CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

T KHAI
TNH HNH S DNG T CA CC CNG TY NNG NGHIP,
LM NGHIP, BAN QUN L RNG
(Ban hnh km theo K hoch s
/KH- BTNMT
ngy thng9 nm 2014 ca B Ti nguyn v Mi trng)

1. n v k khai:
- Tn n v:.........................................................................................
- Thnh lp theo Quyt nh s.................................. ngy ..... thng ..... nm ..........
ca................................................................................................................................
- a ch:......................................................................................................................
......................................................................................................................................

2. Tnh hnh qun l, s dng t:

2.1. Tng din tch t ang qun l, s dng: ............................(ha)
- Din tch o v bn a chnh: .............................(ha).
2.2. Hin trng loi t s dng
Din tch Din tch Din tch d
ang qun bn giao kin bn giao
l, s dng cho a
cho a
(ha)
phng
phng
(ha)
(ha)

Loi t s dng

Tng din tch ang qun l, s dng

1- t nng nghip
1.1- t sn xut nng nghip
1.2- t lm nghip
Rng sn xut
Rng phng h
Rng c dng
1.3- Cc loi t nng nghip khc cn li
2- t phi nng nghip
Trong :
2.1- t
2.2- t chuyn dng
Trong : t sn xut, kinh doanh phi nng
nghip

2.3- t c mt nc chuyn dng

2.4- t phi nng nghip khc
3- t cha s dng

2.3. Hnh thc s dng t

- Din tch t c nh nc giao:...........................................ha;
- Din tch t c nh nc cho thu:.....................................ha;

2.4. Tnh hnh s dng

Din tch
(ha)

Ch tiu iu tra

S dng t
nm

1- Din tch ang cho thu li

2- Din tch ang cho mn
3- Din tch ang b ln, chim
4- Din tch ang tranh chp
5- Din tch ang lin doanh, lin kt, gp vn bng QSD
6- Din tch s dng ng mc ch
7- Din tch s dng vo mc ch khc
Trong : Din tch b tr cho CBCNV lm nh

9- Din tch cha s dng

3. H s, giy t v t:
- Quyt nh giao, cp t s:..................ngy......thng.....nm............... ca............
...........................................................................................; din tch......................ha.
- Giy chng nhn quyn s dng t s:..................... ngy...thng...nm...............
.........................................................................................; din tch........................ha.
- Hp ng thu t s:................................................. ngy...thng...nm................
...........................................................................................; din tch......................ha.
- Cc h s, giy t khc c lin quan:........................................................................
......................................................................................................................................
......................................................................................................................................

4. Ngha v ti chnh:
- Tin s dng t: S tin np:........................... n nm ..................................
- Tin thu t: S tin np:........................... n nm ......................................

5. Kin ngh xut v vic qun l, s dng t ca n v:

............................................................................................................................
............................................................................................................................
2

............................................................................................................................
............................................................................................................................
...........................................................................................................................
7. Cam kt ca n v k khai: Hon ton chu trch nhim trc php lut v
nhng ni dung k khai trn y.

Ngy..........thng ....nm 2014

NGI NG U CNG TY, BAN QLR
K KHAI
(K, ghi r h tn v ng du)