FSA-2037 Farrm Business Plan - Balance Sheet

Form Approved - OMB No. 0560-XXX

This form is available electronically.

FSA-2037

U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency

(Proposal 3)

Position 3

FARM BUSINESS PLAN WORKSHEET
Balance Sheet
(See Page 3 for Nondiscrimination, Privacy Act and Public Burden Statements)
1. Name

A- CURRENT ASSETS

2. Date of Balance Sheet

B- CURRENT LIABILITIES

1A. Cash and Equivalents

$ Value

2A. Accounts Payable

$ Amount

1B. Marketable Bonds and Securities

1C. Accounts Receivable

2B. Income Taxes Payable

2C. Real Estate Taxes Payable
1D. Crop Inventory

1E.
Measure

1F.
# Units

1G.
$/Unit

$ Value

Notes Payable Due Within 12 Months
2D. Creditor
2F. Interest 2G. Accrued 2H. Payment
Rate
Interest
Amount

2E. Purpose
2I. Next Payment
Date

2J. Principal
Balance

(1)
1I.
# Acres

1H. Growing Crops

1J.
Cost/Acre

$ Value

(2)

(3)

1K. Market Livestock-Poultry

1L.
# Head

1M.
Weight

1N.
$/Unit

$ Value

(4)

2K. Accrued Interest On:
(1) Current Liabilities
(2) Intermediate Liabilities
(3) Long Term Liabilities
1O. Livestock Products

1P.
Measure

1Q.
# Units

1R.
$/Unit

$ Value

2L. Current Portion of Principal Due On:
(1) Intermediate Liabilities
(2) Long Term Liabilities

1S. Prepaid Expenses and Supplies

2M. Other Current Liabilities

1T. Other Current Assets

1U. TOTAL CURRENT ASSETS (Items 1A through 1T)

2N. TOTAL CURRENT LIABILITIES (Items 2A through 2M)

$ Amount

FSA-2037 (Proposal 3)

Page 2 of 4

C - INTERMEDIATE ASSETS

E - INTERMEDIATE LIABILITIES

3A. Machinery & Equipment/Farm Vehicles (Entered on Page 4)
3B.
Breeding Stock

3C.
Raised/Purch

3D.
# Head

3E.
$/Head

5A. Creditor
5C. Interest
Rate

$ Value

5B. Purpose
5D. Accrued
Interest

5E. Payment
Amount

5F. Next Payment
Date

5G. Principal
Balance

(1)

(2)

(3)

3F. Notes Receivable

(4)

(5)
3G. Not Readily Marketable Bonds and Securities
(6)

3H. Other Intermediate Assets

(7)

3I. TOTAL INTERMEDIATE ASSETS (Items 3A through 3H)

5H. TOTAL INTERMEDIATE LIABILITIES (Item 5G (1 through 7))

D - LONG TERM ASSETS

F - LONG TERM LIABILITIES

4A. Building and Improvements

$ Value

6A. Creditor
6C. Interest
Rate

6B. Purpose
6D. Accrued
Interest

6E. Payment
Amount

6F. Next Payment
Date

(1)

(2)
4B.
Real Estate-Land

4C.
4D.
4E.
Total Acres Crop Acres %Owned

4F.
$/Acre

$ Value
(3)

(4)

(5)

(6)

4G. Other Long Term Assets

$ Value

(7)

4H. TOTAL LONG TERM ASSETS

6H. TOTAL LONG TERM LIABILITIES (Item 6G (1 through 7))

4I. TOTAL FARM ASSETS (From Items 1U, 3I and 4H)

6I. TOTAL FARM LIABILITIES
6J. TOTAL FARM EQUITY (Item 4I minus Item 6I)

6G. Principal
Balance

Page 3 of 4

FSA-2037 (Proposal 3)
G - PERSONAL ASSETS

H - PERSONAL LIABILITIES
$ Value

8A. Creditor
8C. Interest
Rate

7A. Cash and Equivalents
7B. Stocks, Bonds

8B. Purpose
8D. Accrued
Interest

8E. Payment
Amount

8F. Next Payment
Date

8G. Principal
Balance

(1)

7C. Cash Value Life Insurance
7D. Other Current Assets

(2)

7E. Household Goods
7F. Car, Recreational Vehicle, Etc.

(3)

7G. Other Intermediate Assets
7H. Retirement Accounts

(4)

7I. Non-Farm Business
7J. Non-Farm Real Estate

8H. Other Liabilities

7K. Other Long Term Assets
7L. TOTAL PERSONAL ASSETS (Items 7A through 7K)

8I. TOTAL PERSONAL LIABILITIES

7M. TOTAL ASSETS (Item 4I and Item 7L)

8J. TOTAL LIABILITIES (Item 6I and Item 8I)
8K. TOTAL EQUITY (Item 7M and Item 8J)

I - WARNING

I certify that the information provided is true, complete, and correct to the best of my knowledge and is provided in good faith. (Warning: Section 1001 of
Title 18, United States Code, provides for criminal penalties to those who provide false statements. If any information is found to be false or incomplete,
such finding may be grounds for denial of the requested action.)
9A. SIGNATURE

9B. DATE

10. COMMENTS

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, 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 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-XXXX. The time required to complete this information collection
is estimated to average 1.25 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. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its program and activities on the basis of race, color, national origin, age, disability, and where applicable,
sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individuals income is derived
from any public assistance program. (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 to USDA,
Director, Office of Civil Rights, 1400 Independence Avenue, SW., Washington, DC 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal
opportunity provider and employer.

Page 4 of 4

FSA-2037 (Proposal 3)
J - MACHINERY AND EQUIPMENT
11A.
Qty.

11B.
Description

11C.
Manufacturer

11D.
Size/Type

11E.
Condition

11F.
Year

11G.
Serial Number

11H.
$ Value

12C.
Manufacturer

12D.
Size/Type

12E.
Condition

12F.
Year

12G.
Serial Number/VIN

12H.
$ Value

K - FARM VEHICLES
12A.
Qty.

12B.
Description