HOOSIER HOMESTEAD
AWARD APPLICATION
State Form 28547 (R6 / 6-19)
Indiana State Department of Agriculture
Hoosier Homestead Award Program
One North Capitol Avenue, Suite 600
Indianapolis, Indiana 46204
Telephone: (317) 232-8770
Fax: (317) 232-1362
www.in.gov/isda
PLEASE PRINT OR TYPE.
To qualify for the award, the farm must currently be at least twenty (20) acres. If the farm is less than twenty (20) acres the farm must gross at least $1000 a year.
Please include with this application:
1. The completed table below beginning with the original family owner and continuing to the present owner(s).
2. A document illustrating each transfer of ownership. The copy may be either of an original instrument, records maintained in a courthouse, or the
page(s) from an abstract of title covering the real estate. The copies must demonstrate an unbroken familiar chain-of-title from the date that a member
of your family originally acquired an interest in the real estate to the present.
3. A copy of the most recent property tax bill showing taxes are current.
Return completed application and documentation to the agency at the above address.
Please Note: The deadline for the March ceremony is November 1, and the deadline for the August ceremony is April 1.
* If less than twenty (20) acres of original acquisition are retained, please provide documentation of the retained acres’ annual farm income.
** If your family has received the Centennial or Sesquicentennial Award before, you only need to supply ownership information for the changes in
ownership that have occurred since the date the farm was last awarded a Hoosier Homestead Award to the present owner.
Name(s) of present owner(s)
Select the award(s) for which your family is eligible. **
Centennial (100 to 149 years) Sesquicentennial (150 to 199 years) Bicentennial (200 years and over)
Address of farm (number and street, city, state, and ZIP code)
County in which farm is located Date farm was originally acquired by a family member (month, day, year)
Number of acres originally acquired Number of retained acres actively farmed by a family member *
If your family has previously received a Hoosier Homestead Award, please list:
Original award name Type of award Date original award was received (month, day, year)
The following statement will appear on your Hoosier Homestead Certificate:
Let it be recognized and celebrated that the ________________________________________________________Family
(Insert desired family name.)
has owned this ________________________________________County farm since ____________________________.
(Insert county where farm is located.) (Insert year farm was originally purchased.)
OWNERSHIP INFORMATION
Acquired From Transferred To Relationship to Present Owner Date Acquired (month, day, year)
I certify that the previous information is true and correct to the best of my knowledge. Questions regarding this application should be directed to:
Name
Address (number and street, city, state, and ZIP code)
Telephone number
( )
E-mail address
