Structure
The Michigan ES 012 form serves as a crucial tool for landowners seeking to terminate a Farmland Development Rights Agreement under the Farmland and Open Space Preservation Program, established by Part 361 of the Natural Resources and Environmental Protection Act. This program aims to protect agricultural land from development pressures, ensuring that it remains available for farming and open space. When an owner wishes to withdraw their land from this program, they must complete the ES 012 form, which requires detailed personal and property information, including the owner’s name, contact details, and specifics about the land in question. The form also necessitates the inclusion of supporting documentation, such as a copy of the deed or land contract and the most recent property tax assessment. Additionally, it prompts applicants to explain their reasons for seeking termination, which must align with specific criteria outlined in the legislation. Furthermore, a sketch of the property is required to illustrate its boundaries and features, aiding local governing bodies in their review process. Ultimately, the ES 012 form is not merely a bureaucratic requirement; it represents a significant decision point for landowners, balancing personal interests with the broader goal of farmland preservation in Michigan.
Form Example
Farmland and Open Space
Preservation Program
APPLICATION FOR TERMINATION OF A
FARMLAND DEVELOPMENT RIGHTS
AGREEMENT
(Part 361 of the Natural Resources and Environmental Protection Act, 1994 Act 451 as amended, more com- monly known as P.A. 116. Please read the Requirements and Instructions before filling out this form. Please print or type. Attach additional sheets as needed.)
OFFICIAL USE ONLY
Local Governing Body:
Date Received:
Application No.:
. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .
State:
Date Received:
Application No.:
A.Personal Information:
1)Name(s) of Applicant: _______________________________________________________________
(Owner of Record) LastFirstInitial
Spouse’s Name: ___________________________________________________________________
LastFirstInitial
2) Mailing address: ___________________________________________________________________
Street |
City |
State |
Zip Code |
3)Telephone Number: (Area Code) ( ) _______________________________________________
4)__________________________________ __________________________________________
Social Security Number |
Spouse’s Social Security Number |
5)Federal Employer Identification Number (if applicable): ____________________________________
6)Farmland Development Rights Agreement # _____________________________________________
B. Property Location: (Can be taken from the deed.)
7) County:__________________________ 8) Township, city or village: _________________________
9)Section No.: _______________; Town #: __________________; Range #: ______________________
C. Legal Information:
10)Attach a copy of the deed or land contract (may be a photo copy).
11)Attach a copy of the most recent property tax assessment notice or tax bill.
12) Is there a tax lien against the land described above? (may be photo copy) Yes No If “Yes,” please explain circumstances: ____________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
13) Is land being purchased under land contract? |
Yes |
No |
a) If “Yes,” indicate vendor (seller): |
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Name: ______________________________________________________________________________
Mailing Address: ______________________________________________________________________
Street |
City |
State |
Zip Code |
b)Part 361 of the Natural Resources and Environmental Protection Act, 1994 Act 451 as amended, states that the vendor (seller) must agree to allow the land cited in the application to be released from the program. Please have the land contract seller sign below.
I, the undersigned, understand and agree to permit the land cited in this application to be released from the Farmland and Open Space Preservation Act.
____________________ |
________________________________________ |
(Date) |
(Land Contract Seller’s Signature) |
Rev. 5/02
14)If you meet one of the following, please check the appropriate box and complete the following (Not applicable to an individual not meeting one of the categories - please leave blank):
Corporation |
Business Trust |
Estate |
Trust |
Partnership |
Association |
2 or more persons having a joint or common interest in the land
List the following: President, Vice President, Secretary and Treasurer, or present income beneficiaries:
Name: ____________________________ Title: _________________________________________________
Mailing Address: ___________________________________________________________________________
StreetCityStateZip
Name: ____________________________ Title: _________________________________________________
Mailing Address: ____________________________________________________________________________
StreetCityStateZip
Name: ____________________________ Title: _________________________________________________
Mailing Address: ____________________________________________________________________________
StreetCityStateZip
Name: ____________________________ Title: _________________________________________________
Mailing Address: ____________________________________________________________________________
Street |
City |
State |
Zip |
|
(Additional Names may be attached on separate sheet.) |
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D. Reasons for Withdrawal of Land From Program:
Section 36111A indicates eight requirements, one of which must be met, in order to receive approval to withdraw land from the program earlier than the specified expiration date in the agreement contract. (See application instruc- tions for the text of the stated rule containing this procedure.)
15)Please provide a detailed explanation of why the land should be released from the agreement contract. (Supporting documentation should be attached to this form.)
____________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________________________________________________________________________
_____________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________________________________________________________________________
_____________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________________________________________________________________________
(Continued explanations may be attached.)
16)Please draw a map (sketch) of the property, showing boundaries, structures and natural or
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3
SENT RECD
_____ _____ County or Regional Planning Commission
_____ _____ Soil Conservation District
_____ _____ Township (if county has jurisdiction)
_____ _____ City (if land is within 3 miles of city boundary)
_____ _____ Village (if land is within 1 mile of village boundary)
_____ _____ Clerk schedules application for presentation at next regular
_____ _____ meeting of governing body (governing body has 45 days
from meeting date to approve or reject application).
_____ _____ Clerk notifies applicant 5 days before action is taken on
the application by the local governing body.
_____ _____ Approval or rejection by local governing body.
E. Signatures:
17)The undersigned declare that this application, including any accompanying informational materials, has been examined by them and to the best of their knowledge and belief is true and correct.
(Signature of Applicant(s)) |
(Corporation Name if Applicable) |
(Signature of |
(Signature of Corporate Officer) |
(Date) |
|
(Title) |
RESERVED FOR LOCALGOVERNMENT USE, CLERK PLEASE COMPLETEALL SPACES - SECTION IAND II
I. Action by Local Governing Body: Jurisdiction: ___________________________________________
County, Township, City or Village
Date received by clerk: _________________________________________________________________
This application is ____________________ approved, ____________________rejected.
(If rejected, see attached statement by Local Governing Body.)
Date of approval or rejection: ___________ Clerk’s signature and seal: __________________________
Property Appraisal: The current fair market value of the real property in this application has been determined to be $ ____________________
II.Check List:
DATE |
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_____ |
Upon filing an application. clerk issues receipt indicating |
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date received. |
_____ |
Clerk notifies reviewing agencies by forwarding a copy of |
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the application (review agencies have 30 days to return |
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comments). |
_____ |
If approved, applicant is notified and the original application, |
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letters of review or comment from reviewing agencies and |
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all supportive material is sent to the MDA - Farmland and |
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Open Space Program, PO Box 30449, Lansing, MI 48909 |
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_____ |
If rejected, clerk notifies applicant in writing within 10 days |
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stating reason for rejection and returning the application, |
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etc. to the applicant. |
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FINALAPPLICATION SHOULD INCLUDE ( ) |
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_____ |
Copy of deed or land contract |
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_____ |
Copy of tax description |
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_____ |
Copy of recent appraisal record |
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_____ |
Map of farm |
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REVIEW LETTERS FROM |
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_____ |
County planning commission or regional |
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planning commission |
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_____ |
Soil conservation district |
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_____ |
Township (if applicable) |
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_____ |
City (if applicable) |
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_____ |
Village (If applicable) |
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Map of Farmland Cited in the Application Form:
A.Show boundary of land cited in application.
B. |
Show buildings as |
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house, |
barn, etc., also sketch roads and other avenues of travel. |
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C.Outline and designate the current uses of the property if possible.
County
Township
T R SEC
NORTH
WEST
SOUTH
EAST
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Document Specs
| Fact Name | Description |
|---|---|
| Purpose | The Michigan ES 012 form is used to apply for the termination of a Farmland Development Rights Agreement under the Farmland and Open Space Preservation Program. |
| Governing Law | This form is governed by Part 361 of the Natural Resources and Environmental Protection Act, specifically 1994 Act 451 as amended, commonly referred to as P.A. 116. |
| Requirements | Applicants must provide personal information, property details, and a valid reason for withdrawal from the program. Supporting documents should be attached as needed. |
| Local Review | The application is reviewed by local governing bodies, which have 45 days to approve or reject the application after a scheduled meeting. |
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