OFFICIAL REQUEST 2015 AGRICULTURAL CROP & LEASE QUESTIONNAIRE This request is made in accordance with California Revenue & Taxation (R&T) Code Section 441. This statement must be completed and filed with the Assessor on or before______________________________ ASSESSORS PARCEL NO. Paul Dictos CPA Fresno County Assessor-Recorder P. O. Box 1146, Fresno CA 93715 (559) 600-3534 Name / Address IMPORTANT Any changes or additions to the land, buildings, other improvements, or the tree and vine plantings that occurred BETWEEN JAN. 1, 2014 AND DEC. 31, 2014, are to be reported in Question 2 below. Please answer all questions fully. FOR WILLIAMSON ACT PROPERTIES ONLY: The California Land Conservation Act of 1965--commonly referred to as the Williamson Act--enabled the Fresno County Board of Supervisors to enter into contract with private landowners for the purpose of restricting specific parcels of land to agricultural or related open space use. In return, landowners receive property tax assessments which are much lower than normal because they are based upon farming and open space uses as opposed to full market value. Your representation to the Fresno County Assessor will assist in the review of the valuation of your properties under contract. Yes 1-Is this parcel used as a commercial farming operation in compliance with GC Section 51201(a)&(b)? No 2-The annual gross income on this parcel under WA contract is $______________ Or 3-The last six (6) years average gross income on this parcel under WA contract is $____________ No response to the above questions 1 and 2 or 3 in this box indicates the absence of a commercial farming operation. Total Production* 2013 2014 1. List all planting areas and their ACTUAL total production for the past 2 crop years. Crop Variety Date Planted Acres *(Indicate lbs., tons, bins, etc.) 2. REAL PROPERTY ALTERATIONS (during 2014) (please attach a RANCH MAP (sketch/diagram) of the property to help identify the location of any changes to the parcel) 2A. BUILDING OR OTHER STRUCTURES added or removed (farm buildings, pumps, pipelines, drip irrigation, trellising, etc.) Please explain and describe Parcel Cost Date Added Removed 2B. TREES, VINES OR PERENNIALS planted (P), removed (R), budded (B), grafted (G) Check One Parcel P R B Species Variety G Tree x Row Inter- Spacing planted Acres Cost Acres Cost Date Added Removed Added Date Removed 2C. CHANGES TO THE LAND (wells, leveling, ripping, drainage, etc.) Parcel Please explain and describe Please continue and complete the back side of this form as well. 3. Do you lease or rent all or any portion of this property to others? Yes No If Yes, please answer (a) through (g) plus question 4 below. If negotiated within the last 2 years, please attach a copy of the rental agreement. If No, skip to question 5. a) The name and address of the tenant ( Tenant phone number ) - The number of acres involved b) Date current rental agreement commences Crop-Share? c) Is rent based on: Date current rental agreement expires: or Cash rents? If cash rents, $_________/acre % to owner d) If Crop-Share indicate % to tenant Is landlord responsible for any cultural expenses? If Yes, please list and explain: ________________________________ e) Total gross annual rent $__________ for _______ calendar year. f) Does the landlord pay the following expenses? Check the box if Yes. Property Taxes Irrigation District Taxes $_______/acre Irrigation Water $_______/acre Drainage District Taxes Pump/Pipeline Maintenance Other g) Does the rent include structural improvements? Pump 4. Pipeline House Yes Shed No Other Does the property produce any additional income from such uses as mining or mineral leases, hunting, camping or recreational rights, petroleum leases, radio/TV or cell phone towers, solar power use, etc.? Yes No If Yes, describe the number of acres involved, the annual gross income and itemize the expenses: ______________________________________________________________________________________ ________________________________________________________________________ 5. Does this parcel have any special restrictions (such as a conservation easement, wetlands or wildlife habitat preserve or a Yes No non-irrigation covenant)? If Yes, in what year was this finalized in a recorded document? ________ 6. If the property is used for grazing purposes, please indicate the type of operation: Cow - Calf Stocker - Feeder Dairy Cattle Sheep Other State the average livestock carrying capacity for each of the past 3 years: 2012 2013 Dry grazing? Head per acre: _______ _______ _______ Irrigated pasture lands? Head per acre: _______ _______ _______ Historical average length of growing season _______(in months) 7. Are you renting land in Fresno County owned by others? 2014 Historical average number of head grazed __________ Yes No If Yes, please fill out the following: Owner/landlord: __________________________ APN or legal description _____________________________ Number of acres Rent/acre $ _______________ or Crop Share % _________ Irrigated: Yes Type of acreage: ___________ No Open ground Orchard Vineyard THANK YOU FOR YOUR COOPERATION I verify that the information is true, and complete to the best of my knowledge and belief. 8. Signed _______________________________________Phone #__________________________Date __________ This statement is not a public document. The information contained herein will be held secret by the Assessor under R&T Sec. 451. It can be disclosed only to the district attorney, grand jury or other agencies specified in R&T Sec. 408. Any attached schedules are considered to be part of the statement. Revised 10/28/14
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