How to protect my land

Landowner Questionnaire

YES! I am interested in learning more about how HeadWaters Land Conservancy can help me preserve my precious land.

Landowner First Name:
Landowner Last Name:
Mailing Address:
City:
State:
Zip Code:
Property Name: (if applicable)
Phone Number:
Email Address:
Legal Description of Property:
County:
Township:
Do you have a mortgage?	Yes No
Your Goals as Landowner:
Which values are important to you about your property?
Place to live	Pass on to children
Place to visit	Preserve natural landscape and setting
Financial asset	Other (please describe)

How are you likely to use your property in the next 20 years?
Leave as is	Give to children
Build house(s)	Other (please describe)
Sell
Comments:

We will not share your personal information provided above with any other organization, and will only use this information for HeadWaters Land Conservancy business.