Form Otc 999 – Fill Out and Use This PDF

Return to County Assessor by March 15.

Information in this application is conidential under Title 68, O.S. Section 2835.

Applicant’s First Name and Middle Initial	Last Name			School
				District
Mailing Address
City, Town, or Post Ofice and State	Zip Code	Area Code and Phone Number
		(	)

Application must be iled with the county assessor by March 15. Attach a copy of the Conservation Cost-Share

Certiicate of Completion and acceptance or U.S.D.A Application for payment with Natural Resources Conservation Service map(s).

PART I - INDICATE NRCS CONSERVATION PRACTICE(S)

The owner/applicant must be currently participating in an approved Oklahoma Conservation Commission

or Federal Cost-Share Program through USDA. Authorized by 68 O.S. Section 2817.2.

PART II - LOCATION OF THE CONSERVATION PRACTICE AREA

PART III - APPLICANT’S SIGNATURE - Under penalty of perjury, I, the undersigned afiant, afirm that all responses I have made to questions herein contained are true and correct to the best of my knowledge.

Parcel I.D. Number				Acres (to nearest tenth)
Conservation Parcel I.D. Number				Acres (to nearest tenth)
USE VALUE	ASSM’T RATE (%)	NET ASS’D VALUE

Distributed to:

First Copy - Issuing County Assessor

Second Copy - Ad Valorem Division

Third Copy - Applicant

APPLICATION FOR AGRICULTURAL LAND CONSERVATION ADJUSTMENT - PAGE 2

FORM 999 INSTRUCTIONS

Eligibility Requirements...

1.The landowner must be participating in an Oklahoma Conservation Commission state cost-share program or participating in a Federal conservation cost-share program through the USDA as authorized under the 1996 Farm Bill.

2.Eligibility for the State and USDA programs shall be based on the Natural Resources Conservation Service Conservation Practice Standards and the requirements of the local conservation districts.

3.Each eligible conservation buffer must have a separate application (Form 999). Multiple legal descrip- tions may not be combined on one application form.

Taxpayer Information...

Enter owner/applicant name, current mailing address of the applicant and telephone number.

The owner/applicant must indicate the approved NRCS conservation practices for which the property is currently approved as outlined in 68 O.S. Section 2817.2.

The owner/applicant must be currently participating in an approved USDA or State cost-share program, must attach a signed copy of the current Conservation Cost-Share Agreement.

Signatures of the participant and the authorized conservation district representative must be present.

The agreement or contract number must match exactly.

Location of the Conservation Practice Area...

The speciic conservation area location must be identiied by section, township, range and quarter section. Any addition legal descriptions or directions to the area may be attached as an addendum. The area must also be delineated on a copy of the appropriate NRCS aerial photo or soil map sheet. It must be certiied by the Conservation District and must be attached to the application form (OTC Form 999).

Indicate the number of acres authorized by the conservation district as supported by conservation practice certiication. Round the acres to the nearest tenth of an acre. This number must be consistent with the state or USDA conservation program documents.

The information found in part two must match the information on the Conservation Cost-Share Agreement. If this information does not match the application will be denied.

If recertifying the conservation practice, no requirement for original NRCS certiication or map is required.

Assessor Use Only...

This is for the county assessor’s use only. Do not attempt to complete any of the information indicated in this section. The applicant will receive a copy of OTC Form 999.