Landowner Gopher Statement

landowner GOPHER STATEMENT

Please print out the Pocket Gopher Statement to present to the township board for payment if trapping gophers on other Stanchfield Township property then your own. If you trap gophers on your own property, you can use this form and state it is your property or come to a township board meeting a fill out a claim for.

POCKET GOPHER STATEMENT

I hereby certify that ________________________________

                                                            (Name of Trapper)

Has taken ______ POCKET GOPHERS from my land in  STANCHFIELD

TOWNSHIP Located at: ________________________________________    

______________________________

(Print Landowners Name)

______________________________ ________________

(Signature of landowner) (Date)