Item Name
•
Your Name *
Street Address *
Town or City *
State *
Zip Code *
County *
-- Please select --
Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bradford
Bucks
Butler
Cambria
Cameron
Carbon
Centre
Chester
Clarion
Clearfield
Clinton
Columbia
Crawford
Cumberland
Dauphin
Delaware
Elk
Erie
Fayette
Forest
Franklin
Fulton
Greene
Huntingdon
Indiana
Jefferson
Juniata
Lackawanna
Lancaster
Lawrence
Lebanon
Lehigh
Luzerne
Lycoming
McKean
Mercer
Mifflin
Monroe
Montgomery
Montour
Northampton
Northumberland
Perry
Philadelphia
Pike
Potter
Schuylkill
Snyder
Somerset
Sullivan
Susquehanna
Tioga
Union
Venango
Warren
Washington
Wayne
Westmoreland
Wyoming
York
Home Phone
Cell Phone
Farm Web Site (if you have one)
Email *
Information about your farm
What region of the state is your farm in? (See map above for reference.) *
-- Please select --
Region 1 (Clarion-Crawford-Elk-Erie-Forest-Jefferson-McKean-Mercer-Venango-Warren)
Region 2 (Cameron-Clinton-Columbia-Lycoming-Northumberland-Montour-Potter-Schuylkill-Snyder-Tioga-Union)
Region 3 (Bradford-Carbon-Lackawanna-Luzerne-Monroe-Pike-Sullivan-Susquehanna-Wayne-Wyoming)
Region
4 (Allegheny-Armstrong-Beaver-Butler-Fayette-Greene-Indiana-Lawrence-Washington-Westmoreland)
Region 5 (Bedford-Blair-Cambria-Centre-Clearfield-Fulton-Huntingdon-Juniata-Mifflin-Somerset)
Region 6 (Adams-Cumberland-Dauphin-Franklin-Lebanon-Lancaster-Perry-York)
Region
7 (Berks-Bucks-Chester-Delaware-Lehigh-Montgomery-Northampton-Philadelphia)
What type of arrangement are you offering? *
Lease
Rent
Buy
Any Option: Rent/Lease/Buy
What is your reason for offering your farm? *
Retirement
No interest from next generation
Pursue other opportunities
Other
Is a house available on the property? *
Yes
No
How many acres are available on your farm? *
-- Please select --
under 10
10 to 50
51 to 100
101 to 200
201 to 500
Great than 500 acres
What type of farming operation is it? (check all that apply) *
Dairy
Livestock
Crops
Vegetable
Fruit
What farm method has been used? *
Conventional
Organic
Does your farm have any deed restrictions? Check all that apply. *
Preserved Farm
Easements
Other-Not Easement Or Preservation
Doesn't Apply
If other, please specify:
Do you have a current conservation plan? *
Yes
No
Do you have a current nutrient management plan? *
Yes
No
What type of marketing have you utilized or would be appropriate for farm location? Check all that apply. *
On Farm Store/Stand
Other Direct Marketing Outlets
CSA
Indirect Sales To Cooperative/Company/Farmers
Not Sure
Will you sell/lease equipment and/or livestock with property? *
Yes
No
More about yourself and what you're looking for: *
Please provide an images that would highlight areas of your farm operation.
Photo 1
Photo 2
Photo 3
Photo 4
Photo 5
Photo 6
Photo 7
Photo 8
For Dairy Farmers Only
Is your current land base available for crop production?
Yes
No
How many barns are currently available on your facility?
None
1
1-3
3-5
Greater than 5
What is the type of facility set up currently?
Free-stall
Tie-stall
Pack barn
Open lot
Something other than free-stall/tie-stall/pack barn/open lot
What type of parlor system is available?
Tie-stall
Parlor
None
Do you currently have a herd of cows that you would be able to sell or provide to oncoming farmer?
Yes
No
If you have a herd, how many cows are there?
Less than 100 cows
100 to 200 cows
200 to 500 cows
Great than 500 cows
What size of an operation is your facility able to maintain?
Less than 100 cows
100 to 200 cows
200 to 500 cows
Great than 500 cows
What is your current manure storage capacity?
What is your feed storage availability?
Upon letting go of your farm, would you be interested in forming a Succession Planning Team through The Center for Dairy Excellence?
Yes
No
Please provide any further information you would like to share regarding your dairy operation.