APPLICATION AND RETURN FOR AGRICULTURAL CLASSIFICATION OF LANDS Section 193.461, Florida Statutes This form must be signed and returned on or before March 1. DR-482 R. 12/00 The undersigned, hereby requests that the lands listed hereon, where appropriate, be classified as agricultural lands for property tax purposes, by the property appraiser of the county in which the lands are located. Applicant name Address Return to (address of property appraiser) Phone Parcel ID, legal description: Lands Used Primarily for Agricultural Purposes Citrus Cropland Grazing land Number of livestock Timberland Poultry, swine, or bee yards Other : Number How long in of acres this use yrs yrs yrs yrs yrs yrs Agricultural Income from this Property Complete for the past 4 years. Year 20 20 20 20 Crop or Use Gross Income Expense Net Income Date purchased Purchase price yes yes yes no no no Has a Tangible Personal Property Tax Return been filed with the county property appraiser for machinery and equipment? If yes, what name was the tangible return filed under? Is the real property leased to others? If yes, attach copy of lease agreement. Has the real property been zoned to a nonagricultural use at the request of the owner? As of January 1 of this year, 20 the lands listed above were used primarily for "bona fide" agricultural purposes. Bona fide agricultural purpose means "good faith commercial agricultural use of the land." I understand that the property appraiser may require supplemental and additional information, other than the application, and I am willing to comply with any reasonable request to furnish such information. Under penalties of perjury, I declare that I have read the foregoing application and that the facts stated in it are true. If prepared by someone other than the applicant, his/her declaration is based on all information of which he/she has any knowledge. Signature Date For Record Purposes Only This acknowledges receipt of your Application for Agricultural Classification of Lands on the above described property. Signature County Check the appropriate box below. (Date) for Record of Action of County Property Appraiser 1. Application approved and all lands are classified agricultural 2. Application disapproved and agricultural classification of lands denied on all lands 3. Application approved in part and disapproved in part. Agricultural classification of lands approved on the following described portion. (Use the space below only for item 3. Space online will expand, if needed.) Signature, property appraiser Date American LegalNet, Inc. www.FormsWorkFlow.com