Renewal Application for the Valuation of Land in Accordance            with its Agricultural Use

Nancy Dixon, County Auditor

121 E. Main st.
Van Wert, Ohio 45891
(419) 238-2239     Fax: (419) 238-4528

If a parcel identified above was not devoted exclusively to agriculture last year, then make an “X” in the box beside its parcel number.  If a parcel is included in a federal land program, then make an “F” in the box beside its parcel number.  If the total acreage is less than 10 acres, then:

enter gross earned income from agriculture last year:      $___________________________   enter expected gross earned income for the current year  $___________________________

II affirm that the above information is true and correct, and I authorize the County Auditor to inspect the property identified above to verify the accuracy of this application

____________________________   _________________    ________________

Signature of Owner                                       Date                                           Phone #