CCC-505 Voluntgary Permanent Direct and Counter-Cyclical

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CCC-505

1. STATE AND COUNTY CODE

U.S. DEPARTMENT OF AGRICULTURE
Commodity Credit Corporation

(02-05-09)

VOLUNTARY PERMANENT DIRECT AND COUNTER-CYCLICAL
PROGRAM (DCP) BASE ACRES REDUCTION

2. FARM NO.

3. PROGRAM
YEAR

4. REASON FOR REDUCTION OF DCP BASE ACRES

CRP Enrollment
Other

Note:

The primary authority for requesting and safeguarding the information described on this form is the Food, Conservation, and Energy Act of 2008 (Pub. L.
110-246 and any amendments to such act as may follow). The information will be used to determine eligibility for program benefits. Furnishing the
requested information is voluntary. Failure to furnish the requested information will result in a determination of ineligibility for certain program benefits
and other financial assistance. The information collected as a result of this form may be released to USDA employees, USDA contractors, or authorized
USDA cooperators who are bound to safeguard the information under Section 1619 of the Food, Conservation, and Energy Act of 2008, the EGovernment Act of 2002, and related authorities. The information collection is exempted from the Paperwork Reduction Act, as it is required for
administration of the Food, Conservation, and Energy Act of 2008 (see Pub. L. 110-246, Title I, Subtitle F - Administration). The provisions of criminal,
civil, and privacy statutes may be applicable to the information provided. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.

PART A - REQUEST
The undersigned request a permanent reduction of the Direct and Counter-Cyclical Program (DCP) Base Acres established for the following crop(s) for the
farm number entered in Item 2. I/We understand that, except for reductions because of enrollment into the Conservation Reserve Program (CRP), this
reduction is a permanent reduction of DCP Base Acres, and the DCP Base Acres reduced shall not be returned to the farm.
I/We understand that when the reason for the reduction entered in Item 4 is because of enrollment of cropland into CRP, the reduced DCP Base Acres may be
returned to the farm if the applicable CRP contract is voluntarily terminated on or before September 30, 2007, and all other eligibility requirements are met.
6.
COMMODITY

5.
TRACT NO.

7.
DIRECT YIELD

8.
COUNTER CYCLICAL
YIELD

9.
COMMODITY BASE
ACRES ON TRACT
BEFORE REDUCTION

10.
COMMODITY BASE
ACRES ON TRACT
TO BE REDUCED

-

=

-

=

-

=

-

=

11.
COMMODITY BASE
ACRES ON TRACT
AFTER REDUCTION
(Column 9 MINUS
Column 10)

12. Total DCP Base Acres to be Reduced (Total of Column 10)
13. Total DCP Base Acres on Farm Before Reduction

14. Total DCP Base Acres on Farm After Reduction (Item 13 minus Item 12)

15A. Requestor’s Signature (By)

15B. Title/Relationship (of the individual signing in the
Representative Capacity)

15C. Date
(mm/dd/yyy)

16A. Owner’s Signature (By)

16B. Title/Relationship (of the individual signing in the
Representative Capacity)

16C. Date
(mm/dd/yyy)

17A. Owner’s Signature (By)

17B. Title/Relationship (of the individual signing in the
Representative Capacity)

17C. Date
(mm/dd/yyy)

18. REMARKS (If the DCP base acres are being reduced because of cropland enrollment into CRP on or after May 13, 2002, enter the CRP-1 number and the
effective date of CRP-1).

PART B- APPROVAL (COUNTY OFFICE USE ONLY)
20. COUNTY FSA OFFICE NAME AND ADDRESS (Including Zip Code)

19. REDUCTION IS:
DISAPPROVED

APPROVED

21. COC'S SIGNATURE

DATE (mm/dd/yyy)

TELEPHONE NUMBER (Area Code):

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs 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 individual's 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, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

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