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  RELEASE FOR AGRICULTURAL INFORMATION
NECESSARY FOR AG APPRAISAL

Farm Service Agency, Natural Resource and Conservation Service and other county, state, and federal agencies are authorized to make available all aerial maps, land descriptions, water and soil data, commensurate or base property qualifications, grazing survey data, crop yield or production data, and other pertinent data covering any real estate owned, rented and/or optioned by me (us).

Farm Service Agency is hereby authorized to disclose to appraiser or real estate agent any information relative to any of my (our) accounts, purchases, production or marketing information, any program payments, or other pertinent information, whether past, present, or future.

Photocopies of this authorization may be presented to and relied upon by others as evidence of my (our) authorization to release information.

Type of information requested; ALL AVAILABLE

Owner's Name and Address:

Name:

Address:

City/State: /

Information to be provided to FELDERMAN APPRAISALS,
55 Bluff Street,
Dubuque, Iowa 52001-7608

Name Date

Name Date

Date Request Received:

Initials:

Date Information Furnished: