Property. Tax / oo~ PMtd its 9.L09.5 tod3 ~ Signed: ~~~~ ~~~~~:::::::::::: ~ g ::2 - '=\I <q-ca,

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Property Tax Application for Property Tax Exemption for Recreational Lakes, Forest Covers, Rivers and Streams, ~~~~~~~~~~~-'---~~~.._~~~~~~ River and Stream Banks, and Open Prairies This application must be filed or mailed to your local conservation district by February 1 of each year. It must be postmarked no later than February 1. Iowa conservation district addresses can be found at the Conservation Districts of Iowa Web site. County s_c_o_t_t_ "/ 19 Number of Acres I G_r_e_g_ H_a_w_k swear or affirm that I am the owner of the following legally described property: SE 1/4 SW 1/4 SEC 9 Hickory Grove Twp PMtd its 9.L09.5 tod3 ~ 910 95 / oo~ T79N R2E Scott County and that this property will not be used for economic gain during the assessment year. This property is at least two acres in area and is used to provide soil erosion control or wildlife habitat. Forest Cover I request that the described property be exempt from taxation as (list type of property) I have attached or previously filed: Ulan aerial photo of the property ) D if property is a gully area susceptible to severe erosion - an erosion control plan, approved by the soil conservation district commissioners An exemption is allowed for river or stream or river and stream banks only if the land is located at least 33 feet from the ordinary high water mark of the river and stream or river and stream banks. I 24002 85th Ave Walcott 52773 Date Address ~ g ::2 - '=\I <q-ca, I hereby cert.ify th. t the propef!y described above is eligible to receive the exemption claimed. 320-- } 2 4-/ Signed: ~~~~ ~~~~~:::::::::::: Chairman, Scott County Soil Conservation District ------------ This application must be filed with your local soil conservation district by February 1 of each year. This open prairies property has been inspected and certified as having adequate ground cover consisting of native species and that all primary and secondary noxious weeds present are being controlled to prevent the spread of seeds by either wind or water. hairman, County Board of Supervisors 54-010 (09/24/09)

Page 1 of2 L Cameron Timber PreseTl/e NE NW $«119fl ~rntt iuq T~ I A ~c1:on C<:mcr (Corner ~l'k:;::t ~I $c(tqn Wntr (S<m C9Ut('/ l ie} C.~.] CG1meo..,.,.., C':yll'T\t D P ~bctji. f Q'MW"l:p 9olrd.r1 D GtQf1""' T- Be..nd ~) - - $f(j*' lint' -- 0.J.)!1('1 s.k~ i1(~ OJ.vit'I' Q.i:r:r1 Section Lr-: op~('i _::_::: j~<i l t<lr..t" Q~:!f!'; Fo ~~l'll ~ Puct lpoqf't: -- SU:lc- H1 tfta,1> -- Couity Roo:c Hi1y.:1 RNd l v.jia.rl.ld --A.ITT> :. ~l 'A«tS.S R~a --- 0._t Tr.#1 ~ l't>'(tlldtoll~ ll -' >t>t< ID "' '"'',.'"' 0 200 400ft The lnrormatron herein IS to be used ror reference purposes only and Is not Intended for conveyances, as a substitute for a legal survey or property abstract. The maps and data are subjec:t to constant change and are provided without warranty of any kind, e>cpress or impl!ed. Map Information Is bel!eved to be accurate, complete and up to date but cannot be guaranteed. Scott County, lowil Its agents, consultants, contractors or employees sham be held harmless from any and all claims or causes of action due to or ar1sfng out or the use or inability to use the m.)ps or data represented herein. www.scottcountylowa.com Date Printed: ll/07/2013 http://maps.scottcountyiowa.com/print/?extent=2394488.94154999,614967.806139257,23... 1117/2013

Page 2 of2 Mail Name: HAWK GREGORY G Mail Address: Mail Address2: 24002 85TH AV Mali Citv/Zio: WALCOTT IA 52773 Parcel Number: 920951002 Parent PIN: Alternate ID: PIN Tvoe: lb.lt Name: Property Address: Leaal Description: PT S 1/2 SW N 466.4' S 919.2' E 1484.9' 11.ddnum Sect: 09 Block Two: 79 Lot Rna: 02 ProoClass: A Deed Holder: HAWK GREGORY G Deed Address: Deed Address2: 24002 85TH AV Deed Citv/Zip: WALCOTT IA 52773 Contract Holder: Contract Address: Contract Address2: Contract City/Zip: Net Acres: 10.19 Exempt Acres: t.9 Gross Acres: 0 Graohic Acres: 15.90367207 Land Value: n7o7o Dwellina Value: 0 Improved Value: 0 Total Value: 17070 Sale Date: n/a Sale Price: $0 lrax District: HGNT lrax Description: HICKORY GROVE TWP NORTH SCOTT Tax Jurisdiction: HICKORY GROVE TWP School District: NORTH SCOTT Misc District: TIF District: Deed Doc: 200000015030 Instr Number: Methodoloav: Basic/Aliauot split Source: Leaal Description Comment: From Date: Deed Book: Deed Paae: Transfer Book: 7 Transfer Paae: 230 http://maps.scottcountyiowa.com/print/?extent=2394488.94154999,614967.806139257,23... 11/7/2013

Page 1 of2 Cameron Trnbe.r Presewe C.ameron Timber Preser 1 1e ~- - - 1 l i Co llll d l o Lnd iy) ~":) l.sflt D P.:-'t><.llt TC>"M'IVrp ~lf"ld b') D Cil>O!f )fi( T >'1Khp So<IM1"f - -... $f(f 1 <"1 llhe C l s.a>d.....!l«no.!<) CJP:n:-<:I L. ~ 1 (U;)( \; Ut. Lr:t' - S~ t H i ;tm-.. ~,.,,,,,, -- C:ouit1 Rootc 11.l;C' R N <J A ~ \o.a.u:t: ~'S RM'1 --- O t J r ~ I 4 ) ~ tfi ol w,,, 11>.rPtr. ~ cn H ~ O :. fl.y ~ ICo n!-ft ~ ~ 0 200 400ft lh@ information herein Is to be used for reference purposes Only and Is not Intended for conveyances, as a substitute for a teoal survey or property ebstrect. The maps and datil are subject to constant change and are provided without warranty of any kind, express or Implied. Map iry'ormatlon is believed to be accurate, complete and up to date but cannot be guaranteed. Scott County, Iowa Its agents, consultants, contractors or employees shall be held harmless from any and all claims or causes of action clue to or ari Sing out or the use or lnabfllty to use the maps or data represented herein. www.scottcountyiowo.com Cate Printed: 11/07/2013 http://maps.scottcountyiowa.com/print/?extent=2394501.97379,614561.589301234,23964... 111712013

Page 2 of2 Mail Name: HAWK GREGORY G Mail Address: Mail Address2 : 24002 85TH AV Mall Clty/Zio: WALCOTT IA 52773 Parcel Number: 920951003 Parent PIN: l\lternate ID: 1G-A-68 PIN TYoe: ALT Name: Property Address: 24002 85TH AV Leaal Description: PT S 1/2 SW 1/4 S 452.8' E 1485.14' IAddnum Sect: 09 Block Two: 79 Lot Rna: )2 ProoClass: I\ Deed Holder: HAWK GREGORY G Deed Address: Deed Address2: 24002 BSTH AV Deed Citv/Zip: WALCOTT IA 52773 Contract Holder: Contract Address:... \,.,.,!....,r. Contract Address2: j Contract City/Zip: ~- ~ t.!f.,,., Net Acres: 1 -, j " Exemot Acres: 14.1 Gross Acres : D Graohic Acres: 15.43862197 Land Value: 2010 Dwellina Value: ~170860 moroyed Value: 4550 rrotal Value: n77420 Sale Date: n/a Sale Price: PO Tax District: HGNT rrax Description: HICKORY GROVE TWP NORTH scon rax Jurisdiction: HICKORY GROVE TWP :>chool District: NORTH SCOTT Misc District: lf District: Deed Doc: 200000015030 Instr Number: Methodology: Basic/Aliauot split Source: Leaal Description Comment: From Date: Deed Book: Deed Paae: rransfer Book: 7 Transfer Paae: 230 http://maps.scottcountyiowa.com/print/?extent=2394501.97379,614561.589301234,23964... 11/7/2013