SECTION2:THISINFORMATIONISREQUIREDBYTHEAPPRAISALDISTRICTINORDERTODETERMINE
AGRICULTURALSPECIALUSEVALUATION.Ifthissectionisnotcompletedandreturnedtotheappraisaldistrict,the
AgͲUseValuationwillnotbegranted.
WALLERCOUNTYAPPRAISALDISTRICT
90013THSTREETPOBOX887
HEMPSTEAD,TEXAS77445Ͳ0887
(979(921Ͳ0060(979)921Ͳ0377(FAX)
AFFIDAVITASPROOFOFAGͲUSEHISTORY
Thisapplicationmustbecompletedbytheownerorlesseeandreturnedtothisoffice.ProofofproductionmayandcanberequestedbytheChief
Appraiser.ProofofproductioncanbeestablishedbysubmittingScheduleF’s,receiptsforsalesandpurchasesofagriculturalproducts,fertilizer,and
feedaswellassoiltests.Thisaffidavitmustbenotarized.
ApplicationYear:2016
OwnershipInformation(Pleasecorrectanyincorrectinformation):
PHONENUMBER:________________________________________________
EMAILADDRESS:_____________________________________________________________________________
PropertyInformation:
PROPID:SCHOOLISD:
LEGALDESCRIPTION:
NumberofAcresforWhichApplicationisMade:___________ACRES
ALLPROPERTYISSUBJECTTOANONͲSITEREVIEW.PLEASEGIVEABRIEFDESCRIPTIONONTHELOCATIONOF
THEPROPERTY:
IMPORTANTINFORMATION
WallerCountyAppraisalDistrict’sChiefAppraiserrequiresforeveryonetocompletetheattachedpagestothisapplicationbeforegrantingthevaluation.Thisis
usefulinformationneededtodeterminewhetherthepropertyqualifies.
YOUMAYREQUESTACOPYOF“WALLERCOUNTYAPPRAISALDISTRICT’SGUIDELINES&REQUIREMENTS”BYCALLINGTHEOFFICE
AT(979)921Ͳ0060ORINPERSONAT90013THSTREETHEMPSTEAD,TEXAS.WEAREOPENMONDAYͲFRIDAY8AM–5PM.These
formsandotherinformationarealsoavailableonourwebsite:www.wallerͲcad.org.
ALLWILDLIFEAPPLICATIONSMUSTINCLUDEACOPYOFYOURCURRENT
MANAGEMENTPLANANDPROOFOFMANAGEMENTACTIVITIES.
PLEASENOTE:ALLINFORMATIONPROVIDEDONANDWITHTHISAFFIDAVITISSPECIFICALLYFORTHEPROPERTY
DESCRIBEDABOVE.
Inorderforthepropertytoqualifyfor1ͲdͲ1AgriculturalAppraisal,theappraisaldistrictnotonlyneedsthecurrent
agriculturaluseoftheproperty,butalsotheproductionhistoryoftheproperty.(5of7yearsofhistoryisneededto
qualify).
Page7
PART1:LESSEE INFORMATION
LESSEEADDRESS:_____________________________________
_________________________________________________
LESSEEPHONE#:(______)______________________
GRAZING
LAND
INFORMATION
CROPLAND
INFORMATION
page8
…
Yes
No
YEARSLEASED:_________TO_________
ACRESLEASED:_____________
RENTAMT:$___________/ACRE
PLEASEATTACHACOPYOFLEASE
PART2:CURRENTAGRICULTUREUSEOFPROPERTY
If NO, the owner will skip to PART 2 and will complete the rest of the affidavit.
LESSEENAME:_______________________________________
If YES, OWNER will complete PART 1 and the LESSEE will complete PARTS 2-4 of this section.
If there has been more than one lessee, have each lessee complete the affidavit for the
appropriate year(s). For additional copies of this form call Waller CAD at (979)921-0060.
…
1. Is this property being leased for agricultural purposes?
Listnumberofanimalsforeachcategory:
CATTLE:Cows(900lbs&up):______Bulls:_______Heifers(650Ͳ899lbs):_______Calves(<650lbs):______
HORSES:Mares:_______Studs:______Geldings:______Colts/Fillies(upto4yrs):_______Miniatures:_____
GOATS:Nannies:
Billies:
SHEEP: Ewes:
Rams:
OTHER
Numberofmonthskeptonproperty_______RotationLocation:_____________________________
Howmanyacresofthispropertyisaccessibletotheanimals?_____________
Isthepropertytotallyfenced?____YES____NOIfno,howmanyacresarefencedforgrazing:_________
NativePasture:____acres ImprovedPasture:_____acres
WoodedPasture:______acres
Ifthepropertyisgrazedwithadjoiningproperties,listothertractsused:
OwnerName:_______________________________________NumberofAcres_______________
Note:Acopyoftheleaseisrequestedfortheabovementionedaccounts.
HAY:Totalnumberacresofhay:________
Isthepropertyyouuseforhaytotallycleared?__________YES___________NO
Ifno,howmanyacresarecleared:________
DateoflastSOILTEST:______________
LbsofFertilizer/acreappliedforcurrentyearcrop:___________________
IRRIGATEDCROPS:Crop_________________acres_____
Crop_______________acres______
ROWCROPS:(Cotton,Maize,Corn,Soybeans,Peanuts,Watermelons,etc)
Crop_________________acres_____
Crop_________________acres_____
Crop_______________acres______
Crop_______________acres______
CRPProgram:Farm#________Acres____________
page9
PART2:CURRENTAGRICULTUREUSEOFPROPERTY(CONTINUED)
ORCHARDS:
OTHERMISC
AGRICULTURE
USES
TREEFARMS:
TypeofCrop____________________________#oftreesinproduction:___________acres_______________
SpeciesofTrees
#oftreesinproduction
acres
APIARY:
#ofhives_______________________
PART3:PRODUCTIONHISTORY
GRAZINGLANDPRODUCTIONHISTORY
Year
2015
2014
2013
2012
2011
2010
2009
#OFANIMALSPURCHASED
#OFANIMALSSOLD
#OFUNITSONPROPERTY
CROPLANDPRODUCTIONHISTORY
YEAR
2015
2014
2013
2012
2011
2010
2009
LBSOFFERTILIZERPERACRE
#OFCUTTINGS*
TOTAL#OFROUNDBALES/YEAR
TOTAL#SQUAREBALES/YEAR
HAY
CROP#2
CROP#1
LBS/BUSHELSPER
ACRE
LBS/BUSHELSPER
ACRE
LBS/BUSHELSPER
ACRE
CROP#2
LBS/BUSHELSPER
ACRE
IRRIGATED
CROPS
acres_____________________
ROW
CROPS
CROP#1
CROP#3
CROP#4
LBS/BUSHELSPER
ACRE
LBS/BUSHELSPER
ACRE
*Ifonlyone(1)haycuttingwasmade,pleaseexplainwhy:___________________________________________
<!PROPLM.PROP_ID!><!PROPLM.GEO_ID!>
page10
PART3:PRODUCTIONHISTORY(CONTINUED)
PRODUCTIONHISTORYOFOTHERMISCAGRICULTURALUSES
Year
2015
2014
2013
2012
2011
2010
2009
ORCHARDS
LBS/BUSHELSPERACRE
TREES
#TREESSOLD
APIARY
#HIVES
PART4:AFFIRMATION
TheLESSEEmustsignthisdocumentaffirmingtotheinformationonthisdocument;Ifthereisnolessee,the
OWNERmustsignthisdocumentaffirmingtheinformationgiven.
Bysigningthisdocument,youunderstandthatifyoumakeafalsestatementonthisapplication,youcouldbe
foundguiltyofaClassAmisdemeanororastatejailfelonyunderTexasPenalCodeSection37.10.
STATEOFTEXAS
COUNTYOF:___________________AffidavitsSignature:__________________________________Date:_______
PrintedName:_____________________________________________________
Swornandsubscribedtobeforeme,theundersignedauthority,thisthe_____dayof___________,20______.
SignatureofNotary:_______________________________________________MyCommissionExpires_______________