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Century Farm Application

Arkansas Century Farm Program 2017 Application Form
To qualify, farms must meet the following criteria:
• The same family must have owned the farm for 100 years by December 31, 2017. The line of ownership from the original settler or buyer may be through children, grandchildren, siblings, and nephews or nieces, including through marriage and adoption.
• The farm must be at least 10 acres of the original land acquisition and make a financial contribution to the overall farm income.

Name * Title First Last Suffix
Address of Applicant *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Names of Current Owners of Farm *
Email *
Phone Number * ### - ### - ####
Address of the Farm
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
County of Farm *
How many acres (minimum of 10 acres) of the orginal farm are you qualifying as a Century Farm? *
Does the farm contribute toward the gross income of the owner(s) from agricultural related activities? (Such as rent, active farming, timber, etc.)
*
Yes No
Name of Farm for Farm Sign *
Year Farm Established *
Please list the last names you would like listed on the award certificate. Ex. "Smith & Davis Families"
It is Fitting that we formally recognize on this day The __________ Family/Families. *

Family will be used for a single last name, and Families will be used for plural.
Is this Farm a Certified Tree Farm?
Yes No
Contact Information of Newspaper you would like Press Release Sent to.

Please list the Newspaper and Email address of all the Newspapers you want sent to.
Any Additional Information
Attach Copies of evidence of family ownership such as Abstract of Title, Land Patent, Wills, Original Deed, County Land Record, or Other.
If you need to submit additional documents, please follow the link after this form.
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