Intake Form for Excess Fertility Valuation
Your Name
*
First Name
Last Name
Name of Report Recipient (individual or business name to be listed on the report)
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Field 1 Information
To add clarifying information, please include it at the bottom of this page.
Field Name (if none, will default to "[Name of Report Recipient] Field 1")
Date of Acquisition or Inheritance
-
Month
-
Day
Year
Date
Number of Acres
Parcel Number(s) or Field Identifier(s)
County
State
Have you previously conducted soil sampling on this field and would like us to use this information?
Yes
No
Date of Previous Soil Sampling
-
Month
-
Day
Year
Date
Please upload your previous soil test results here. (If you don't have it now, you can provide it to us later.)
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Have you fertilized this field between the acquisition date and the previous date of soil sampling (or today, if you would like us to handle the sampling for you)?
Yes
No
Please describe the fertilization history for this field, including timing, products used, and application rates if known.
Please upload any available documentation related to this field's fertilization history. (If you don't have it now, you can provide it to us later.)
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Have you grown or harvested crops or livestock on this field between the acquisition date and the date of soil sampling (or today, if you would like us to handle the sampling for you)?
Yes
No
Please describe the yield and usage history for this field during the period in question, including crops grown or livestock raised, and production levels.
Please upload any available documentation related to this field’s agricultural use and yield data during the period in question, such as yield records or grazing logs. (If you don't have it now, you can provide it to us later.)
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Choose a file
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Please describe the yield and usage history for this field over the past five years, including crops grown or livestock raised, and production levels. (If all information on the last five years was already inputted, leave blank.)
Please upload any available documentation related to this field’s agricultural use and yield data over the past five years, such as yield records or grazing logs. (If all relevant files for the last five years were all uploaded, leave blank. You can also submit this later if you don't have it now.)
Browse Files
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Choose a file
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Was this field acquired through a 1031 exchange, inheritance, family transfer, or other non-standard transaction?
Yes
No
Please provide additional detail.
Use this space to share any additional information, context, or questions that may be helpful for our team.
Would you like to enter information for another field or transaction?
Yes
No
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Field 2 Information
To add clarifying information, please include it at the bottom of this page.
Field Name (if none, will default to "[Name of Report Recipient] Field 2")
Date of Acquisition or Inheritance
-
Month
-
Day
Year
Date
Number of Acres
Parcel Number(s) or Field Identifier(s)
County
State
Have you previously conducted soil sampling on this field and would like us to use this information?
Yes
No
Date of Previous Soil Sampling
-
Month
-
Day
Year
Date
Please upload your previous soil test results here. (If you don't have it now, you can provide it to us later.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you fertilized this field between the acquisition date and the previous date of soil sampling (or today, if you would like us to handle the sampling for you)?
Yes
No
Please describe the fertilization history for this field, including timing, products used, and application rates if known.
Please upload any available documentation related to this field's fertilization history. (If you don't have it now, you can provide it to us later.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you grown or harvested crops or livestock on this field between the acquisition date and the date of soil sampling (or today, if you would like us to handle the sampling for you)?
Yes
No
Please describe the yield and usage history for this field during the period in question, including crops grown or livestock raised, and production levels.
Please upload any available documentation related to this field’s agricultural use and yield data during the period in question, such as yield records or grazing logs. (If you don't have it now, you can provide it to us later.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please describe the yield and usage history for this field over the past five years, including crops grown or livestock raised, and production levels. (If all information on the last five years was already inputted, leave blank.)
Please upload any available documentation related to this field’s agricultural use and yield data over the past five years, such as yield records or grazing logs. (If all relevant files for the last five years were all uploaded, leave blank. You can also submit this later if you don't have it now.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Was this field acquired through a 1031 exchange, inheritance, family transfer, or other non-standard transaction?
Yes
No
Please provide additional detail.
Use this space to share any additional information, context, or questions that may be helpful for our team.
Would you like to enter information for another field or transaction?
Yes
No
Back
Next
Field 3 Information
To add clarifying information, please include it at the bottom of this page.
Field Name (if none, will default to "[Name of Report Recipient] Field 3")
Date of Acquisition or Inheritance
-
Month
-
Day
Year
Date
Number of Acres
Parcel Number(s) or Field Identifier(s)
County
State
Have you previously conducted soil sampling on this field and would like us to use this information?
Yes
No
Date of Previous Soil Sampling
-
Month
-
Day
Year
Date
Please upload your previous soil test results here. (If you don't have it now, you can provide it to us later.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you fertilized this field between the acquisition date and the previous date of soil sampling (or today, if you would like us to handle the sampling for you)?
Yes
No
Please describe the fertilization history for this field, including timing, products used, and application rates if known.
Please upload any available documentation related to this field's fertilization history. (If you don't have it now, you can provide it to us later.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you grown or harvested crops or livestock on this field between the acquisition date and the date of soil sampling (or today, if you would like us to handle the sampling for you)?
Yes
No
Please describe the yield and usage history for this field during the period in question, including crops grown or livestock raised, and production levels.
Please upload any available documentation related to this field’s agricultural use and yield data during the period in question, such as yield records or grazing logs. (If you don't have it now, you can provide it to us later.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please describe the yield and usage history for this field over the past five years, including crops grown or livestock raised, and production levels. (If all information on the last five years was already inputted, leave blank.)
Please upload any available documentation related to this field’s agricultural use and yield data over the past five years, such as yield records or grazing logs. (If all relevant files for the last five years were all uploaded, leave blank. You can also submit this later if you don't have it now.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Was this field acquired through a 1031 exchange, inheritance, family transfer, or other non-standard transaction?
Yes
No
Please provide additional detail.
Use this space to share any additional information, context, or questions that may be helpful for our team.
Would you like to enter information for another field or transaction?
Yes
No
Back
Next
Field 4 Information
To add clarifying information, please include it at the bottom of this page.
Field Name (if none, will default to "[Name of Report Recipient] Field 4")
Date of Acquisition or Inheritance
-
Month
-
Day
Year
Date
Number of Acres
Parcel Number(s) or Field Identifier(s)
County
State
Have you previously conducted soil sampling on this field and would like us to use this information?
Yes
No
Date of Previous Soil Sampling
-
Month
-
Day
Year
Date
Please upload your previous soil test results here. (If you don't have it now, you can provide it to us later.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you fertilized this field between the acquisition date and the previous date of soil sampling (or today, if you would like us to handle the sampling for you)?
Yes
No
Please describe the fertilization history for this field, including timing, products used, and application rates if known.
Please upload any available documentation related to this field's fertilization history. (If you don't have it now, you can provide it to us later.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Have you grown or harvested crops or livestock on this field between the acquisition date and the date of soil sampling (or today, if you would like us to handle the sampling for you)?
Yes
No
Please describe the yield and usage history for this field during the period in question, including crops grown or livestock raised, and production levels.
Please upload any available documentation related to this field’s agricultural use, such as yield records or grazing logs. (If you don't have it now, you can provide it to us later.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please describe the yield and usage history for this field over the past five years, including crops grown or livestock raised, and production levels. (If all information on the last five years was already inputted, leave blank.)
Please upload any available documentation related to this field’s agricultural use and yield data over the past five years, such as yield records or grazing logs. (If all relevant files for the last five years were all uploaded, leave blank. You can also submit this later if you don't have it now.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Was this field acquired through a 1031 exchange, inheritance, family transfer, or other non-standard transaction?
Yes
No
Please provide additional detail.
Use this space to share any additional information, context, or questions that may be helpful for our team.
Back
Next
Please review your responses before submitting. When you're ready, click "Submit." Use "Back" to make any edits.
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