Form for farm transfer situations Name* First Last Farm business nameAddress* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email address* Phone Number*What is the best way to contact you? Email Phone In which state are you looking for help with farm succession or transfer planning?* Connecticut Maine Massachusetts New Hampshire Rhode Island Vermont A state outside New England What is your main issue or question regarding farm succession or farm transfer planning?*Briefly describe any background relevant to your situation.Farm address or locationTotal farm size (acres)*Describe briefly the farm (property and/or business) to be transferred.Include acreage or % of various land use types (forest, pasture, crop land, etc.), other natural features (water, terrain, etc.) and built infrastructure (houses, barns, sheds, etc.). Describe any business and other farm assets to be transferred.What are your goals for the future of your farm?Have you identified a successor to take over your farm?* Yes No, but I want to. It’s not relevant to my situation. I’m unsure. What is the time frame for addressing your situation?What steps have you already taken?Consulted resources on LandForGood.org Consulted resources on LandForGood.org Please describeAttended a workshop, information session or training Attended a workshop, information session or training Please describeConsulted others Consulted others Please describeOther Other Please describeHow did you hear about us?Online searchAnother organizationSocial media (Facebook, etc.)A friend or colleagueLand For Good eventLand For Good materialsOtherPlease describeWould you like to receive our newsletter and alerts? Yes, add me to your mailing list. No thanks. I’m already subscribed. We send on average only 1-2 emails a month and 2-3 mailings a year.Terms and Conditions* I accept your terms and conditions. EmailThis field is for validation purposes and should be left unchanged. Δ
