MINISTRY OF AGRICULTURE - LANDS BRANCH APPLICATION FOR AGRICULTURAL LEASE ALLOCATION FULL NAME: ADDRESS: TOWN/CITY/POSTAL CODE: PHONE NO.: CELL NO.: FAX NO.: EMAIL: DATE OF BIRTH: (mm/dd/yy) GST REGISTRATION NO.: Legal Description of land being applied for (if applying for more than one unit, indicate order of preference 1, 2, 3, etc.) R.M. NO.: PREMISES ID NO. (grazing only): Please answer all questions in full. The individual completing this portion of the application is considered the primary client. 1. PLEASE CHECK APPROPRIATE ANSWER: YES NO YES NO Do you actively manage and operate a farm operation? Are you a Canadian citizen or permanent resident? Are you a Saskatchewan resident? Will you have legal access to the land applied for? Are the financial affairs of you and/or your spouse under the administration of a bankruptcy trustee? 2. DO YOU: YES NO a) Farm from the same headquarters (location from which the farm is managed) with one or more individuals (i.e. parent, spouse, adult child, shareholders in a farming corporation etc.)? b) Have joint ownership or control or lease land from the individual(s) noted in (a) above? ** If you answered yes to BOTH questions, you and the individual(s) that you farm with, are considered one farm unit. All land and other resources from the farm unit will be used in scoring the application. A separate Schedule B must be completed by each individual. Office Use Only Entered to advertisement by: Checked by: Date: Date: Page 1 of 6
3. PLEASE INDICATE HOW THE LEASE SHOULD BE REGISTERED: (CHECK THE APPROPRIATE BOX) a) Individual lease will be registered in the name of a single person. Complete page 1 and 2 of application only. b) Corporation lease will be registered in the name of a corporate entity that is registered with Corporate Registry, Information Services Corporation. c) Co-lessee - lease will be issued in the joint names of the applicants. Please indicate if the co-lessees are to be joint tenants or tenants in common. Tenants in common each tenant has an equal interest in the lease. If a tenant in common dies, the interest passes to the estate of the deceased. The estate holds the equal interest until the estate is settled. Joint tenants each tenant holds a full interest in the lease. If a joint tenant dies, his/her interest in the lease dies as well. The survivor continues to hold a full interest. Therefore joint tenants have the right of survivorship. d) Will the co-lessee require a copy of any statements or billings issued? YES NO The Corporation completes application form (pages 1 and 2) and Schedule C. The shareholders each complete page 1 and 2 of application. A co-lessee may be from the same farm unit or from a separate farm unit(s). If the colessees are from separate farm units, each must complete a separate application. If the co-lessees are from the same farm unit only one application plus a Schedule B needs to be completed. 4. a) Home quarter (where grain or livestock facilities are situated) b) Residence (land description or urban location) c) Nearest quarter (to land applied for) d) LAND OPERATED BY FARM UNIT A farm unit is defined as any and all individuals who farm out of the same headquarters and have joint ownership or control of the land. List all lands owned, leased or rented under written and/or verbal agreements, as of the closing date of this ad and the name of the registered owner. Additional space is available on Schedule A. Please attach a copy of the current municipal tax notice to verify assessment. R. M. LAND DESCRIPTION NAME OF REGISTERED OWNER OWNED, LEASED, RENTED CULT. GRAZING TAXABLE ASSESSMENT OFFICE USE Total acres/assessments from Schedule A TOTALS Appropriate R.M. Administrator(s) may verify the taxable assessment on all lands by signing this form. A copy of the current tax receipt is also required if this application is for the renewal of an existing lease. R.M. Administrator R.M. R.M. Administrator R.M. Page 2 of 6
5. a) LIVESTOCK OWNED BY FARM UNIT: Number Office Use 5. b) INTENSIVE LIVESTOCK OPERATIONS Number Office Use Total animals owned by farm unit Of the animals above how many are pastured in: Beef cows Horses Sheep Bison Co-op pasture PFRA pasture Provincial pasture Custom pasture (other than land listed in 4.a,b,c,d above) Owned/rented land listed in 4.a,b,c,d above Cattle fed to slaughter Game farm animals (adults): elk, deer Sows (as part of farrow to finish) Dairy cattle (total kg milk quota) PMU Mares Layer Hens Broilers sold last year Turkeys sold last year Backgrounding Other: TOTALS This information is supplied for the purpose of obtaining a lease. Information is to be current as of the date the advertisement closes. Late applications will be rejected while applications not completed by the closing date may be rejected. Any lease issued as a result of a false application will be subject to cancellation. By signing this application form I certify the information provided to be true and I consent to: a) provide copies of any supporting documentation (e.g. private lease agreements, income tax forms, etc.) upon request; b) the Ministry of Agriculture obtaining information from Saskatchewan Crop Insurance Corporation, Financial Programs Branch, and other lending institutions for the purpose of determining my/our credit worthiness and verifying the accuracy of any information contained in or provided with this application; and c) the Ministry of Agriculture disclosing any and all information contained in or provided with this application to other lease applicants for the purpose of enabling them to review the allocation process and/or to participate in any subsequent appeal of the allocation. Applicant Witness Date For more information contact the District Land Agrologist for your area at the appropriate Regional office listed below: Northeast Regional Office Northwest Regional Office Tisdale 306-878-8842 North Battleford 306-446-7962 South Regional Office Swift Current 306-778-8285 Page 3 of 6
ADDITIONAL LAND OPERATED BY FARM UNIT SCHEDULE A R.M. LAND DESCRIPTION NAME OF REGISTERED OWNER OWNED, LEASED, RENTED CULT. GRAZING TAXABLE ASSESSMENT OFFICE USE TOTAL (forward to 4. d) Page 4 of 6
SCHEDULE B FULL NAME: ADDRESS: CITY/TOWN/POSTAL CODE: RESIDENCE: (Land description or urban location): PHONE NO.: CELL NO.: FAX NO.: EMAIL: GST REGISTRATON NO: RELATIONSHIP TO CO-LESSEE (if any): DATE OF BIRTH: (mm/dd/yy) This information is supplied for the purpose of obtaining a lease. Information is to be current as of the date the advertisement closes. Late applications will be rejected while applications not completed by the closing date may be rejected. Any lease issued as a result of a false application will be subject to cancellation. By signing this application form I certify the information provided to be true and I consent to: a) provide copies of any supporting documentation (e.g. private lease agreements, income tax forms, etc.) upon request; b) the Ministry of Agriculture obtaining information from Saskatchewan Crop Insurance Corporation, Agricultural Credit Corporation of Saskatchewan, and other lending institutions for the purpose of determining my/ our credit worthiness and verifying the accuracy of any information contained in or provided with this application; and c) the Ministry of Agriculture disclosing any and all information contained in or provided with this application to other lease applicants for the purpose of enabling them to review the allocation process and/or to participate in any subsequent appeal of the allocation. Applicant Witness Date SCHEDULE B should be completed by a co-lessee(s) who is (are) part of the same farm unit as the applicant shown on page 1 and 2. If the co-lessees are from different farm units EACH co-lessee must complete pages 1 and 2 of the Application for Lease. Page 5 of 6
SCHEDULE C If the application is a corporation provide the registered name and percent of shares held by each shareholder. A separate application is required from each shareholder of the corporation. The corporation must be registered with Corporate Registry, Information Services Corporation AND a copy of the Certificate of Incorporation must be included with the application. NAME OF CORPORATION: ADDRESS: TOWN/CITY/POSTAL CODE: SHAREHOLDERS OF CORPORATION PERCENT OF SHARES HELD Page 6 of 6