NRCS-CPA-41_Entity_Application_for_an_ALE_Agreement_Final 3

Home Browse Search

U.S. Department of Agriculture NRCS-CPA-41 Natural Resources Conservation Service 1212016 7. ❑✓ Yes ❑ No Will any other entity co -hold an agricuiturai land easement on one or more of the parcels associated with this application? If the answer is Yes, then the intended co -holders must co-sign this application for an Agricultural .Land Easement Agreement, provide a DUNS number, and be registered with SAM. Name: 'ttitas County Tax Number; 1-6001349 DUNS Number: 1-020-2547 Co -Holder Signature: Name: ax Number: DUNS Number: Co -Holder Signature; 8. ❑✓ Yes ❑ No Will another entity, other than the United States, hold a third -party right, contingent right, or any other real property interest in an agricultural land easement on one or more of the parcels associated with this application, excluding entities co-signing this application as a co -holder? If the answer is Yes, list the Names and Tax Identification Number for all other intended holders of interests in the agricultural land easement Name: WA State RCO Tax Number: 1-0780046 DUNS Number: 8-$405852 Name: JTax Number: DUNS Number: Name: Tax Number: DUNS Number: 9. The land offeredF" under this application is (check all that apply): R] Private Land []Tribal, Allotted, Ceded, or Indian Land 10. How many parcels are associated with this application: 09 You must complete an ACEP-ALE Parcel Sheet NRCS-CPA-41A for each parcel associated with this application and attach it to this Entity Application for an ALE Agreement. 11. Complete the below table with the sum totals for all parcels associated with this application. These values may be estimates, subject to the final values being determined by an NRCS-approved appraisal report or easement valuation methodology. A. Total Estimated Fair Market Value of all ALEs $1,875,000 B. Total Estimated Entity Non -Federal Cash Contribution to all ALES (excluding Landowner donation) $937,500.00 C. Total Requested Federal Share for ALEs $937,500.00 D. Total Estimated Purchase Price of ALEs (D = B + C) E. Total Estimated Landowner Donation for all ALES (E = A — D) $1,875,000.00 $0.00 12. All entities that will be identified as either a holder, co -holder, or other holder of interest on any agricultural land easement deed associated with this application must be listed on the table below. For those that will contribute cash or receive ALE funds, identify on the table below the estimated entity non -Federal cash contribution (item B above) and the requested Federal share (item C above) by individual entity. PAGE 2 of 5