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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in Item 1 and the last four digits of your Tax Identification Number in Item 2. This information is crucial for identification.
In Item 3, specify the crop year relevant to your application. Ensure this aligns with your farming activities.
Respond to Items 4 through 7 regarding your interest in land and compliance with HELC and WC provisions. If applicable, provide farm numbers where necessary.
Complete Items 8 through 11 by detailing any affiliated persons and activities related to wetland determinations. Be thorough to avoid compliance issues.
Finally, review all entries for accuracy before signing in Item 12. Your signature certifies that the information provided is true and correct.
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