1940-56 Annual Supplement to Farm Lease - Tenent

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FSA-1940-56

Form Approved - OMB No. 0560-0162
See page 3 for Privacy Act and Public Burden Statements.

Position 1

(06-05-02)

ANNUAL SUPPLEMENT TO FARM LEASE
.

FOR LEASE YEAR BEGINNING (1)
(Date)
,

Between (2)

landlord, and (3)

, tenant

Dated (4)
This agreement supplements a lease heretofore signed between the above-named parties and which continues in full force and effect during the lease year
shown above. In view of the fact that the lease specifies crops, acreages, livestock, and certain other annual arrangements for the first year of the lease, the
following provisions are agreed upon by the two parties.
PART A - LAND USE - The agreed-upon use of the land is outlined in the following table:
(5)

(6)

(7)

(8)

USE OF LAND

ACRES

FIELDS

SEED VARIETY

(9)
KIND AND AMOUNT OF FERTILIZER
PER ACRE

(10)
ADDITIONAL
NOTATIONS

FOR FAMILY LIVING
WOODLAND
FARMSTEAD AND LOTS
(11) TOTAL

PART B - LIVESTOCK PRODUCTION -The tenant (or parties jointly) will engage in the following production of livestock:
(12)
KIND OF LIVESTOCK

(13)

(14)

NUMBER

BREED

(15)
SPECIAL HEALTH, SANITATION, OR FEEDING PRACTICE

PART C - COMPENSATION FOR IMPROVEMENTS - The two parties will carry out new conservation practices and measures and make other improvements, and share
contributions and costs necessary for completion of such practices and improvements as set forth below. The tenant will be reimbursed by the landlord when the practice,
measure, or improvement is completed, or the tenant will be compensated for its unexhausted value when leaving the farm according to the schedule below:
(16)

(17)

CONSERVATION PRACTICE,
MEASURE OR OTHER
IMPROVEMENT

DATE TO BE
COMPLETED
(MM-DD-YYYY)

(18)
ESTIMATED COST
(Dollars)

(19)
PERCENT TO BE FURNISHED BY LANDLORD (L)
AND BY TENANT (T)
MATERIALS %
L

T

LABOR %
L

T

MACHINERY %
L

T

(20)
VALUE PLACED
ON TENANT'S
CONTRIBUTION
(Dollars)

(21)
RATE OF
ANNUAL
DEPRECIATION
(Percent)

Additional agreements: (22)

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.

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(Page 2 of 3)
PART D - RENTAL RATES - The tenant agrees to pay as rent the cash, or shares of crops, or shares of livestock, or combinations thereof as indicated below:

FSA 1940-56 (06-05-02)
(23)

CROPS, LIVESTOCK, AND
IMPROVEMENTS

SHARE OR AMOUNT PAID AS RENT
(25)
(26)
OFFSPRING OR
LIVESTOCK
CROPS OR CASH
INCREASE IN
SALES
LIVESTOCK
(24)

(27)
SALES OF
LIVESTOCK
PRODUCTS

(28)
PLACE OF SALE OR
DELIVERY

(29)
DATE OF SALE,
DELIVERY, OR
PAYMENT

FARM BUILDINGS
DWELLING

Additional agreements in regard to rental rates: (30)

PART E - EXPENSES - Expenses, including investments in personal property, shall be supplied by the landlord and tenant as follows, except as indicated in Part C of the
original lease:
(31)
INVESTMENTS IN PERSONAL
PROPERTY

FURNISHED BY
LANDLORD

FURNISHED BY

(32)

TENANT

LANDLORD

EXPENSES

FURNISHED BY

(33)

TENANT

LANDLORD

EXPENSES

TRACTOR

LABOR

LIMING MATERIAL

WORKSTOCK

MAINTENANCE-BUILDINGS

FERTILIZER

MACHINERY AND EQUIPMENT

MAINTENANCE-FENCES

TENANT

MACHINE REPAIRS
SEED

FUEL-TRACTOR
FUEL-TRUCK
FUEL-OTHER
CUSTOM WORK AND HAULING
ELECTRICITY
TELEPHONE

INSURANCE-BUILDINGS

VETERINARY FEES

INSURANCE-CROPS

BREEDING FEES

BEEF CATTLE

TAXES-REAL ESTATE

FEEDER CATTLE

WEED CONTROL MATERIAL

HOGS

INSECTICIDES

TAXES-PERSONAL

SHEEP
DAIRY

FEED PURCHASED OR SUPPLIED

Additional agreements relative to operating expenses: (34)

Government agricultural programs. - The farm will be operated in compliance with Government programs as follows: (35)

Additional agreements: (36)

(37) Witnesses:

Signed this (38)

day of (39)
(month and year)
[SEAL]

(40) (Landlord)
[SEAL]
(41) (Tenant)

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FSA 1940-56 (06-05-02) (Page 3 of 3)

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 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 0560-0162. The time required to complete this information collection is estimated to average 30 minutes 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.

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