Form 2703
Application for
Use Value Assessment
Name: ____________________________________________________ Address:___________________________________________________ Description: ________________________________________________
Application is hereby made for a Use Value Assessment on the above land, which is at least three acres in size or has produced an average annual gross income of at least $2,000 in one or more of the designated classifications for four years preceding this application.
NOTE: I hereby certify that this land is (mark type(s) of use):
__________ 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.
__________ acreage
__________ devoted to production of timber or timber products in reasonable commercial quantities, or has had forest tree cover within the last three 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
___________ marshland is wetland not devoted to agricultural, horticultural or timber purposes.
salt water marsh __________ acreage
brackish water marsh __________ acreage
fresh water marsh ___________ acreage
This application shall apply for the following four year period:
___________ ___________ ___________ __________
In the event this land ceases to meet the requirements for a Use Value assessment, I will so notify the assessor of this parish within 60 days.
_______________________
Landowner
To Be Completed by Assessor: Approved By:
Class Acres
__________ __________ Assessor
__________ __________ Parish of ____________________
Date
This application, if filed in Jefferson or Orleans Parish, shall apply for the four year period indicated below. If filed for any other parish, it shall apply for the year indicated in the first space and, shall be permanent thereafter.
La. Admin. Code tit. 61, § V-2703