Form RA113 "Agricultural District Review Worksheet" - New York

What Is Form RA113?

This is a legal form that was released by the New York State Department of Agriculture and Markets - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2016;
  • The latest edition provided by the New York State Department of Agriculture and Markets;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form RA113 by clicking the link below or browse more documents and templates provided by the New York State Department of Agriculture and Markets.

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Download Form RA113 "Agricultural District Review Worksheet" - New York

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RA 113 (1 -16)
Agricultural District Review Worksheet
This form is to be completed by agricultural or non-agricultural land owners whose lands are within an
agricultural district which is the subject to a review or landowners who wish to be included in the district. The
information obtained from this form will be utilized by the County to modify agricultural district boundaries (if
necessary) and determine the viability of the agricultural district as a whole.
PART I. LANDOWNER INFORMATION
Name: ___________________________________________ Telephone No._________________________
Address: ______________________________________________ State________ Zip Code____________
Email Address________________________________________________
Please Check One:
Farmer
Non-Farmer but Rent Land to Farmer
Non-Farmer
PART II. FARM DESCRIPTION (IF NON-FARMER, SKIP THIS SECTION AND COMPLETE PART III)
No. of Acres Owned: ______________
No. of Acres Rented (from another landowner as part of the farm):__________________
Total # of Acres Cropped/Used for Agriculture: __________________
List the primary use of farmland (ex. dairy, Christmas tree, sugar bush, orchard, cash crop, vegetable,
horticultural specialty, aquaculture, etc.):______________________________________________________
PART III. BOUNDARY DESCRIPTION - please fill out the table below
Check One Per Tax Parcel ID #
Tax Parcel ID #
Owned
Rented
Rented to
Not
(ex 123.4-5-67.8)
and
and
a Farmer
Farmed
Farmed
Farmed
Attach another sheet if necessary
RA 113 (1 -16)
Agricultural District Review Worksheet
This form is to be completed by agricultural or non-agricultural land owners whose lands are within an
agricultural district which is the subject to a review or landowners who wish to be included in the district. The
information obtained from this form will be utilized by the County to modify agricultural district boundaries (if
necessary) and determine the viability of the agricultural district as a whole.
PART I. LANDOWNER INFORMATION
Name: ___________________________________________ Telephone No._________________________
Address: ______________________________________________ State________ Zip Code____________
Email Address________________________________________________
Please Check One:
Farmer
Non-Farmer but Rent Land to Farmer
Non-Farmer
PART II. FARM DESCRIPTION (IF NON-FARMER, SKIP THIS SECTION AND COMPLETE PART III)
No. of Acres Owned: ______________
No. of Acres Rented (from another landowner as part of the farm):__________________
Total # of Acres Cropped/Used for Agriculture: __________________
List the primary use of farmland (ex. dairy, Christmas tree, sugar bush, orchard, cash crop, vegetable,
horticultural specialty, aquaculture, etc.):______________________________________________________
PART III. BOUNDARY DESCRIPTION - please fill out the table below
Check One Per Tax Parcel ID #
Tax Parcel ID #
Owned
Rented
Rented to
Not
(ex 123.4-5-67.8)
and
and
a Farmer
Farmed
Farmed
Farmed
Attach another sheet if necessary