NASH COUNTY TAX ASSESSOR
Nash County Administration Building
120 W. Washington Street, Suite 2058
Nashville, NC 27856
Phone: (252) 459-9820
USE VALUE ASSESSMENT AND TAXATION
Of Agricultural, Horticultural or Forest Lands
Application No. _______
IMPORTANT: This application must be filed during the regular listing period or within 30 days of notice of a new valuation. A
separate application must be filed for each tract. For the purposes of G.S. 105 – 277.2 - .7, the term “tract” is held to mean a single
parcel of land as shown in the latest recorded deed or as enumerated on a plat, whether recorded or unrecorded.
The undersigned owner hereby makes application for use value assessment and taxation of the herein described tract of land for 20__
and subsequent years as provided in G.S. 105 – 277.2 - .7 and submits the following information in support thereof.
Full name of Owner __________________________________________________________________________________________
Indicate whether owner is an: Individual ! Partnership ! Corporation ! Other ! Explain
(Indicate individual property owned by husband and wife as tenants by entirety.)
Owner’s mailing address: ______________________________________________________________________________________
(Street, Route, or P.O. Box) (Town) (Zip Code)
Description of Property ________________________________________________________________________________________
Parcel Identification Numbers: __________________________________________________________________________________
(Indicate whether tract is agricultural, horticultural, or forest land, number of acres, etc. for agricultural tracts, also enter breakdown of
land – cleared, woodland, wasteland, homesite or other.)
HOMESITE ___________________________ __________________________ WASTELAND _______________________
CLEARED ____________________________ __________________________ PASTURE __________________________
WOODLAND __________________________ __________________________ OTHER ____________________________
If the applicant is an individual or partnership, state whether the individual or one of the partners resides on the tract. YES ! NO !
If the answer to the above is no, state how long the tract has been owned by the applicant or by his/her parents, siblings or spouse.
If the applicant is a corporation, state how long the tract has been owned by the corporation or by one or more of its principal
If the applicant is a corporation, list the names, shares of ownership, and principal occupations of all shareholders.
Name No. of Shares Occupation
If the applicant is a corporation, state whether its principal activity is: agricultural ! horticultural ! or forestry !
Enter the gross income from the sale of agricultural, horticultural or forest products, including livestock and poultry, actually produced
on the subject tract and any governmental payments for the past three years.
Years Gross Income * Ground Rent * Government Payments Total
*Gross income is the amount of income received from the sale of plants or animals produced on the land.
**Ground Rent is the rental income received by the owner of the land which is leased or rented. This amount is not to be included in
reaching the $1,000 minimum gross income.
Enter the crops, livestock or other products produced on the tract, the number of acres devoted to each and the gross income from each
for the crop year immediately preceding the date of this application.
Crop or Product Number of Acres Gross Income
Total 0.00 0.00
If the application covers a forest tract, state whether or not a written forest management plan has been prepared.
Yes ( ) No ( ) If yes, attach a copy. If no, indicate which of the following applies to this tract.
______(1) I intend to maintain this property as active forestland in order to comply with present-use value qualifications. I will contact
the Division of Forest Resources for information on obtaining a written forest management plan. I understand that my failure
to furnish a copy of the management plan to the tax supervisor or to follow the plan could result in loss of eligibility.
______(2) I intend to maintain the property as active forestland in order to comply with present-use value qualifications. I do not wish
to have a written management plan prepared at this time, but I will follow the management plan outlined below to ensure that
the property continues to meet the requirements for use value assessment. I understand that my failure to follow an acceptable
management plan could result in the loss of eligibility.
Describe your management plan. (Planting, harvesting, improvements, etc.)
I (we) the undersigned declare under penalties of law that this application and any attachments hereto have been examined by me (us)
and to the best of my (our) knowledge and belief are true and correct.
Signature(s) of Owner(s)
THIS SPACE FOR OFFICE USE ONLY
Approved Denied ________________________________________________________________