Fillable Fsa 2038 - Farm Business Plan Worksheet, Projected/actual Income And Expense (Page 2 of 2) in pdf

Page 2 of 2

FSA-2038 (01-18-05)

PART A - INCOME (Continued)

6. Ag Program Payments

$ Amount

8. Custom Hire Income

$ Amount

7. Crop Insurance Proceeds

$ Amount

9. Other Income

$ Amount

10. Total Income (Items 1 through 9)

PART B - EXPENSES

$ Amount

11. Car and Truck

23. Rent - Land/Animals

12. Chemicals

24. Repairs and Maintenance

13. Conservation

25. Seeds and Plants

14. Custom Hire

26. Supplies

15. Feed Supplement

27. Taxes - Real Estate

16. Feed Grain and Roughage

28. Utilities

17. Fertilizers and Lime

29. Veterinary/Breeding/Medicine

18. Freight and Trucking

30. Other Expenses

19. Gas/Fuel/Oil

31. Other - Irrigation

20. Insurance Expenses

21. Labor Hired

22. Rent - Machinery/Equipment/Vehicles

32. Interest

33. Total Expenses (Items 11 through 32)

PART C - NON-OPERATING

34. Owner Withdrawal (Total Family Living Expenses)

36. Non-Farm Income

35. Income Taxes

37. Non-Farm Expense

PART D - CAPITAL

38. Capital Sales

39. Capital Expenditures

PART E - ACKNOWLEDGMENT

I agree to follow this plan as outlined above and on attached schedules, and to discuss with the agency loan official any important changes that may become necessary. This is a

projected plan and does not release the security interest of the government in any security referred to in this plan. "I recognize that making any false statements on this Farm

Business Plan or any other loan document may constitute a violation of federal criminal law."

40A. APPLICANT'S SIGNATURE

40B. DATE (MM-DD-YYYY)

40C. CO-APPLICANT'S SIGNATURE

40D. DATE (MM-DD-YYYY)

NOTE:

The following statements are made in accordance with the Privacy Act of 1974 (5 USC 552a): the Farm Service Agency (FSA) is authorized by the Consolidated Farm and Rural Development Act,

as amended (7 USC 1921 et seq.), or other Acts, and the regulations promulgated thereunder, to solicit the information requested on its application forms. The information requested is necessary

for FSA to determine eligibility for credit or other financial assistance, service your loan, and conduct statistical analyses. Supplied information may be furnished to other Department of Agriculture

agencies, the Internal Revenue Service, the Department of Justice or other law enforcement agencies, the Department of Defense, the Department of Housing and Urban Development, the

Department of Labor, the United States Postal Service, or other Federal State, or local agencies as required or permitted by law. In addition, information may be referred to interested parties under

the Freedom of Information Act (FOIA), to financial consultants, advisors, lending institutions, packagers, agents, and private or commercial credit sources, to collection or servicing contractors, to

credit reporting agencies, to private attorneys under contract with FSA or the Department of Justice, to business firms in the trade area that buy chattel or crops or sell them for commission, to

Members of Congress or Congressional staff members, or to courts or adjudicative bodies. Disclosure of the information requested is voluntary. However, failure to disclose certain items of

information requested, including your Social Security Number or Federal Tax Identification number, may result in a delay in the processing of an application or its rejection.

According to the Paperwork 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 0560-0154. The time required to complete this information collection is estimated to average 1 hour 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. RETURN THIS

COMPLETED FORM TO YOUR COUNTY FSA OFFICE.

The U.S. 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, and 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, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964 (voice or TDD). USDA is an equal opportunity

provider and employer.

Fsa 2038 - Farm Business Plan Worksheet, Projected/actual Income And Expense Page 2

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