Application Date(Required) MM slash DD slash YYYY Tax Year Applied(Required) Owner(Required) First Middle Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Description of PropertyApplication is hereby made for a Use Value Assessment on the above land, which is at least three (3) acres in size or his produced an average annual gross income of at least $2,000 in one or more of the designated classification.I hereby certify that this land is (check type or types use):(Required) devoted to production for sale of agricultural or horticultural products in reasonable commercial quantities, or under contract with a government agency restricting its use for such production. devoted to production of timber or timber products in reasonable commercial quantities, or has had forest tree cover within the last three (3) years and is not developed or devoted to a non-forest use, or is under contract with a government agency restricting its use for timber production. Acreage(Required) In the event this land ceases to meet the requirements for a Use Value Assessment(Required) In the event this land ceases to meet the requirements for a Use Value Assessment, I will so notifiy the Assessor of West Baton Rouge Parish within sixty (60) days. (RS 47:2304) Signature of Owner(Required) Reset signature Signature locked. Reset to sign again Primary Phone(Required)Secondary PhoneEmail(Required)