Conservation Loan Program - Direct Loan Making

FSA- 2003 Date of Modification: (12-31-07)

THREE-YEAR PRODUCTION HISTORY
INSTRUCTIONS FOR PREPARATION
Purpose: This form is used to gather three years production history from applicants.
Handbook Reference: 3-FLP	Number of Copies: Original and One
Signatures Required: Applicant
Distribution of Copies: Original in case file, copy to applicant
Automation-Related Transactions: (Instructions for writers: provide only the information required, i.e. ADPS TC 3K. If no automation actions are required, insert N/A) FBP

Applicants must complete all Items.

Fld Name / Item No.	Instruction
1 Name	Enter the applicant’s name.
	Enter the last two digits of the year for which information is provided at the beginning of each column. Complete the appropriate column for the year that information is being provided.
A	Dairy Production
A1a Herd Number	Enter the average number of milk cows for each of the three preceding years.
A1b Lbs. of Milk Sold	Enter the total pounds of milk sold for each of the three preceding years.
A1c Average Production Per Cow	Enter the average milk production per cow for each of the preceding three years. The number should be the Herd Number (A1a) divided by the pounds of milk sold (A1b).
A1d Calves Sold	Enter the number of calves sold each year for the preceding three years.
A1e Calves Average Sale Weight	Enter the average weight of calves at the time they were sold for each of the three preceding years.
A1f Number of Cows Culled	Enter the number of cows culled for each of the three preceding years.
B	Livestock and Poultry Production
B1 Livestock (Type)	Enter the type of livestock being raised (cattle, hogs, sheep, etc.). For clarification purposes break down the type of livestock further, such as “brood cows,” “market animals,” “calves,” etc., when applicable. Enter each different type of livestock as a separate set of information.
B1a Units Raised	Enter the number of livestock that were raised (for the type described only) on the farm for each of the three preceding years.
B1b Units Purchased	Enter the number of livestock (for the type described only) that were purchased for each of the three preceding years.
B1c Total Units	Enter the total number (the total of units raised and units purchased) of livestock of this type for each of the preceding three years.
B1d Units Sold	Enter the total number of livestock of this type that were sold during each of the preceding three years.
B1e Death Loss	Enter the total number of loss due to death for the type of animal described in item B1 for each of the preceding three years.
B1f Purchase Weight	Enter the average weight per unit of livestock that was purchased for sale in each of the three preceding years.
B1g Sales Weight	Enter the average weight per unit of livestock that was sold in each of the three preceding years.
B2 Livestock (Type)	Enter the type of livestock being raised (cattle, hogs, sheep, etc.). For clarification purposes break down the type of livestock further, such as “brood cows,” “market animals,” “calves,” etc., when applicable. Enter each different type of livestock as a separate set of information.
B2a Units Raised	For the type described only, enter the number of livestock that were raised on the farm for each of the three preceding years.
B2b Units Purchased	For the type described only, enter the number of livestock that were purchased for each of the three preceding years.
B2c Total Units	Enter the total number of livestock (the total of units raised and units purchased) of this type for each of the preceding three years.
B2d Units Sold	Enter the total number of livestock of this type that were sold during each of the preceding three years.
B2e Death Loss	Enter the total number of loss due to death for the type of animal described in item B1 for each of the preceding three years.
B2f Purchase Weight	Enter the average weight per unit of livestock that was purchased for sale in each of the three preceding years.
B2g Sales Weight	Enter the average weight per unit of livestock that was sold in each of the three preceding years.
B3 Livestock (Type)	Enter the type of livestock being raised (cattle, hogs, sheep, etc.). For clarification purposes break down the type of livestock further, such as “brood cows,” “market animals,” “calves,” etc., when applicable. Enter each different type of livestock as a separate set of information.
B3a Units Raised	For the type described only, enter the number of livestock that were raised on the farm for each of the three preceding years.
B3b Units Purchased	For the type described only, enter the number of livestock that were purchased for each of the three preceding years.
B3c Total Units	Enter the total number of livestock (the total of units raised and units purchased) of this type for each of the preceding three years.
B3d Units Sold	Enter the total number of livestock of this type that were sold during each of the preceding three years.
B3e Death Loss	Enter the total number of loss due to death for the type of animal described in item B1 for each of the preceding three years.
B1f Purchase Weight	Enter the average weight per unit of livestock that was purchased for sale in each of the three preceding years.
B1g Sales Weight	Enter the average weight per unit of livestock that was sold in each of the three preceding years.
C	Crop Production
C1 Crop/Unit	Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years. Note: Complete a separate section for each type of crop raised, including crops that were only raised for a portion of the reporting period.
C1a Total Yield	Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C1b Acres	Enter the total number acres of the described crop raised in each of the three preceding years.
C1c Average Yield	Enter the average yield per acre of the described crop for each of the three preceding years. Average yield should be the total yield divided by the number of acres.
C2 Crop/Unit	Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C2a Total Yield	Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C2b Acres	Enter the total number acres of the described crop raised in each of the three preceding years.
C2c Average Yield	Enter the average yield per acre of the described crop for each of the three preceding years. Average yield should be the total yield divided by the number of acres.
C3 Crop/Unit	Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C3a Total Yield	Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C3b Acres	Enter the total number acres of the described crop raised in each of the three preceding years.
C3c Average Yield	Enter the average yield per acre of the described crop for each of the three preceding years. Average yield should be the total yield divided by the number of acres.
C4 Crop/Unit	Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C4a Total Yield	Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C4b Acres	Enter the total number acres of the described crop raised in each of the three preceding years.
C4c Average Yield	Enter the average yield per acre of the described crop for each of the three preceding years. Average yield should be the total yield divided by the number of acres.
C5 Crop/Unit	Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C5a Total Yield	Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C5b Acres	Enter the total number acres of the described crop raised in each of the three preceding years.
C5c Average Yield	Enter the average yield per acre of the described crop for each of the three preceding years. Average yield should be the total yield divided by the number of acres.
C6 Crop/Unit	Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C6a Total Yield	Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C6b Acres	Enter the total number acres of the described crop raised in each of the three preceding years.
C6c Average Yield	Enter the average yield per acre of the described crop for each of the three preceding years. Average yield should be the total yield divided by the number of acres.
C7 Crop/Unit	Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C7a Total Yield	Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C7b Acres	Enter the total number acres of the described crop raised in each of the three preceding years.
C7c Average Yield	Enter the average yield per acre of the described crop for each of the three preceding years. Average yield should be the total yield divided by the number of acres.
C8 Crop/Unit	Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C8a Total Yield	Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C8b Acres	Enter the total number acres of the described crop raised in each of the three preceding years.
C8c Average Yield	Enter the average yield per acre of the described crop for each of the three preceding years. Average yield should be the total yield divided by the number of acres.
C9 Crop/Unit	Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C9a Total Yield	Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C9b Acres	Enter the total number acres of the described crop raised in each of the three preceding years.
C9c Average Yield	Enter the average yield per acre of the described crop for each of the three preceding years. Average yield should be the total yield divided by the number of acres.
D	Signature
D1 Signature	Enter the applicant’s signature.
D2 Date	Enter the date the applicant signed the form.

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