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Get Hoosier Homestead Award 2012 Form

A State Form 28547 (R3 / 1-06) INDIANA STATE DEPARTMENT OF AGRICULTURE PLEASE PRINT OR TYPE Name of present owner(s): Address: **Select the Award your Farm is eligible for: (see below) Centennial Sesquicentennial Bicentennial State: Zip Code: City: Address of Farm: City: State: Zip Code: Township: County: Date Farm was originally acquired by a family member: Number of acres originally acquired: Number of acres of original acquisition still retained: Number of retained a.

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