Form NRCS-CPA-152 Conservation Program Contract Transfer Agreement

US DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE

NRCS-CPA-152 10/2006
PAGE OF

CONSERVATION PROGRAM CONTRACT TRANSFER AGREEMENT
Participant

County and State

Watershed

Program and Contract Number

Fund Code

This agreement is effective on the date signed by the Natural
Resources Conservation Service approving official and
extends through .

LAND TRANSFER

The undersigned hereby certify that the present participant has transferred to the new participant the following right and
interest in the land unit described in the above numbered contract. By this transfer, it is agreed:
a. The new participant agrees to be bound by all the terms and conditions of the above-numbered contract
shall be the same as the rights of the present participant.
b. The new participant agrees that his right to cost shares or other assistance under the above-numbered
contract shall be the same as the rights of the present participant.
c.

The Natural Resources Conservation Service agrees to provide cost sharing and other assistance
necessary to the new and present participants under the above-numbered contract. Cost sharing and
assistance provided under this transfer agreement shall be in accordance with applicable program rules and
regulations.

Current Participant Name, Address, Telephone

Signature

New Participant Name, Address, Telephone

< new contract participant address>
< new contract participant city, state, zip>
< new contract participant telephone>
Signature

Date

Date

PAYMENT SHARE TRANSFER

The undersigned hereby certify that the present participant has transferred to the new participant the following . By this transfer, it is agreed .
Current Participant Name, Address, Telephone

New Participant Name, Address, Telephone

< new contract participant address>
< new contract participant city, state, zip>
< new contract participant telephone>

SSN or Tax ID

SSN or Tax ID

Payment Shares

New Payment Shares

Payment Shares

Signature

Signature

Date

Date

New Payment Share

NRCS APPROVAL
NRCS Approving Official

Date

PAGE XX of XX

US DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE

NRCS-CPA-152 10/2006
PAGE OF

CONSERVATION PROGRAM CONTRACT TRANSFER AGREEMENT
Participant

County and State

Watershed

Program and Contract Number

Fund Code

This agreement is effective on the date signed by the Natural
Resources Conservation Service approving official and
extends through .

OMB DISCLOSURE STATEMENT

According to the Paper Work Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to
respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this
information collection is 0578-0013. The time required to complete this information collection is estimated to average 0.69 hours
per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information.

PRIVACY ACT STATEMENT

The above statements are made in accordance with the Privacy Act of 1974 (U.S.C. 522a). Furnishing this information is voluntary;
however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical or financial
assistance. The information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice,
or other state or federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal.

NONDISCRIMINATION STATEMENT

The United States Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race,
color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, or marital or family status. (Not all
prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program
information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To
file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room326-W, Whitten Building, 1400 Independence
Avenue, S.W., Washington, D.C. 20250-9410 or call (202) 720-5964.

PAGE XX of XX