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Farmer Lease Application Form

Screen prospective tenants for your farmland with a complete walkthrough: personal details, work and education history, farming experience, and plans for the land. It closes with a sworn affirmation and digital signature.

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Page 1

Name

Nombre

Apellido

Date of Birth

Gender

Female Male Prefer not to say

Address

Dirección

Ciudad

Estado / Provincia

Código postal

How many years have you been living at the address stated above?

Phone Number

Marital Status

Single Married Divorced Widowed

Page 2

Name of Spouse

Nombre

Apellido

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Phone Number

Date of Birth

Page 3

Page 4

Are you currently involved in farming?

Yes, full time Yes, part time No

Classification of your possession of the farmland

Owner Tenant Family land Communal land No land

Are you a member of an association?

Yes No Application pending

Livestock/crops you own

Cattle Poultry Pigs Goats or sheep Grains Vegetables Fruit trees None

Do you have or have you had any government grants?

Page 5

What do you plan to use the farmland for?

Crop production Livestock Dairy Poultry Agroforestry Mixed farming

How many acres do you intend to lease?

Interested in producing for

The local market Export The processing industry Direct to consumers Cooperatives

Will you be needing assistance with the following?

Financing Equipment Seeds and inputs Training Irrigation Marketing

Page 6

Applicant declaration

Applicant's Affirmation

I declare the information provided is true I accept the lease terms I consent to verification of my details

Name

Nombre

Apellido

Signature

Sign here

Date

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