Attachment Sheet for Form 7-21PE

FORM 7-21PE-IND
2010 Instructions
(7-09)

INSTRUCTIONS FOR “ATTACHMENT SHEET FOR
FORM 7-21PE (IDENTIFICATION OF INDIRECTLY HELD LAND)”
(Required Information for Form 7-21PE Regarding Public Entities
With Indirect Landholdings) For Certification and Reporting
Requirements of the Reclamation Reform Act of 1982)

Bureau of Reclamation
Do not use this form after December 31, 2010

OMB Control No.: 1006-0005

Paperwork Reduction Act
This information is being collected to establish landholder compliance with Federal reclamation law. Response to this request is mandatory in
accordance with Public Law 97-293 and 43 CFR 426.18. Public reporting burden for this form is estimated to average 12 minutes per
response, including time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. An agency may
not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid Office of
Management and Budget (OMB) control number. Direct comments regarding the burden estimated or any other aspect of these forms to
Manager, Land Resources Office, Code 84-53000, Bureau of Reclamation, PO Box 25007, Denver CO 80225.

GENERAL INFORMATION

(c)

The legal description(s) or an assessor’s parcel
number (s) for the land that your public entity
indirectly owns or leases through a wholly
owned legal entity. You must provide an
accurate legal description or an assessor’s parcel
number for each land parcel. Be sure to break
down land parcels as far as necessary to ensure
accurate identification.

(d)

Number of acres in the land parcel.

“General Information About the RRA Forms”
(Form 7-21INFO) provides basic instructions on using
Reclamation Reform Act of 1982 (RRA) forms. Also refer
to the separate instructions for the “Declaration of
Public Entity’s Landholdings” (Form 7-21PE), to which this
Form 7-21PE-IND is an attachment.

INFORMATION ABOUT THIS FORM
This Form 7-21PE-IND must be completed and attached to
Form 7-21PE if your public entity owns or leases land
through legal entities that are wholly or partially owned by
your public entity. You must declare all of your public
entity’s land indirectly held westwide that is subject to the
acreage limitation provisions. Failure to declare such land
will jeopardize the land’s eligibility to receive Reclamation
irrigation water.

Land the Public Entity Indirectly Owns or Leases
Through Partially Owned Legal Entities
3.

GENERAL INSTRUCTIONS
Type or print in ink all answers. You must initial and date
any crossouts and corrections. Please contact your district
office or the appropriate Reclamation office if you have any
questions.

ITEM BY ITEM INSTRUCTIONS
1.

(a)

Name of the partially owned legal entity.

(b)

The partially owned legal entity’s EIN. Leave
this blank if the partially owned legal entity
does not have an EIN and is not required by the
IRS to have an EIN.

(c)

The state(s) or country(ies) in which the
partially owned legal entity is established or
registered, if applicable.

(d)

An accurate legal description of the land parcel
or an assessor’s parcel number.

(e)

Percentage of interest your public entity owns in
the partially owned legal entity.

(f)

Number of acres owned (directly and indirectly)
and leased by the partially owned legal entity.

(g)

Multiply item 3(e) (in decimal form) by
item 3(f). This is the number of acres that are
attributable to your public entity through its
interest in the partially owned legal entity.

Enter your public entity’s complete name.

Land the Public Entity Indirectly Owns or Leases
Through Wholly Owned Legal Entities
2.

This section requests information regarding land your
public entity indirectly owns or leases westwide
through a legal entity(ies) that your public entity
partially owns. Enter the following for each land
parcel:

This section requests information regarding land your
public entity indirectly owns or leases westwide through
a legal entity(ies) that your public entity wholly owns.
Enter the following for each land parcel:
(a) Name of the wholly owned legal entity.
(b) The wholly owned legal entity’s Employer
Identification Number (EIN). Leave this blank if
the wholly owned legal entity does not have an EIN
and is not required by the Internal Revenue Service
(IRS) to have an EIN.
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