Farmer Landowner Match Form

Last Name (required)
First Name (required)
Farm Name
Address (required)
City (required)
State
Zip
Email (required)
Website
Phone(required)
Cell
Farm Address (if different from above)
Owner of land (as filed in County records)
Property ID

Which of the following categories best describe you? (Select as many as apply.)
 Farmer Landowner Want to lease land owned by other individuals Want to lease land to a farmer Interested in buying a farm Interested in selling farm, to stay as a farm
Other

Please describe your current experience with farming (rented land to farmer before, farmer yourself for x years, attended apprenticeship program, etc).

If you have a farm, please describe your current operation.

How you would utilize leased land? What are your farming goals/objectives?

Do you have a geographic preference for land to lease?

How many acres do you need?

Can your operation provide a landowner with an Agricultural Assessment?
 Yes Maybe No

How many acres of land do you own, and how much of that land is tillable?

Details of owned land

If you own land that you would like to rent out, please describe its current state (location, condition, current farm use, and land history)

What type of farming are you most interested in seeing on your property?

Infrastructure
 Available on owned land Desired on land to lease Water source Housing Fencing Barns
Other Infrastructure
Other

Are you interested in buying or selling farmland? If so, please describe what you are interested in either buying or selling (acres, water, views, general location, etc).

How many acres are you interested in buying, and what is your price range?

Are you interested in talking or meeting with a volunteer farmer or landowner with leasing experience?
 Yes No

I give Columbia Land Conservancy, Inc. permission to release my name, address phone number and any information provided in this questionnaire, including any maps of my property that the Conservancy may create, to persons who in its judgment may match my farming interests. I understand this in no way guarantees that I will be successfully matched. In addition, I understand that the Columbia Land Conservancy is not responsible for any activities between participants resulting from our match-making efforts.
 Yes No