

if applicable: year, make, model of mobile home(s)

Supporting Documentation
Please indicate by checking the boxes below the type of documentation you will be attaching.

Copy of Schedule F (Federal form 1040)

Copy of a current lease.

Other documentation

Please describe the other type of supporting documentation you are attaching.

You can upload your documentation here:

INFORMATION NEEDED REGARDING OUTBUILDINGS
Please provide the information requested below for each of your outbuildings (if applicable). If you have more than 2 please upload a separate sheet with the information you provided below for the first two.

Outbuilding 1: Size
please enter as ______x_______

Outbuilding 1: Age

Outbuilding 1: Type of Structure

Outbuilding 1: Construction Material

Outbuilding 1: Construction Quality

Outbuilding 1: Condition of outbuilding

Outbuilding 1: Floor

Outbuilding 1: Does this structure have electrcity?

Yes No

Outbuilding 2: Size
Please enter ________X________

Outbuilding 2: Type of Structure

Outbuilding 2: Construction material

Outbuilding 2: Construction quality

Outbuilding 2: Condition of outbuilding

Outbuilding 2: Floor

Outbuilding 2: Does this structure have electricity?

Yes No

***IF YOU HAVE MORE THAN 2 OUTBUILDINGS PLEASE EMAIL THEIR INFORMATION TO PVA@BOONECOUNTYKY.ORG AND REFERENCE YOUR PROPERTY

Send me a copy of my responses

Email address