2. Suwannee River Water Management District

   PROPERTY OFFER FORM

4. APPLICANT INFORMATION - AUTHORIZED AGENT

6. Each application must name an Authorized Agent. This authorization is for any communication and negotiations concerning conveyance of the property to the District. 

8. First Name*
9. Last Name*
10. Phone*
11. Email*
13. Mailing Address*
15. City*
16. State*
17. Zip*
19. Applicant Signature*
20. Date*
24. OWNER OF RECORD
26. Owner is Applicant? *

    1. Yes
    2. No
28. First Name*
29. Last Name*
30. Phone*
31. Email*
33. Mailing Address*
35. City*
36. State*
37. Zip*
39. Owner(s) of Record*

    Please include the names, addresses and phone numbers of all owners on record. 

41. OWNER OF RECORD VERIFICATION FORM
43. Owner of Record Verification Form
    Owner of Record Verification Form
44. Owner of Record Verification Form*
46. PROJECT TYPE
48. Select one:*

    1. Fee
    2. Conservation Easement (Less Than Fee)
    3. Donation - Fee
    4. Donation - Conservation Easement (Less Than Fee)
52. PROPERTY OFFER INFORMATION
54. Acreage Offerred:*
55. Tax Parcel Number(s):*

    Separate by commas

56. County: *
58. Asking Price:

    A total or per acre price must be provided. You may indicate if the price is also negotiable. "Per appraisal" or "negotiable" alone do not constitute a bona-fide offer and will not be processed. If donated, please list value as "Donation."

60. Asking Price Total*
61. Asking Price Per Acre*
63. Access (Describe the legal, authorized access to the property):*
64. Project Location (address, intersection, etc.)*
66. Improvements*

    List the type of improvements and infrastructure on the property. How many wells and what size? Does the property include culverts, fencings, sheds, etc.? 

68. Title Condition (Deed restrictions, easements, mineral interest, rights held by others, etc.)*
70. Agreements (Identify any existing purchase agreement, option contract, listing agreement, or any other arrangement or agreement.)*
72. Water Savings:

    List the water saved by this project. Will water use be reduced or protected? Are there wells on the property which would plugged or capped? 

73. Nutrient Savings:

    List or describe the estimated nutrient savings provided by this project. Will the land use intensity be reduced? 

75. Is the property currently listed on the market?

    1. Yes
    2. No
76. MLS Web Link
78. What other funding sources are being sought (or anticipated) for the property? *

    1. Florida Forever (FL Dept of Environmental Protection)
    2. Regional Conservation Partnership Program (US Natural Resources Conservation Service)
    3. Rural and Family Lands Partnership Program(FL Dept of Agriculture and Consumer Services)
    4. Other
    5. None
79. Percentage of Purchase*

    What percentage is the applicant seeking in partnership with other agency funding? 

81. Requested Retained Rights*

    List all requested retained rights of use on the property such as hunting, recreation, silvicultural or agricultural activities, etc.

85. ADDITIONAL INFORMATION
87. Other Pertinent Information (Please provide any other information that may be helpful in evaluating this request such as closing timeframe, retained rights, etc.)

89. In addition to the application, please upload the following information: 

    • Location Map
    • Deed
    • Survey or Sketch (if available)
    • Additional documentation (such as support letters, land reports, etc)
91. Location Map*
93. Deed*
95. Survey or Sketch
97. Additional Information 1
99. Additional Information 2
101. Additional Information 3
Leave This Blank:


103. 1. Receive an email copy of this form.
104. Email address

     This field is not part of the form submission.

105. Submit

* indicates a required field