On _____ the day of the month of ________ of the year __ , Mr./Mrs./Ms.
Son/daughter of ________________________ and of, residing at_______, District of _________, Municipality of _____________________________, State of, civil state________, nationality________ _____________ , profession , CPF number ____.____.____-___, ID/Number________________ Issued by/State _____ the legal owner of the propriety named________________
Municipality of ____________, in this State, registration number _________________ sheets _______, book___ of______ Notary Property Registry of ____
With a total area of ______ hectare, states to the competent authority, in light of current forestry and environmental legislation that the property area is registered as a limited exploitation area and can only be exploited through sustainable forestry methods conditioned to IBAMA authorization. The current proprietor is hereby committed, as well as his/her heirs or successors, to honor, affirm and value the present statement.
Property Characteristics and Boundaries (description according to the area delimitated in the topographical map which is an integral part of the present Agreement):_____________________________
Delimitation of the Exploited Forest Area ( description according to the area delimitated in the topographical map which is an integral part of the present Agreement): ______________________________
In accordance with the above terms, requests the approval.
____________________________________ Proprietor
Witness:
Name: ____________________________________________
ID Number: ________________________________________
Witness:
Name: ____________________________________________
ID Number: ________________________________________
This text does not substitute the text published in the Official Gazette on July 29, 2002.