Agricultural Exemption Application

IMPORTANT: READ THIS COMPLETELY We utilize eSignLive.com to process electronic signatures. You must provide us a valid e-mail address. After submitting this information to the PVA, you will receive a notification e-mail from eSignLive to acknowledge the information on your completed application. Please follow the link in that e-mail and click on the signature line to complete the process. If you do not receive an e-mail, you may wish to check your e-mail spam folder before contacting the PVA office at (859) 334-2181.

Owner Name(s)*

Mailing Address*

Phone Number*

E-Mail Address*

1. Property's Address / Location*

Please list all parcel numbers for property that is contiguous

Property's parcel numbers can be found on your tax bill, on a letter requesting information from us, or by doing a free search on our website of your property. The parcel number is also referred to as a map number or PIDN and is the format of xxx.xx-xx-xxx.xx

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.

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

Select or enter value

Outbuilding 1: Construction Material

Select or enter value

Outbuilding 1: Construction Quality

Select or enter value

Outbuilding 1: Condition of outbuilding

Select or enter value

Outbuilding 1: Floor

Select or enter value

Outbuilding 1: Does this structure have electrcity?

Yes

Outbuilding 2: Size

Please enter ________X________

OutBuilding 2: Age

Outbuilding 2: Type of Structure

Select or enter value

Outbuilding 2: Construction material

Select or enter value

Outbuilding 2: Construction quality

Select or enter value

Outbuilding 2: Condition of outbuilding

Select or enter value

Outbuilding 2: Floor

Select or enter value

Outbuilding 2: Does this structure have electricity?

Yes

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

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