I. Qualifications—Requirements. Agricultural real property which is actually used for such purposes, not including however, a corporation which is the owner or lessee except for certain corporations which do not:

1. 1. have more than ten (10) shareholders
2. 2. have as a shareholder a person (other than an estate) who is not an individual
3. 3. have a non-resident alien as a shareholder; and

4. 4. have more than one (1) class of stock

   II. Definition of Agricultural Real Property. Agricultural real property shall mean any tract of real property which is used to raise, harvest or store crops, feed, breed or manage livestock, or to produce plants, trees, fowl or animals useful to man, including the preparation of the products raised thereon for man’s use and disposed of by marketing or other means. It includes but is not limited to such real property used for agricultural, grazing, horticulture, forestry, dairying, and mariculture. In the event at least 50% of a real tract shall qualify as “agricultural real property”, the entire tract shall be so classified, provided no other business for profit is being operated thereon. The term “agricultural real property” shall not include any property used as the residence of the owner or other in that the taxation of such property is specifically provided for in Section 2(C) and (E) of the Act.

   III. Name shown on Property Tax Record Soc. Sec. No. OR Fed. I.D. No.

   	1. ________________________________________
   	2. ________________________________________
   	If more than two (2) owners, attach a sheet with above information on each owner.
   IV.	Tax Map Sheet Reference Number ____________________
   	Location of tract of land ____________________
   	No. of Acres __________
   	Tax District __________
   V.	Purpose for which the tract of real property is being used.
   VI.	Is any portion of the entire tract being used for other than agricultural profit.
   	NO __________ YES __________ IF YES, EXPLAIN

   Based upon my knowledge and interpretation of the requirements for the special assessment and use value appraisal, I certify that the tract of land described in this application meets such requirements for the current tax year.

   	Signature of owner or agent
   	Date	Phone No.
   If agent signed for owner, give relationship and mailing address;