Wildlife Land Trust || Land Preservation Information Form

PROTECTING YOUR LAND

Qualifying Criteria

Conservation Options for Landowners

Protecting Land for Wildlife

Starting the Land Protection Process

Completing the Land Preservation Information Form is the first step in the process of establishing protection for your property. Using this form, you will describe your property and any particular concerns you may have to us. To explore further the permanent protection of your land by our Trust, please complete this form.

Land Preservation Information Form
1) Contact Information:
Your Name:
Your Email:
Home Address:
Street:
City:
State:
Postal Code:
Country:
Telephone Numbers:
Home:
Business:
Fax:
Cell:
2) Are there any other owners of the property? YES NO
If Yes, please list name(s) and address(es):

3) Address/location of the property:
Acres:
Nearest City:
Zoning Class:
4) Description of the property:
a) General description:
b) Prominent natural features:
c) Known wildlife inhabitants:
d) Buildings, structures, or other features on the property:
e) Existing or planned uses of the property (agriculture, business, recreation, etc.)
5) What surrounds the property? (development, roads, easements, wildlife habitat, rivers, streams, wetlands, forests, meadows, etc.)

6) What are your wishes regarding protection and future uses of the property? (i.e. what are you interested in doing with this property?)

7) What's the property's approximate present value? What is the estimate based upon? (i.e. recent appraisal, recent sale of similar property, etc.)

8) Is there a mortgage or lien on the property? YES NO
If yes, indicate amount of unpaid mortgage or lien:

9) Is the property currently leased to any other party? YES NO
If yes, name of tenant(s), tenant's use of property and length of time remaining in the lease term (including any extension that cannot be cancelled by landlord):

10a) Are all property taxes, utility fees, and maintenance expenses up-to-date? YES NO
If no, please explain:

10b) List the amounts of annual taxes and other fees and expenses associated with the property:

11) Has there been any developer interest or other interest in your property or surrounding properties? YES NO
If yes, briefly describe:

12) Does the property produce income? YES NO
If yes, indicate the specific source and amount:

13) Has the property been for sale at any time during the last three years? YES NO
If yes, please indicate when and offering price:

14) When and how did you acquire the property and what is your basis in property? (i.e. what was its purchase price?)

15) Are there any problems unique to the property that have not been discussed? (i.e. zoning questions, neighbor disputes, property upkeep, controversial development planned for the area, etc.) YES NO
If yes, please explain:

16) Are any of the properties adjacent or near your property protected from development through an association with a governmental agency or land trust? YES NO
If yes, please identify:

17) Other relevant information/comments:

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