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4 <br /> Page 3 of 3 See <br /> Expert's <br /> ADDITIONAL INFORMATION Yes No N/A Report <br /> D.1 Use-Value Assessments.The use-value assessment system values agricultural land based on the income that would be generated <br /> from its rental for agricultural use rather than its fair market value. When a person converts agricultural land to a nonagricultural <br /> use,such as residential or commercial development,that person may owe a conversion charge.To obtain more information about <br /> the use-value law or conversion charge, contact the Wisconsin Department of Revenue's (DOR's) equalization section at <br /> (608)266-2149 or visit:htto://www.revenue.wi.gov/fops/Slf/useassmihtmt <br /> a.I am aware that all or part of the land has been assessed as agricultural land ?‹ <br /> under§70.32(2r),Wis.stats. <br /> • <br /> b.1 are aware that the owner has been assessed a use-value conversion <br /> charge under§74.485(2),Wis.stats. <br /> c.I am aware that the payment of a use-value conversion charge has been <br /> deferred under§ 74.485(4), Wis.stets. <br /> 0.2. Farmland Preservation. Early termination of a farmland preservation agreement or removal of land from a farmland preservation <br /> agreement can trigger payment of a conversion fee equal to 3 times the class 1 "use value"of the land. For more information,call <br /> (608)224-4500 or visit:http://workinglands•wi.gov. <br /> a. I am aware that the property is subject to a farmland preservation agreement. <br /> D.2m.Managed Forest Land. The managed forest land program is a landowner incentive program that encourages sustainable forestry <br /> on private woodlands by exempting the landowner from the payment of property taxes in exchange for the payment of a lower <br /> acreage share payment and compliance with certain conservation practices. Orders designating lands as managed forest lands <br /> remain in effect for 25 or 50 years.When ownership of land enrolled in the managed forest land program changes,the new owner <br /> must sign and file a report of the change of ownership on a form provided by the Wisconsin Department of Natural Resources <br /> (DNR)and pay a fee. By filing this form,the new owner agrees to comply with the management plan for the land and the managed <br /> forest land program rules. The DNR Division of Forestry monitors forest management plan compliance.Changes that a landowner <br /> makes to property that is subject to an order designating it as managed forest land,or to its use,may jeopardize benefits under the <br /> program or cause the property to be withdrawn from the program and may result in the assessment of penalties. For more <br /> Information,call your local DNR forester or visit:http://dnr.wi.gov/forestry. <br /> a.I am aware that all or part of the property Is enrolled in the managed forest land program. <br /> D.3. Utility Connections,I am aware that the property Is connected to the following utilities on the property or at the tot line: <br /> a. Electricity. <br /> b. Municipal water. •— — _r_ <br /> c. Telephone. —`°- <br /> d. Cable television. <br /> e. Natural gas. <br /> f. Municipal sewer. /j <br /> D.4. The owner has owned the property for years. <br /> D.5. Explanation of"yes"responses.(See B.3.) •- (J• I E� -- «s > ■ A 1 ...\ ._s <br /> • <br /> NOTICE REGARDING SEX OFFENDER REGISTRY <br /> E. The prospective buyer may obtain information about the sex offender registry and persons registered with the registry by contacting <br /> the Wisconsin Department of Corrections at(608)240-5830 or by visitingjittp://www.widocoffenders.orq. <br /> OWNER'S CERTIFICATION <br /> F. The owner certifies that thg information in this report is true and correct to the best of the owner's knowledge as of the date on which <br /> the owner signs t js repo <br /> Owner // / I <br /> Owner Date ///4, 1 <br /> ,� �, <br /> Date <br /> CERTIFICATION BY PERSON SUPPLYING INFORMATION <br /> G. A person other than the owner certifies that he or she has supplied information on which the owner relied for this report and that <br /> that information is true and correct to the best of that person's knowledge as of the date on which the person signs this report. <br /> Person Items Date <br /> Person Items Date <br /> Person Items Date <br /> NOTICE REGARDING ADVICE OR INSPECTIONS <br /> H. THE PROSPECTIVE BUYER AND THE OWNER MAY WISH TO OBTAIN PROFESSIONAL ADVICE OR INSPECTIONS OF THE <br /> PROPERTY AND TO PROVIDE FOR APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM WITH RESPECT TO ANY <br /> ADVICE, INSPECTIONS,DEFECTS,OR WARRANTIES. <br /> BUYER'S ACKNOWLEDGEMENT <br /> 1.1. The prospective buyer acknowledges that technical knowledge such as that acquired by professional inspectors may be required to <br /> detect certain defects such as floodplain status. <br /> 1.2. I acknowledge receipt of a copy of this statement. <br /> Prospective Buyer Date <br /> Prospective Buyer Date <br /> Prospective Buyer Date <br /> 'NOTE;All information aoneanno in daLcs in this Vacant Land Disclosure Report is purely eta supa'emenfal nature and is not reatiredour. t to Section 709.033 ol the Wfsconsin Statutes <br /> Copyright a 2012 by Moccasin REALTORSDAssociation <br /> Drafted by Attorney Debra Peterson Conrad No representation is made as to the tegat vaidty of any provision or the adequacy of any provision in any spec transaction <br /> Produced Kith zipFornrC by ziplogix 18070 Fifteen Mite Road,Fraser,Michigan 48026 vfxv.zioLapxwat Untitled <br />