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W-9 Form - Cassia County.pdf
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Assessor Farm Questionnaire
Assessor Farm Questionnaire
Section I : CASH RENT
If you cash rent land to or from another grower, please answer the following Questions. When reporting the cash rent per acre, please provide your estimate of a five year average rent for each crop. If you are the Owner / Operator please provide information relevant to your operation.
Are You A : (Check all that apply)
Landlord
Tenant
Owner
Answer The Questions For Each Crop Planted :
5 Yr Avg of Cash Rent per Acre ($)
Acres Planted Last Season (AC)
Average Yield (AC)
5 Yr Avg of Crop Prices ($)
Barley
Beans
Beets
Grain Corn
Silage Corn
Sweet Corn
Hay
Potatoes
Wheat
Peas
Oats
Under your cash rent agreement, who pays the following costs? (Enter Percents)
Landlord %
Tenant %
Taxes
Water
Power Cost
Seed Cost
Fertilizer
Chemicals
Harvest Cost
Section II : WATER COSTS
If you are a landlord or tenant and you indicated above that you pay the water cost, please answer the following questions.
1. Is your water source a : (Check All That Apply)
Canal / Ditch
Pump Project
Deep Well Pump
2. If you water source is a Canal / Ditch or Pump Project, what is the name of the Company that supplies your water?
3. If your water source is a canal or ditch, what is your current annual water assessment per acre? (Dollars per Acre)
4. If your water source is a deep well pump, what is your current pumping cost per acre? (Dollars per Acre)
Section III : GRAZING COSTS
If you are a landlord and rent your land for grazing or if you rent private grazing land from others, please answer the following questions.
DO NOT INCLUDE ANY PUBLIC LAND USE GRAZING RIGHTS
1. What is the cost per AUM (Animal Unit Month)?
Dollars per AUM
Cow / Calf
Yearling Calves
Sheep
Goats
Other
2. What type of land is grazed?
How Many Acres?
Rangeland
Seeded Dry Land
Irrigated Pastures
What area(s) of Cassia County are your farming / ranching operations?
Albion
Almo
BID
Declo
Elba
Golden Valley
Malta
MID / Jackson
Milner
Oakley
Raft River
Comments:
Please use this area to explain or clarify any of your answers.
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