"Farm Registration Application" - Nova Scotia, Canada

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Download "Farm Registration Application" - Nova Scotia, Canada

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Reset Form
Submit online at:
http://www.nsbr.ca/
Or by mail to:
P.O. Box 1529
Halifax, NS B3J 2Y4
Business Applicant Profile Information:
Business Name:
Operating Name
Canada Revenue Agency BN #:
N.S. Registry of Joint Stock Companies #:
Business Civic Address (Not PO Box):
Street #
Street Name
Unit/Suite/Apt #
City/Town/County
Province
Country
Postal Code
Business Mailing Address
:
(If Different)
Street, P.O. Box, RR #, Site # , etc.
City/Town/County
Province
Country
Postal Code
Business Address in Nova Scotia
:
(If Different than above)
Street, P.O. Box, RR #, Site # , etc.
City/Town/County
Postal Code
Business Contact Information:
Name
Title
Primary Phone #
Fax #
E- mail Address
Please Note: The submission of an application with payment does not guarantee application approval.
Reset Form
Submit online at:
http://www.nsbr.ca/
Or by mail to:
P.O. Box 1529
Halifax, NS B3J 2Y4
Business Applicant Profile Information:
Business Name:
Operating Name
Canada Revenue Agency BN #:
N.S. Registry of Joint Stock Companies #:
Business Civic Address (Not PO Box):
Street #
Street Name
Unit/Suite/Apt #
City/Town/County
Province
Country
Postal Code
Business Mailing Address
:
(If Different)
Street, P.O. Box, RR #, Site # , etc.
City/Town/County
Province
Country
Postal Code
Business Address in Nova Scotia
:
(If Different than above)
Street, P.O. Box, RR #, Site # , etc.
City/Town/County
Postal Code
Business Contact Information:
Name
Title
Primary Phone #
Fax #
E- mail Address
Please Note: The submission of an application with payment does not guarantee application approval.
Farm Registration Application
Information on this form is collected under the authority of the Farm Registration Act and may be subject to disclosure under the Freedom of Information and
Protection of Privacy Act. It will be used by the Department of Agriculture for administration under the Act; to develop policies and programs; and to distribute
material to farm businesses and their owners. Information may be released to the Registry of Motor Vehicles, the Provincial Tax Commission or other
departments of government for verification of eligibility for program benefits.
Important: Follow these steps to apply for or renew your farm registration and pay the fee online:
1. Whether you are a new applicant or completing a renewal, you must sign in to our online Access to
( www.nsbr.ca )
Business service
to submit. If you have not created an Access to Business account,
select 'Sign up for Access to Business' and follow the steps provided. If you have an existing account,
please log in with your Access to Business username and password.
2. Renewals: Log in to Access to Business and enter your PIN # and go through the PIN renewal process.
Complete the renewal form and 'Add to Cart'. Go to 'My Cart' to complete the payment process. You will
be able to pay for your renewal online using Visa, MasterCard, American Express or Interac® Online.
3. New Applicants:
Log in to Access to Business and click on the 'BizPal' link on the home page.
Click 'Search by keyword', type in your municipality and enter 'Farm Registration' as your
business search and click 'continue'.
Next to the Farm Registration search result, click on 'Add to Briefcase' and then 'View Briefcase'.
Open and complete the Farm Registration application form.
Once you have completed the form, click on 'Add to Cart'. Go to 'My Cart' to complete the
payment process. You will be able to pay for your application online using Visa, MasterCard,
American Express or Interac® Online.
Or, you may complete this form and submit by:
Mail
Fax
Service Nova Scotia & Internal Services
(902) 424-0602
Nova Scotia Business Registry
(Credit Card Payment Only)
PO Box 1529 Halifax, NS B3J 2Y4
Drop Off
Access Nova Scotia Centres
Section 1 - Farm Identification
County
Email Address
SIN (if Sole Proprietorship)
Owners:
Last Name
First Name
Middle Initial
Service Nova Scotia & Internal Services, PO Box 1529, Halifax NS B3J 2Y4
Need help? Contact us at (902) 424-5200 or 1-800-670-4357 (toll free in Nova Scotia) or
at https://www.novascotia.ca/sns/paal/agric/paal005.asp
Farm Registration Application
Section 2 - Farm Income & Fee Schedule
You must provide proof of eligible gross commodity income, based on the Statement of Farming Activities, by
submitting a copy of one of the following documents: T2042, T1273 or Schedule 125 - Farm Revenue (detailing
sales by commodity revenue code). Please submit the most recent version of the document selected.
Please select (x) level that corresponds with the Statement of Farming Activities
Gross Commodity Income
Annual Fee
Please Select Appropriate
Under $29,999
$175.00
$30,000 to $99,999
$400.00
$100,000 to $499,999
$600.00
$500,000 to $999,999
$850.00
$1,000,000 or more
$975.00
Section 3 - Farm Products
Gross Income Percentage by Commodity: Indicate approximate % where applicable (e.g. Beef 75% Hogs 25%)
Must total 100%
_____% Dairy Milk Production
_____% Mink
_____% Honey, Bees, Pollination
_____% Grapes
_____% Dairy Replacements
_____% Fox
_____% Greenhouse Crops
_____% Cranberries
_____% Beef
_____% Apples
_____% Forages
_____% Oilseeds
_____% Hogs
_____% High Bush Blueberries
_____% Grains
_____% Hops
_____% Eggs
_____% Low Bush Blueberries
_____% Custom Work
_____% Haskaps
_____% Chicken
_____% Strawberries
_____% Christmas Trees
_____% Other _______________
_____% Turkey
_____% Vegetable Crops
_____% Small Fruits
_____% Other _______________
_____% Sheep/Lambs
_____% Maple
_____% Hemp
Section 4 - Production Units
Farm Land Hectares and Livestock Numbers: Please indicate numbers on applicable lines
Hectares (in production):
Hectares (in production):
Livestock Numbers:
Livestock Numbers:
______ha Forage
______ha Strawberries
______ Dairy Cows
______ Chicken
______ha Pasture
______ha Other Small Fruits
______ Beef Cows
______ Turkey
______ha Grains
______ha Vegetables
______ Beef Feeders
______ Mink
______ha Protein Crops
______ha Maple
______ Sows
______ Foxes
______ha Oilseeds
______ha Greenhouses
______ Feeder Hogs
______ Horses for Commercial Breeding
______ha Grapes
______ha Christmas Trees
______ Ewes
______ Other ____________________
______ha Apples
______ha Other____________
______ Feeder Lambs
______ Other ____________________
______ha Blueberries
______ha Other____________
______ Egg Layers
Service Nova Scotia & Internal Services, PO Box 1529, Halifax NS B3J 2Y4
Need help? Contact us at (902) 424-5200 or 1-800-670-4357 (toll free in Nova Scotia) or
at https://www.novascotia.ca/sns/paal/agric/paal005.asp
Farm Registration Application
Section 5 - Employment
Please report all employment on your farm.
For Sole Proprietors, include your own labour as well as family members.
Please select (x) appropriate box for each employee type
Employees
None
1 to 5
6 to 10
11 to 25
Over 25
Full Time (year-round)
Full Time (seasonal)
Part Time
Section 6 - Declaration
With this renewal statement, I have submitted the required proof of farming income as outlined in Section
2
I wish to be a member of the Nova Scotia Federation of Agriculture (NSFA), affiliated with the
(County Federation), and authorize the Registrar to forward my information
contained in Sections 1 and 3 (excluding SIN) and my Farm Registration number to the NSFA; or
I do not wish to be a member of the Nova Scotia Federation of Agriculture; and understand that my information
contained in Sections 1 and 3 and my Farm Registration number will not be forwarded to the NSFA.
With remittance of the non-refundable registration fee I agree that the information I have provided in this form is
complete and accurate.
Service Nova Scotia & Internal Services, PO Box 1529, Halifax NS B3J 2Y4
Need help? Contact us at (902) 424-5200 or 1-800-670-4357 (toll free in Nova Scotia) or
at https://www.novascotia.ca/sns/paal/agric/paal005.asp
Farm Registration Application
Payment Type:
Cheque
Money Order
Visa
MasterCard
American Express
(Credit Card Account Number)
(Card Holder's Name)
(Expiry Date MM/YY)
(Card Holder's Signature)
All payments must be in Canadian funds and made payable to: The Minister of Finance.
Neither post-dated cheques nor cash will be accepted.
To obtain your new registration this application must be submitted with payment.
The submission of an application with payment does not guarantee application approval or registration issuance.
Service Nova Scotia & Internal Services, PO Box 1529, Halifax NS B3J 2Y4
Need help? Contact us at (902) 424-5200 or 1-800-670-4357 (toll free in Nova Scotia) or
at https://www.novascotia.ca/sns/paal/agric/paal005.asp
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