Land Use Declaration Form template Section A Property and Owners Details – Assessment Number: Property Owner (s): Property Address: Section B Property and Land Use Details – Question 1: Yes No Is the property used for ‘rural purposes’? (check box) Note: and agriculture is A ‘rural purpose’ means a purpose pertaining to agriculture defined to mean the use or cultivation of land for any purpose of husbandry or horticulture, including the raising of livestock and the growing of crops. If you answered Yes to this question, please proceed to Question 2. If you answered No to this question, please disregard Questions 2 to 4 and proceed to sign and return this declaration. Question 2: Which of the following land uses best describes the rural base of your property? (check box) Horticulture Forestry Stabling, agisting, Viticulture Orchards training horses Apiculture Porcine Production Poultry Production Grazing Please describe: Growing Please describe: Other Please describe: Question 3: Do the agricultural activities carried out on the land, represent the predominant use of the land? Yes No Question 4: Do you earn your livelihood from these activities. Yes No Note: It is unlikely that land used as a hobby farm would satisfy the definition as land used predominately for rural purposes. Section C Declaration – I / we declare the above information to be correct to the best of my / our knowledge. Owner (s) name (s): Owner (s) signature: Date: Please ensure all relevant sections of this form are completed before returning in the envelope provided. Thank you.
Land Use Declaration Form template Section A – Property and Owners Details Assessment Number: Property Owner (s): Property Address: Section B – Property and Land Use Details Question 1: Is the property used for ‘rural purposes’? (check box) Yes No Note: A ‘rural purpose’ means a purpose pertaining to agriculture and agriculture is defined to mean the use or cultivation of land for any purpose of husbandry or horticulture, including the raising of livestock and the growing of crops. If you answered Yes to this question, please proceed to Question 2. If you answered No to this question, please disregard Questions 2 to 4 and proceed to sign and return this declaration. Question 2: Which of the following land uses best describes the rural base of your property? (check box) Horticulture Viticulture Apiculture Forestry Orchards Porcine Production Stabling, agisting, training horses Poultry Production Grazing Please describe: Growing Please describe: Other Please describe: Question 3: Do the agricultural activities carried out on the land, represent the predominant use of the land? Yes No Question 4: Do you earn your livelihood from these activities. Yes No Note: It is unlikely that land used as a hobby farm would satisfy the definition as land used predominately for rural purposes. Section C – Declaration I / we declare the above information to be correct to the best of my / our knowledge. Owner (s) name (s): Owner (s) signature: Date: Please ensure all relevant sections of this form are completed before returning in the envelope provided. Thank you.