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U.S. Department of Agriculture NRCS-CPA-41 <br />Natural Resources Conservation Service 12/2016 <br />7. ✓❑ Yes ❑ No Will any other entity co -hold an agricultural land easement on one or more of <br />the parcels associated with this application? <br />If the answer is Yes, then the intended co -holders must co-sign this application for an Agricultural <br />Land Easement Agreement, provide a DUNS number, and be registered with SAM. _ <br />Name: ittitas County Tax Number: 1-6001349 DUNS Number: 1-020-2547 <br />Co -Holder Signature: <br />Name: 7 ax Number: DUNS Number: <br />Co -Holder Signature: <br />8. ❑✓ Yes ❑ No Will another entity, other than the United States, hold a third -party right, <br />contingent right, or any other real property interest in an agricultural land easement on one or <br />more of the parcels associated with this application, excluding entities co-signing this <br />application as a co -holder? <br />If the answer is Yes, list the Names and Fax Identification Number for all other intended holders of <br />interests in the agricultural land easement. <br />Name: '•A State RCO Tax Number: F1-0780046 DUNS Number: 8-8405852 <br />Name: Tax Number: — DUNS Number: <br />Name: Tax Number: E_ T� DUNS Number: <br />9. The land offered pit under this application is (check all that apply): <br />0 Private Land <br />❑ Tribal, Allotted, Ceded, or Indian Land <br />10. How many parcels are associated with this application: P9 i <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 Application for an ALE Agreement. <br />11. Complete the below table with the sum totals for all parcels associated with this <br />application. These values may be estimates, subject to the final values being determined by an <br />NRCS-approved appraisal report or easement valuation methodology. <br />A. Total Estimated Fair Market Value of all ALEs $1,875,000 <br />B. Total Estimated Entity Non -Federal Cash Contribution to all $937,500.00 <br />ALEs (excluding Landowner donation) <br />C. Total Requested Federal Share for ALEs $937,500.00 <br />D. Total Estimated Purchase Price of ALEs (D = B + C) $1,875,000.00 _ <br />E. Total Estimated Landowner Donation for all ALEs (E = A — D) $0.00 <br />12. All entities that will be identified as either a holder, co -holder, or other holder of interest on any <br />agricultural land easement deed associated with this application must be listed on the table <br />below. For those that will contribute cash or receive ALE funds, identify on the table below the <br />estimated entity non -Federal cash contribution (item B above) and the requested Federal share <br />(item C above) by individual entity. <br />PAGE 2 of 5 <br />