APPROVED AGRICULTURAL LAND MODIFIERS
An application for each parcel must be filed with your local township assessor by March 1st of each year. If you are applying for more than one modifier, you must have an application for each modifier you are applying for.
THE MODIFIERS AND REQUIREMENTS ARE AS FOLLOWS:
Please note that if the requirements are not met for a parcel, that parcel will not qualify for a reduction in value. All required documentation must be provided to the local assessor by March 1st of each year. Further documentation may be requested from the Pembina County Tax Office. If the application is questionable and a decision cannot be made by the Pembina County Tax Office it will be brought to the Pembina County Commission for a final decision.
DATE RECEIVED:________________________
APPLICATION FOR AGRICULTURAL LAND VALUE ADJUSTMENT
PLEASE FILL OUT THIS FORM IN ITS ENTIRETY
PARCEL OWNER & PARCEL NUMBER:______________________________________________________
SECTION: _______________ TOWNSHIP:_______________ RANGE:__________________________
ACRES:_______________________________________________________________________________
APPLICANT NAME (IF DIFFERENT): ________________________________________________________
MAILING ADDRESS:_____________________________________________________________________
PHONE NUMBER:______________________________________________________________________
EMAIL ADDRESS:_______________________________________________________________________
REASON FOR ADJUSTMENT
FREQUENT FLOODING: ______________________________________
SALINITY:_________________________________________________
ROCK:____________________________________________________
Submit all required documentation (see back for details)
If more information is needed, the Pembina County Tax Director’s office will contact you via phone or email.
(OFFICE USE ONLY)
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