This application must be filled out by a land trust on behalf of the property owner.
Applications submitted by owners will not be considered.
Please provide copy of deed and survey in attachments.
If the answer is no, the property owners do not qualify.
If the answer is "no," the land does not qualify.
1. Approximate percentage of property within Loudoun.
2. Name of other locality.
3. Parcel number in other locality.
(If the answer is "no," the land does not qualify.)
(If the answer is "no," the land does not qualify)
Funding is one half of the upfront costs (attorney’s fees, land appraisal and survey fees, processing and document fees, and stewardship costs) or $15,000, whichever is less.
hereby acknowledges and agree that all information submitted on the application is accurate and truthful to the best of our knowledge.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
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