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U.S. Department of Agr1cult\n <br />Nall.Ira! RIIIOUl'C8I ConNrVatlon 8eMC& <br />NRCS-CPM1 <br />12/2018 <br />7. IZI Yes D No WIii ny other ent ity co-hold an agricultural tand easement on one or more of <br />the p aroe la assocfated with this applica tion? <br />If the answer Is Yes, then the intended co-holders must co-sign this application for an Agrfcuttural <br />Land Easement A ree man t ro vide a DUNS number, and be re gistered with SAM. <br />Name: ·tas County Tax Number: p1-6001349 j DUNS Number: p1-020-2547 <br />Co-Holder Signature: [ I <br />Name,! c4"?3 <br />1 <br />1 DUNSNumbor: ._I ____ __. <br />Co-Holder Signature: 1 ... _~-----~---------- <br />8. @ Yes D No WIii another entity, other than the Untted Stain, hold • third-party right, <br />contingent right, or any other real property Interest In an agricultural land easement on one or <br />mo,. of the parcels anoclated with lhl• appl!Qtlon, excluding entitles c<M1lgnf ng thfa <br />application u a co-holder? <br />If the answer is Y~. list th& N8m98 and Tax Identification Number for all other intended holders of <br />interests In the agriculture/ land easement. <br />Name: f#A State RCO JTu: Number: e 1-0780046 ! DUNS Number:PB-8405852 <br />Name: I !Tax Number. I._ _____ _.! DUNS Number: l.._ _____ _ <br />Name:),._ _____ __,!Tax Number: I._ _____ _.! DUNS Number: ... I _____ _, <br />9. The land otraredflN under this application II (check all that apply): <br />12) Prtvate Land <br />D Tribal, Allotted, Ceded, or lndlan Land <br />10. How many parcels.,. mocJated with this appllcatlon: P ... e _______ ~ <br />You must complete an ACEP-ALE Parcel Sheet NRCS-CPA-41A for each parcel associated with <br />this application and attach It to this Entity Appf/caoon for an ALE A(Jl88ment. <br />11. Complete the below tabla with the sum totals for all parcels uaoclated with tide <br />application. Thflse values may be estimates, subject to the final values beinr, determined by an <br />NRCS-approved appraisal report or easemflfll valuation rm,thodology. <br />A. Tota l Ea11mated Fair Mari<.et Value of all ALEs $1,875,000 <br />B. Total Es ti mated Entity Non-Federa l Cash Contrlbu t!cn to all ~37,500.00 <br />ALEs {excluding Landowner donation) <br />C. Tota l Req uested Fede ral Share for ALEs $937,500.00 <br />D. Total Es ti mated PL!rchesa Price'" of ALEs (D = B + C) $1 ,876,000.00 <br />E. Total Esti mated Landowner Donation for all ALEsf (E = A -D) $0.00 <br />12. All entffln that wlll be Identified u either a holder, co-holder, or other holder of Interest on any <br />agricultural land easement deed uaoclated wtth thl9 appHcatJon must be Hated on the table <br />below. For thoee that wlll contribute caah or realve ALE funda, Identify on the table below the <br />N11mated entity non-Federal cash contrtbutton (Item B above) and the requNted Federal 1hare <br />(Item C above) by lndlvldual entity. <br />PAGE2of5