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pdfProject Code 904 QID 044-005 VERSION 5 CORE (10/28/11)
OMB No. 0535-0218 Approval Expires 12/31/2012
Page 16
9. Using the table to the right, which value code represents the total
income the principal operator, spouse, and all other household
members received in 2011 from – (Exclude farm income reported earlier.)
NONE
VALUE CODE
(from list on
the right)
0952
a. all off-farm wages, salary and tips before taxes and withholdings?. . . . . .
b. net cash income from operating another farm or ranch (net of
depreciation)? (if a loss was incurred, please indicate with a negative sign) . . .
$0 . . . . . . . . . . . . . . .
$1-499 . . . . . . . . . . . .
$500-999 . . . . . . . . . .
$1,000-1,999 . . . . . . .
$2,000-2,999 . . . . . . .
$3,000-3,999 . . . . . . .
$4,000-4,999 . . . . . . .
$5,000-7,499 . . . . . . .
$7,500-9,999 . . . . . . .
$10,000-14,999 . . . . .
$15,000-19,999 . . . . .
$20,000-24,999 . . . . .
$25,000-29,999 . . . . .
$30,000-34,999 . . . . .
$35,000-39,999 . . . . .
$40,000-49,999 . . . . .
$50,000-59,999 . . . . .
$60,000-79,999 . . . . .
$80,000-99,999 . . . . .
$100,000-124,999. . . .
$125,000-149,999. . . .
$150,000-199,999. . . .
$200,000-274,999. . . .
$275,000-349,999. . . .
$350,000-499,999. . . .
$500,000-749,999 . . . .
$750,000-999,999. . . .
$1,000,000-1,499,999 .
$1,500,000-1,999,999 .
$2,000,000-2,999,999 .
$3,000,000-4,999,999 .
$5,000,000-7,499,999 .
$7,500,000-9,999,999 .
$10,000,000 and over .
0957
c. net cash income from renting farmland to others, excluding land rented
to others from this operation? (if a loss was incurred, please indicate with a
negative sign) (Include rental of farmland that is not part of this operation,
which may include whole farms or ranches owned by household members as
well as smaller parcels of land. Include cash or share-rented income.). . . . . . . .
d. net cash income from operating any other business (net of depreciation)?
(if a loss was incurred, please indicate with a negative sign) . . . . . . . . . . . . . .
0963
0960
0969
e. interest income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0966
f. dividend income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. total proceeds from the sale of farm and non-farm capital assets?
(Include operator household’s share only.) . . . . . . . . . . . . . . . . . . . . . . . . .
(i) recognized gain/loss on the sale of capital assets reported above
(item 9g)? (if a loss was incurred, please indicate with a negative sign) . . . .
0978
0981
0939
h. income from private pensions and private disability payments? . . . . . . . .
i.
income from public sources including Social Security, military and
other public retirement, veteran’s benefits, public disability,
unemployment, or other public benefits? . . . . . . . . . . . . . . . . . . . . . . . .
0998
0993
j.
other off-farm sources of income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.01
.02
.03
.04
.05
.06
.07
.08
.09
.10
.11
.12
.13
.14
.15
.16
.17
.18
.19
.20
.21
.22
.23
.24
.25
.26
.27
.28
.29
.30
.31
.32
.33
.34
10. Which value code represents the total amount spent on household and family living expenses
in 2011? (Include food, including dining out; rent, utilities and other household expenses; non-farm
VALUE CODE
transportation costs; out of pocket health and medical expenses, including insurance; contributions to
(from the list
insurance and retirement plans; contributions to individuals outside of the household, including alimony
NONE
above)
and child support; clothing, house furnishings, education and child care, charity donations, and
1111
entertainment, as well as mortgage interest and property taxes for operators who live in a dwelling
owned by the household and not the farm.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AGRICULTURAL RESOURCE
MANAGEMENT SURVEY
2011
National
Agricultural
Statistics
Service
Value
Code
Dollar Range
National Agricultural
Statistics Service
1201 East 10th Street
Jeffersonville, IN 47132
1-888-424-7828
Fax: 1-812-218-2232
e-mail: [email protected]
YOUR REPORT IS CONFIDENTIAL
and it will only be used for statistical
purposes. Your report CANNOT be
used for purposes of taxation,
investigation, or regulation. The law
also provides that copies retained in
your files are immune from legal
processes.
Results from this important
data collection will be available
in August 2012 at
http://www.nass.usda.gov and
http://www.ers.usda.gov/
Please make corrections to label name, address, and ZIP Code if needed.
SECTION A: LAND in FARM/RANCH
For the farm/ranch listed above, please report the 2011 farm/ranch land owned, rented or used by you, your spouse, or by the
partnership, corporation or organization for which you are reporting. (Include all cropland, idle land, CRP, pastureland, woodland,
wasteland, farmstead, acres used for crop/livestock production facilities, and all other building sites associated with this operation, etc.)
NUMBER OF ACRES
NONE
11. Which value code represents the total amount of off-farm assets owned by the principal
operator and members of the operator’s household on December 31, 2011? (Include cash,
0020
checking, savings, retirement accounts, corporate stock, certificates of deposit, and real estate not
part of the farm. Exclude assets reported earlier.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Which value code represents the total amount of all off-farm debt owed on December 31, 2011
by the principal operator and members of the operator’s household? (Exclude debt reported earlier.) . . . .
0994
1103
1.
How many acres of farm and ranch land were owned?. . . . . . . . . . . . . . . . . . . . . . . . . .
2.
How many acres of farm and ranch land were rented or leased from others –
(Exclude land used on an animal unit month (AUM) or fee per head basis under a grazing permit.)
13. Which value code represents the total farm sales in the PREVIOUS YEAR (2010)?. . . . . . . . . . . . . .
15. Which value code represents the total off-farm income in the PREVIOUS YEAR (2010)?
(Include wages, salaries, and tips before taxes, and other income.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0021
+
a. for a fixed or flexible cash rent payment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1113
14. Which value code represents the net operating income for this operation in the PREVIOUS
YEAR (2010)? (if a loss was incurred, please indicate with a negative sign) . . . . . . . . . . . . . . . . . . . . . . .
+
b. for a share of crop or livestock production?
(Include hybrid rental arrangement where rent paid is based
on a fixed cash payment plus some shared production.) . . . . . . . . . . . . . . . . . . . . . . . . . .
1114
0023
+
0024
1115
+
c. for free? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SUBTOTAL
SECTION K: CONCLUSION
3.
SUBTOTAL (total items 1 + 2a + 2b + 2c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =
4.
How many acres of farm and ranch land were rented or leased to others?
Thank you. In case we have questions, please provide your contact information:
Your Name
NUMBER OF ACRES
Telephone Number
Date Completed
TOTAL
0026
We are collecting information on cost and returns and need your help to make the information as accurate as possible. Authority for collection of
information on the Agricultural Resource Management Survey report is Title 7, Section 2204 of the U.S. Code. Under Title 7 of the U.S. Code and
CIPSEA (Public Law 107-347), facts about your operation are kept confidential and used only for statistical purposes. Response is voluntary. You
may skip any question(s) you prefer not to answer.
To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/. 0099 1
Would you rather have a brief summary mailed to you at a later date? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
–
(Include land rented out for cash, for a share of crop or livestock production, or rent free.) . . . . . .
9910
1.
0025
5.
TOTAL ACRES in this operation in 2011 (subtract item 4 from item 3). . . . . . . . . . . . . . . . . . . =
Section A continues on next page
Yes
3
No
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 0535-0218. The time required to complete this information
collection is estimated to average 70 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.
Office
Use
Only
R. Unit
Resp
Respd
Mode
Enum
Eval
0921
9901
9902
9903
0098
0100
MM
DD
YY
12
9910
Time
.
0008
Beg
End
0004
0005
or
Page 2
6.
Page 15
Of the total acres in this operation (item 5 on the previous page),
how many acres were–
a. considered cropland? (Include land in government programs, fruit/nut/berry/nursery
NUMBER OF ACRES
NONE
1.
b. covered under a Federal crop insurance policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. enrolled in the Conservation Reserve Program (CRP), Conservation Reserve
Enhancement Program (CREP), and/or Wetlands Reserve Program (WRP)? . . . . . . .
0039
Are the principal operator and/or the principal operator’s spouse of Spanish, Hispanic, or Latino origin or background,
such as Mexican, Cuban, or Puerto Rican, regardless of race?
0028
Operator ➔
2.
0041
d. used to harvest certified organic crops? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NONE
8.
DOLLARS
0477
In 2011, what was the total dollar amount received for CRP, CREP, and/or WRP
payments? (Verify that CRP, CREP, and/or WRP acres are reported in item 6c.) . . . . . . . . . . . .
At any time during 2011 did you have a current Environmental Quality Incentives
Program (EQIP), Conservation Security Program (CSP), and/or Conservation
Stewardship Program (CStP) contract? (Check yes if you had a current contract, regardless of
1
1213
1215
3
NUMBER OF ACRES
NONE
3.
Native Hawaiian or Other Pacific Islander
White
White
What is the highest level of formal education achieved by the principal operator and the principal operator’s spouse?
1
0044
4.
0113
0114
1207
0117
0118
Peanuts . . . . . . . . . . . . . . . . . . . . .
1
3
2
High school
3
Some college (Include associates degree)
4
4-year college graduate and beyond
Less than high school diploma
High school
Some college (Include associates degree)
4-year college graduate and beyond
SPOUSE
1208
Farm or ranch work
Work other than farming or ranching
Currently not in the paid workforce
1
2
3
Farm or ranch work
Work other than farming or ranching
Currently not in the paid workforce
Do you (the principal operator) now consider yourself to be retired from farming/ranching?
1259
1
Yes
3
No
NUMBER
1227
6.
How many persons lived in the principal operator’s household on December 31, 2011?
(Include operator, spouse, children, and others living in operator’s household.) . . . . . . . . . . . . . . . . . . . . .
7.
Did the principal operator receive pay for off-farm/ranch work or operate an off-farm business during 2010?
0043
How much of this operation’s
share of the TOTAL AMOUNT was
(will be) USED on this operation?
Bu
0111
Tons
1
Yes
3
No ➔ SKIP to question 8
WEEKS
0933
a. How many weeks did the operator work off this farm/ranch for pay or operate an off-farm
business in 2011? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOURS PER WEEK
0935
b. During those weeks, how many hours per week did the operator usually work off this
farm/ranch for pay or operate an off-farm business in 2011? . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
If the principal operator has a spouse, did the principal operator’s spouse receive pay for off-farm/ranch
work or operate an off-farm business during 2011?
0932
0107
Tons
Cotton, all types. . . . . . . . . . . . . . . .
Less than high school diploma
1
In 2011, what was the primary occupation of the principal operator and the principal operator’s spouse?
0042
Bu
Corn for silage or green chop . . . . . .
SPOUSE
1260
DOLLARS
5.
0106
0110
Asian
1224
4
FIELD CROPS
0109
American Indian or Alaska Native
Black or African American
3
on land rented to others and cover crops if not harvested.)
Corn for grain . . . . . . . . . . . . . . . . .
1214
1222
2
For 2011, please report the acreage and quantity harvested, and amount used on this operation for the following crops on
the total acres in this operation (Section A, item 5). (Include crops grown on a contract or custom basis. Exclude crops grown
0105
No
Native Hawaiian or Other Pacific Islander
0478
SECTION B: ACREAGE and PRODUCTION
NONE
3
Black or African American
0931
CROP
Yes
1221
0046
13. For acres share-rented to others, what was the total value of crop or livestock shares
received in 2011 by this operation? (Include rent received in 2011 for previous years and
government payments received from those acres.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
1218
2
years, rent received in advance, and government payments from those acres. Exclude grazing of livestock,
to be reported in Section E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1220
OPERATOR
0045
11. In 2011, how much did this operation spend on pasturing or grazing of livestock on
privately owned land (railroads, another farm/ranch, etc.) used on a fee per head
(AUM) or gain basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RENT RECEIVED
12. Including rent for land and buildings, what was the total CASH RENT RECEIVED in
2011 for acres rented TO others by this operation? (Include rent received in 2011 for previous
What was the
TOTAL AMOUNT of
PRODUCTION?
Operator’s spouse ➔
OPERATOR
10. In 2011, what were the total usage fees this operation paid for the use of publicly
owned land on an AUM basis? (Include fees paid for privately owned land administered
by a public agency through exchange of use.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
How many crop
ACRES were
harvested?
No
Asian
DOLLARS
Exclude storage bins, to be reported later in Section F, item 20c. Exclude grazing of livestock,
to be reported in items 10 & 11 below.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
1217
1257
b. What was the total dollar amount received for EQIP, CSP, and/or CStP contracts?
(Verify that EQIP, CSP, and/or CStP acres are reported in item 8a.) . . . . . . . . . . . . . . . . . .
RENT PAID
9. Including rent for land and/or buildings, what was the total CASH RENT PAID in 2011
NONE
by this operation? (Include rent paid in 2011 for previous years and rent paid in advance.
Yes
American Indian or Alaska Native
0070
applied (e.g., reduced tillage, terraces, and grassed waterways) and acreage of fields/tracts
that are adjacent to field-edge practices such as filter strips, riparian buffers, or fences.) . . . . .
1.
1
1216
1223
Yes
No ➔ SKIP to question 9 below
a. What was the total acreage of fields subject to conservation treatments under
EQIP, CSP, and/or CStP contract? (Include acreage of the fields where practices are
1219
Which of these do you (the principal operator) and your (the principal operator’s) spouse consider yourself? Are you–
(Check all that apply)
SPOUSE
OPERATOR
whether you received a payment during 2011.)
0526
2002
0030
acres, and land planted to hay, including wild hay. Exclude CRP acres planted to trees.) . . . . .
7.
OFFICE
USE ONLY
SECTION J: FARM HOUSEHOLD
1
Yes
3
No ➔ SKIP to question 9
WEEKS
0934
a. How many weeks did the principal operator’s spouse work off this farm/ranch for pay or
operate an off-farm business in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOURS PER WEEK
0936
b. During those weeks, how many hours per week did the principal operator’s spouse usually
work off this farm/ranch for pay or operate an off-farm business in 2011?. . . . . . . . . . . . . . . . .
Lbs.
0119
Lbs.
Lbs.
Section B continues on next page
Section J continues on next page
Page 3
Page 14
FARM OPERATORS
7.
In 2011, how many operators (individuals) were involved in the day-to-day decisions for
this operation? ( Enter the number of operators, including the operator named on the front of this
NUMBER
CROP
1200
form, and family members if they are also operators. Exclude family members unless they make
day-to-day decisions for the operation. Exclude hired workers unless they are a hired manager.) . . . . . . . . .
1205
8.
9.
Did you (the principal operator) have a spouse for at least part of 2011? . . . . . . . . . . . . . . . . .
Did the principal operator’s spouse make day-to-day decisions for this farm/ranch at any
1209
point during 2011? (If yes, the principal operator’s spouse should be included in item 7 above.). . . . . . .
For items 10-13, please answer for up to three primary operators of this
operation as of December 31, 2011. If one of the operators is the
principal operator’s spouse, record his/her information in operator 2.
How many crop
ACRES were
harvested?
NONE
FIELD CROPS
0121
1
3
Yes
No
Potatoes (report sweet potatoes
in all other crops). . . . . . . . . . . . . . .
0122
.
1
3
Yes
No
OPERATOR
2
OPERATOR
3
NAME
NAME
NAME
Rice . . . . . . . . . . . . . . . . . . . . . . . .
0130
0133
0134
0137
0138
0141
0142
Sorghum for grain . . . . . . . . . . . . . .
1262
AGE
1282
AGE
Tons
0139
Bu.
.
Bu.
Lbs.
Tenths
1241
YEAR
1261
YEAR
1281
SMALL GRAINS
YEAR
12. In what year did the operator(s) begin to operate any farm operation?
0145
0146
0149
0150
0153
0154
Barley for grain . . . . . . . . . . . . . . . .
1
2
1263
Male
Female
1283
1
1
Male
2
0995
1
Male
2
Female
14. Were you a hired manager for this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Female
3
Yes
No
USE OF TIME
0147
Bu.
Oats for grain . . . . . . . . . . . . . . . . .
Bu.
0151
Bu.
Wheat, all types, for grain. . . . . . . . .
Bu.
0155
Bu.
Bu.
HAY CROPS
For items 15-16, please answer for each of the
three-month periods during 2011.
15. On average, about how many paid and
unpaid hours per week (work and
management time) did–
Bu.
0135
Tons
Tobacco, all types . . . . . . . . . . . . . .
13. What was the gender of the operator(s)?. . . . . . . . . . . . . . . . . . . . .
Cwt.
0131
Bu.
Soybeans . . . . . . . . . . . . . . . . . . . .
AGE
Cwt.
0127
Cwt.
0129
11. What was the age of operator(s) on December 31, 2011? . . . . . . . . . .
1243
0126
Sorghum for silage . . . . . . . . . . . . .
10. What was the full name of the operator(s)? . . . . . . . . . . . . . . . . . . . . .
0123
Cwt.
Tenths
0125
PRINCIPAL
OPERATOR
1242
How much of this operation’s
share of the TOTAL AMOUNT
was (will be) USED on this
operation?
What was the
TOTAL AMOUNT of
PRODUCTION?
1st Quarter
Jan-Mar, 2011
2nd Quarter
Apr-June, 2011
3rd Quarter
July-Sept, 2011
4th Quarter
Oct-Dec, 2011
0157
0158
0161
0162
Hay, dry, alfalfa and alfalfa mixtures .
NONE
a. you (the principal operator) work for
this farm/ranch?. . . . . . . . . . . . . . . . . . . .
b. your (the principal operator’s) spouse
work for this farm/ranch? (Even if your
HOURS/WEEK
0828
HOURS/WEEK
0829
HOURS/WEEK
0830
HOURS/WEEK
0831
NONE
16. On average, about how many hours per
week (work and management time) did
unpaid workers (such as non-operator
partners, family members, etc.) work for
this farm/ranch? . . . . . . . . . . . . . . . . . . . . . .
Tons
Hay, dry, all others . . . . . . . . . . . . .
Tons
0163
Tons
Tons
OTHER CROPS
0832
0833
0834
0165
0166
0169
0170
0173
0174
Canola . . . . . . . . . . . . . . . . . . . . . .
0836
0837
0838
0839
Lbs.
Other oilseeds . . . . . . . . . . . . . . . . .
0840
HOURS/WEEK
0841
HOURS/WEEK
0842
HOURS/WEEK
0843
Lbs.
0171
Lbs.
Sugarcane or sugarbeets . . . . . . . . .
HOURS/WEEK
0167
0835
spouse is an operator, include his/her
hours here.) . . . . . . . . . . . . . . . . . . . . . . .
c. other operators (those persons
responsible for the day-to-day
management decisions for this
operation) work for this farm/ranch? . . . . .
0159
Lbs.
0175
Tons
Tons
0177
Dry edible beans, peas and lentils . . .
0178
Vegetables for processing . . . . . . . .
All other vegetables and melons
0179
(Exclude vegetables grown under
glass or other protection.) . . . . . . . . . . .
0180
Fruits, nuts and berries. . . . . . . . . . .
0181
Nursery and greenhouse crops
(Include Christmas trees.) . . . . . . . . . .
.
0182
All other crops not listed above
(Include sweet potatoes.). . . . . . . . . . .
Tenths
Section B continues on next page
Page 4
2.
Page 13
SQUARE FEET UNDER
glass or other protection
NONE
What was the area grown for sale of nursery, floriculture,
or greenhouse crops, including Christmas trees, ornamental
plants, flowers, mushrooms, aquatic plants, sod, food crops
under protection, vegetable seeds, flower seeds, or other
propagative materials? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0191
ACRES
in the OPEN
3.
0192
.
Tenths
a. One year or less production
or other loans . . . . . . . . . . . . . . . . . . .
DOLLARS
NONE
3.
For acres rented to this operation on a share basis in 2011, what was the estimated
total market value of your landlord’s share of total crop production in 2011?. . . . . . . . . . . .
4.
a. Beef cows (Include beef heifers that
On Dec. 31, 2011,
how many [item],
regardless of
ownership,
were on hand?
NONE
On Dec. 31, 2011,
how many [item]
were owned by
this operation?
0254
0255
0256
1049
1051
1052
1054
1055
0257
0258
0259
1.
.
2.
%
Hundredths
%
NONE
DOLLARS
1057
OFFICE
USE ONLY
0261
0295
1
3
Yes
No
1246
In 2011, how many owners of this operation were there? (Exclude landlords, contractors,
and lending institutions holding farm debt. Include yourself if you have an ownership interest.) . . . . . . . . . .
3.
d. Total cattle and calves (total items a+b+c) . . .
1
2
PERCENT
1248
%
0296
Family or individual operation (Exclude partnerships and corporations.)
Legal partnership operation (Include family partnerships.)
1204
Is this partnership registered under State law? . . . . . . . . . . . . . . . . . . . . . . . .
e. All hogs and pigs . . . . . . . . . . . . . . . . . . .
0248
0249
NUMBER
In 2011, what was this operation’s legal status for tax purposes?
1240
0263
2001
In 2011, was more than 50% of the ownership interest in this operation held by you (the principal operator) and/or persons
related to you by blood, marriage, or adoption, including relatives not residing in your household? (Ownership interest is defined
a. What percent of the ownership interest did you (the operator) and your
household hold? (Exclude relatives not living in your household.) . . . . . . . . . . . . . . . . . . . .
0253
c. Other cattle and calves . . . . . . . . . . . . . . .
0262
%
Hundredths
NONE
0252
0260
%
1056
.
Cwt.
0251
%
1053
.
c. More than one year real estate debt . . .
How much of the debt owed on December 31, 2011 (reported above)
was for the operator’s dwelling? (If the operator’s dwelling is owned
1249
0270
%
Hundredths
as having ownership of at least some of the farm business assets. Potential owners include individuals, partners, corporate shareholders,
and members of a Limited Liability Company. Potential owners DO NOT INCLUDE landlords, contractors, and lenders.)
b. Milk cows, including any dry cows
(Exclude any heifers not yet freshened.). . . . . .
1050
SECTION I: FARM MANAGEMENT and USE of TIME
have calved. Exclude heifers that have not
calved, steers, calves, and bulls.) . . . . . . . . . .
(i) Milk produced in 2011 (report in cwt.) . . .
1048
How much of this
debt was for farm
use?
PERCENT
by the operation, debt should be included here and above. Exclude operator’s
dwelling if not owned by the operation.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
non-contract and contract sales.)
Did this operation have on hand or
produce any [item] during 2011?
What was the
average interest rate
of this debt?
PERCENT
b. More than one year non-real
estate debt . . . . . . . . . . . . . . . . . . . . .
Please report the total numbers, including landlord’s share, of livestock, poultry, and/or livestock product sold or removed
from the operation during 2011 and the total inventory on December 31, 2011 regardless of ownership. (Include both
What was the total
number of [item]
sold or removed in
NONE
2011?
NONE
What was the
balance owed on
December 31, 2011?
DOLLARS
NONE
0184
SECTION C: LIVESTOCK
1.
For each type of loan, what was the balance
owed, average interest rate, and percent for
farm use?
1
Yes
3
No
NUMBER
0250
1232
f.
How many partners are there in the operation? . . . . . . . . . . . . . . . . . . . . . . . . .
Egg layers . . . . . . . . . . . . . . . . . . . . . . . .
3
0266
4
........
(i) Chicken eggs (report in dozens)
Dz.
0268
0269
5
0298
C-Corporation
S-Corporation
Other (Include estates, trusts, cooperatives, grazing associations, etc.)
1202
4.
g. Turkeys . . . . . . . . . . . . . . . . . . . . . . . . . .
0264
0265
Was this operation organized as a Limited Liability Company (LLC) under State law? . . . . . . . .
1
Yes
3
No
0297
SHARE OF NET FARM INCOME
h. Broilers . . . . . . . . . . . . . . . . . . . . . . . . . .
0272
i.
2.
0273
0299
5.
All other livestock and
poultry. Specify type(s) ➔
if incorporated, receiving corporate dividends.)
1225
What was the estimated total market value of your landlord’s share of livestock
0276
production sold or removed from this operation in 2011?
(Exclude shared livestock production not part of a land rental arrangement.)
.......................
1
Yes
3
No ➔ SKIP to Section D
a. What were your gross receipts from items sold or removed under these contracts? . . . .
b. On December 31, 2011, what was the market value of unsold livestock or poultry
remaining under these contracts? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0051
c. How much was paid to contractees for labor, management, and reimbursement for
expenses?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0052
Yes
3
No ➔ SKIP to question 6
NUMBER
0976
a. How many other households shared in the net income of the farm business? . . . . . . . . . . . . .
DOLLARS
NONE 0050
1
DOLLARS
OTHER OPERATIONS GROWING, FEEDING, OR RAISING LIVESTOCK FOR THIS OPERATION
3. Did any other operation(s) grow, feed, or raise livestock or poultry owned by this operation under a contract arrangement in
2011 (you are the contractor)?
0271
In 2011, did any households, other than your (the principal operator’s) household, share in
the net farm income of this business? (Sharing can occur by receiving a share of profits/losses or,
6.
Is this operation a C-Corporation or an LLC that chose to file as a C-Corporation?
1226
1
3
Yes
No ➔ SKIP to question 6b
a. What value code represents the corporate dividends that you (the operator) and your
household received from this farming operation? (If your operation is an LLC that elected to
VALUE CODE
(from list on
page 16)
0975
file for tax purposes as a C-Corporation, consider this as income here.) [See Value Code list on
page 16. Skip 6b and proceed to question 7.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT
b. What percent of net income (whether profit or loss) were you (the operator) and your
0974
household entitled to receive from this farming operation? (If your operation is an LLC
that elected to report income for tax purposes as a pass-through, consider this as income here.). . . . . . .
%
Section I continues on next page
Page 12
For each item below, report the market value(s) of the
assets owned by the operation on the dates specified.
4.
Page 5
SECTION D: COMMODITY MARKETING and INCOME
Beginning of Year
January 1, 2011
What was the ESTIMATED MARKET VALUE
for this operation’s share of [item] on–
a. crops owned and stored on or off this operation
End of Year
December 31, 2011
DOLLARS
(Include crops stored at co-op or gin warehouse, specialty crops, hay,
silage, and nursery and greenhouse products not in the ground.
Exclude crops under CCC loans.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MARKETING CONTRACTS
1. Did this operation have marketing contracts for any commodities delivered1/ in 2011? (A marketing contract is a verbal or
DOLLARS
0888
written agreement, reached before harvest of a crop or before completion of a livestock production stage, setting a price or pricing
formula and market for the commodity.)
0889
0300
2.
b. breeding livestock owned by and located on or off this operation
0863
(Include aquaculture, bees, cattle, equine, hogs, mink, poultry, sheep,
etc., kept for breeding purposes. Exclude livestock being produced
under contract on another operation (reported in Section C, item 3).) . . . . . . . . .
c. non-breeding livestock owned by and located on or off this operation
0877
0878
0879
3
Yes – Continue to question 2
No ➔ SKIP to question 3 below
(If Yes) Report the commodities delivered in 2011 through marketing contract(s). List the quantities marketed and the final
price received. (Include only the quantity owned by the operation. Exclude money received from contractors as reimbursement for expenses
(report this in SECTION F). Exclude landlord shares (report in SECTION B, item 3 and SECTION C, item 2). Also exclude marketing charges
(report in item 7) and money received for any reimbursements for expenses (report in SECTION F).)
0864
0876
(Include aquaculture, bees, cattle, equine, hogs, mink, poultry, sheep,
etc., kept for non-breeding purposes. Exclude livestock being produced
under contract on another operation (reported in Section C, item 3).) . . . . . . . . .
1
1
What commodities did this
operation have
MARKETING
contracts for in 2011?
2
Commodity
Code
[Write in commodities]
d. production inputs owned by this operation such as processed feed,
fertilizer, chemicals, fuels, parts, purchased seed, other supplies, etc. . . .
e. production inputs already used by this operation for cover crops,
crops planted but not yet mature for harvest (also known as sunk costs),
or the value of inputs used for production contracts that have yet to be
delivered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0880
0881
QUANTITY
CODE
(from list
below)
DOLLARS & CENTS
0301
0304
0305
0306
0316
0319
0320
0321
0331
0334
0335
0336
0346
0349
0350
0351
0361
0364
0365
0366
0376
0379
0380
0381
6
What was the total dollar
amount received in 2011
from this contract?
(Exclude marketing
charges.)
TOTAL DOLLARS
0307
0322
.
0337
.
trucks and cars owned by this operation (Include farm share only.). . . . . . . . . . . . . . . . . . . . . . . .
0883
0352
.
g. tractors, machinery, tools, equipment and implements owned by this operation . . . . . . . . . . . . . .
0884
0367
.
h. stock in other farm cooperatives and Farm Credit System (FCS) . . . . . . . . . . . . . . . . . . . . . . . .
5.
CODE
5
What was (will be) the FINAL PRICE
RECEIVED per [column 4] unit
by this operation for this commodity
marketed under this contract?
(Exclude marketing charges.)
.
0882
f.
4
Unit Code
Office use
only
3
What quantity of this
commodity was delivered
through this contract?
(Exclude landlord’s
share.)
0382
VALUE CODE
(From the list
below)
What value code represents the dollar range for the value of all other farm assets not
previously listed (liquid assets) on December 31, 2011? (Include money owed to this operation
(except money owed from commodity sales), cash certificates of deposit, savings and checking accounts,
0887
hedging account balances, government payments due, balance of land contract sales, any other farm assets
not reported earlier. Exclude any personal debt owed to the operator(s).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
1/ “Delivered” includes commodities for which partial payment was made even if not physically delivered by December 31, 2011.
PRODUCTION CONTRACTS AND CUSTOM FED LIVESTOCK
3. Did this operation have production contracts for any commodities it produced in 2011? (A production contract is a verbal or
Value
Dollar Range
Code
None . . . . . . . . . . . . 01
Value
Dollar Range
Code
$10,000 – 14,999 . . . . . . . 10
Value
Dollar Range
Code
$80,000 – 99,999 . . . . . . . . . 19
Value
Dollar Range
Code
$1,000,000 – 1,499,999. . . . . . . . 28
$1 – 499. . . . . . . . . . . 02
$15,000 – 19,999 . . . . . . . 11
$100,000 – 124,999. . . . . . . . 20
$1,500,000 – 1,999,999. . . . . . . . 29
$500 – 999 . . . . . . . . . 03
$20,000 – 24,999 . . . . . . . 12
$125,000 – 149,999. . . . . . . . 21
$2,000,000 – 2,999,999. . . . . . . . 30
$1,000 – 1,999 . . . . . . 04
$25,000 – 29,999 . . . . . . . 13
$150,000 – 199,999. . . . . . . . 22
$3,000,000 – 4,999,999. . . . . . . . 31
$2,000 – 2,999 . . . . . . 05
$30,000 – 34,999 . . . . . . . 14
$200,000 – 274,999. . . . . . . . 23
$5,000,000 – 7,499,999. . . . . . . . 32
$3,000 – 3,999 . . . . . . 06
$35,000 – 39,999 . . . . . . . 15
$275,000 – 349,999. . . . . . . . 24
$7,500,000 – 9,999,999. . . . . . . . 33
$4,000 – 4,999 . . . . . . 07
$40,000 – 49,999 . . . . . . . 16
$350,000 – 499,999. . . . . . . . 25
$10,000,000 and over . . . . . . . . . 34
$5,000 – 7,499 . . . . . . 08
$50,000 – 59,999 . . . . . . . 17
$500,000 – 749,999. . . . . . . . 26
$7,500 – 9,999 . . . . . . 09
$60,000 – 79,999 . . . . . . . 18
$750,000 – 999,999. . . . . . . . 27
written agreement setting terms, conditions, and fees to be paid by the contractor to the operation for the production of crops, livestock,
or poultry. The contractor usually owns the commodity and often provides inputs.)
0400
4.
1
3
Yes – Continue to question 4
No ➔ SKIP to question 5
(If Yes) Report in the table below the commodities with production contracts in 2011. Also list the quantities removed under
these contracts and the final fee received. (Exclude money received to pay for production expenses. Expense reimbursements
should be reported in Section F.)
1
What commodities did
this operation have
PRODUCTION
contracts for in 2011?
2
Commodity
Code
4
Unit Code
Office use
only
3
What quantity of this
commodity was removed
from the operation
under this contract?
(Exclude landlord’s share.)
[Write in commodities]
CODE
QUANTITY
CODE
(from list
below)
5
What was (will be)
the FINAL FEE RECEIVED
per [column 4] unit by this
operation for producing this
commodity under this contract?
6
What were the TOTAL
FEES RECEIVED in
2011 under this
contract?
1/
DOLLARS & CENTS
TOTAL DOLLARS
0401
0404
0405
0406
0416
0419
0420
0421
0431
0434
0435
0436
0446
0449
0450
0451
0407
.
OFFICE
USE ONLY
SECTION H: FARM DEBT
0999
0422
.
DOLLARS
1.
2.
What was the total amount of all production loans taken out and repaid in 2011?
(Include seasonal production and equipment loans.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NONE 0890
.
Did this operation owe money to any banks, co-ops, individuals, merchants, or
Federal agencies on December 31, 2011? (Include multi-purpose loans used both
1
Yes – Continue to question 3
3
0452
.
for farm and non-farm purposes. Exclude CCC commodity loans and any loans used
exclusively for non-farm purposes.)
1058
0437
1/ Income received for commodities produced under contract in previous years should be recorded in item 8a(i) on page 6.
Unit
Pound .
Cwt . . .
Ton . . .
Bushel .
No ➔ SKIP to Section I
Section H continues on next page
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Code
01
02
03
04
Unit
Bin . . .
Box . . .
Bale . .
Carton .
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Code
. 05
. 06
. 07
. 08
Unit
Dozen . . .
Flat . . . . .
Head/Bird.
Plant/Pot .
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Code
. 09
. 10
. 11
. 13
Unit
Barrel . . . . . .
Acre . . . . . . .
Animal Space
Kilogram . . . .
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Code
. 20
. 22
. 39
. 40
Section D continues on next page
Page 6
Page 11
CASH OR OPEN MARKET SALES
5.
OPERATOR(S) and
PARTNER(S)
After subtracting marketing expenses, what was the total dollar amount this operation received in 2011 for cash or open
market sales of each of the following crop and/or livestock commodities sold in 2011? (Exclude marketing contract sales,
NONE
f.
DOLLARS
0501
a. Corn, rice, sorghum, soybeans, oats, barley, wheat (Include silage. Exclude sweet corn) . .
0502
b. Other grains and oilseeds, dry beans, and dry peas (flaxseed, other grain silage and
forage, other grains and oilseeds, popcorn, sunflowers, etc.). . . . . . . . . . . . . . . . . . . . . . . . .
0503
0504
e. Fruit, tree nuts, berries (almonds, apples, blueberries, cherries, grapes, hazelnuts,
kiwifruit, oranges, pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . . . . . . . . . . . . . . .
0505
Nursery, greenhouse, cut Christmas trees, floriculture and sod (bedding plants, bulbs,
......
cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants, shrubbery, etc.)
0506
g. Other crops and hay, and short rotation woody crops (grass seed, hay and
grass silage, hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, etc.) . . . . . . . . . . . . . .
0507
f.
Cash values of commodities,
feed, fuel, housing, meals, utilities,
vehicles, or any other non-cash
payment to workers for farm work? . . .
g. Market value of commodities
produced and used on this
operation for home consumption?
(Exclude those reported in f above.) . . . . .
c. Tobacco, cotton, and cottonseed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Vegetables, melons, potatoes, and sweet potatoes (cabbage, cantaloupes,
pumpkins, red beets, sweet corn, tomatoes, watermelons, vegetable seeds, etc.). . . . . . . . . . . .
DOLLARS
NONE
production contract removals, landlord’s share of market value.)
h. Amount paid to purchase professional
or farm management services such as
record keeping, accounting, tax and
business planning, farm product
advice, conservation practices, etc.?. . .
i.
General business and all other
operating expenses not reported
above? (Exclude capital expenditures
LANDLORD(S)
DOLLARS
NONE
CONTRACTOR(S)
DOLLARS
NONE
0871
0799
0801
0577
0578
0579
for vehicles and machinery, buildings, etc.)..
List general business expense items and amounts below.
0508
h. Hogs and pigs (Exclude breeding stock.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0509
i.
Hog breeding stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j.
Milk from cows (before deduction of any hauling fees) . . . . . . . . . . . . . . . . . . . . . . . . . . .
0510
21. What was the total cost of all capital expenditures and other improvements for this
operation in 2011? Report only the farm share. (Include purchases of equipment, tractors,
0511
k. Cattle and calves (fed cattle, beef and dairy cull animals, stockers and feeders,
veal calves, etc.) (Exclude breeding stock.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
machinery, and farm share of vehicles/SUV’s. Also include the amount spent in 2011 on capital
improvements such as land preparation, irrigation systems, wells, ponds, drainage, roads, feedlots,
silos, lagoons, and new fences. In addition, include all costs for new construction, remodeling, or
0802
additions to structures and dwellings owned by the operation. Exclude repairs and maintenance,
and land purchases.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0512
l.
Cattle breeding stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0524
m. Poultry and eggs (broilers, chickens, turkeys, ducks, eggs, emus, geese,
hatchlings, ostriches, pigeons, pheasants, quail, poultry products, etc.) . . . . . . . . . . . . . . . . . .
n. Other animals and other animal products (sheep, goats, and their products
6.
7.
1.
0527
What was the total amount received from straw and other crop residue sales?
(Exclude hay sales.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MARKETING CHARGES: In 2011,
how much was spent by this operation
(operators, partners, landlords, and
contractors) for marketing and storage
expenses incurred by this operation?
SECTION G: FARM ASSETS
0517
(wool, mohair, and goat milk); horses, ponies, mules, burros, and donkeys;
aquaculture; bees and honey; semen and embryo sales) . . . . . . . . . . . . . . . . . . . . . . . . . . .
What was the total estimated MARKET VALUE of the following assets OWNED by
this operation on December 31, 2011 – (Include any owned assets on rented land.)
a. farm operator’s dwelling, if owned by this operation? (Owned by the operation means
the house is recorded as an asset in farm record books or deeded as part of the farm.) . . . . . . .
DOLLARS
NONE 0850
0851
OPERATOR(S) and
PARTNER(S)
DOLLARS
NONE
(Include check-off, commissions, storage,
inspection, ginnings, etc. Include marketing
expenses for contract sales.) (The operators
0868
are those persons responsible for the
day-to-day management decisions for this
operation, including hired managers.) . . . . . . .
b. all other dwellings? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LANDLORD(S)
DOLLARS
NONE
CONTRACTOR(S)
c. all other farm buildings and structures? (Include barns, cribs, grain bins,
greenhouses, silos, storage sheds, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
NONE
0852
0853
0869
d. orchard trees and vines, nursery trees, and trees grown for woody crops? . . . . . . . . . .
0870
e. land? (Include land rented to others. Exclude houses, buildings, orchard trees,
vines, and trees grown for woody crops.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ACCOUNTS RECEIVABLE/DEFERRED PAYMENTS
8.
DOLLARS
2.
What is the estimated market value of the land and buildings on the acres rented
or leased FROM OTHERS on December 31, 2011? (Reported in Section A,
items 2a, 2b, and 2c.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
What is the estimated market value of the land and buildings on the acres rented
or leased TO OTHERS on December 31, 2011? (Reported in Section A, item 4.) . . . . . . . .
For each item below, report income received or the amount owed to the operation on the dates specified. Do not include
crops in storage and not yet sold. (Include cash sales, marketing contract sales, and production contract removals.)
DOLLARS
NONE
a. On January 1, 2011, what was the total dollar amount owed to this operation for
all commodities produced and sold (cash or contract) before January 1, 2011?. . . . . . .
0885
0854
0855
0857
0875
(i) How much did this operation receive from item 8a during 2011? . . . . . . . . . . . . . . .
b. What was the total dollar amount owed to this operation on December 31, 2011,
for all commodities produced, sold (cash or contract), delivered, or removed
under contract in 2011 or earlier years?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0886
Section G continues on next page
Page 10
Page 7
SECTION E: OTHER FARM-RELATED INCOME
OPERATOR(S) and
PARTNER(S)
NONE
DOLLARS
LANDLORD(S)
NONE
DOLLARS
CONTRACTOR(S)
NONE
1.
DOLLARS
0560
16. Cash wages paid to hired farm/ranch
labor? (Include cash wages, incentives
and bonuses, payments to corporate officers
and paid family members before deductions
for social security, taxes, and insurance
premiums. Exclude wages paid for custom
and contract work, as well as wages paid
for housework.) . . . . . . . . . . . . . . . . . . . . .
0758
0759
0760
2.
0764
0765
0767
0768
0770
0773
0575
0576
0771
0772
0774
0775
0776
0777
0778
0782
0783
0847
0848
0849
0865
0866
0867
(Include electricity, phone, and
purchased irrigation water.) . . . . . . . . . . .
DOLLARS
0525
PERCENT of 2a
(i) Of the total in item 2a, what percent was for
DCP direct payments? . . . . . . . . . . . . . . . . . . . . .
0520
(ii) Of the total in item 2a, what percent was for
DCP counter-cyclical payments? . . . . . . . . . . . . . .
0522
(iii) Of the total in item 2a, what percent was for
ACRE direct payments? . . . . . . . . . . . . . . . . . . . .
0521
(iv) Of the total in item 2a, what percent was for
....................
ACRE revenue payments?
0523
+
+
+
%
%
%
DOLLARS
0529
DOLLARS
0545
3.
0543
What is your estimate of the total dollar amount your landlord(s) received in
government payments for the acres you rented from them? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
In 2011, what was the total income received by you (the operator) and all partners for:
a. custom work, machine hire, and other agricultural services provided by this
operation for farmers and others? (Exclude if this is for a separate business.). . . . . . . . . . .
b. recreational and agri-tourism activities such as hunting, fishing, farm tours,
hospitality services, petting zoos, etc.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0546
0548
0550
c. sales of farm machinery and vehicles? (farm share only) . . . . . . . . . . . . . . . . . . . . . . . .
0552
0750
0751
0753
0754
d. Federal crop or livestock insurance payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
cars, trucks, irrigation equipment and
other equipment. Exclude custom hire.) . . .
e. other income that is closely related to the agricultural operation? (Exclude sales of farm
machinery and vehicles. Include grazing of livestock; sales of forest products patronage
dividends and refunds from cooperatives; royalties or leases associated with energy production
such as natural gas, oil, wind turbines, etc.; animal boarding, hedging profits and losses,
insurance indemnity payments other than Federal crop insurance payments, sales of poultry litter
and manure, State fuel tax refunds, tax refunds, sales of value-added goods produced from your
farm commodities such as cheese, cider, jams, jellies, wine, etc. if these are not part of a
separate business. If a loss was incurred, please indicate with a negative sign.). . . . . . . . . . . .
d. Vehicle registration and licensing fees?
e. Depreciation expenses claimed by this
operation in 2011 for all capital assets?
(Estimate 2011 from 2010 if necessary.) .
No ➔ SKIP to question 3 below
payments; tobacco buyout payments, including lump sum payments; and other Federal, State,
or local programs. Exclude Federal Crop Insurance payments and other indemnity payments.
Exclude CRP, CREP, WRP, EQIP, CSP, and CStP payments reported in Section A.). . . . . . . . .
0784
a. Custom work, machine hire,
custom hauling? . . . . . . . . . . . . . . . . .
c. Renting or leasing of tractors,
vehicles, equipment or storage
structures? (Include farm machinery,
3
c. In 2011, how much was received for all other Federal, State, or local program
payments? (Include disaster and market loss payments; Milk Income Loss Contract (MILC)
19. Contract labor? (Include expenses for labor,
b. Utilities used for the farm?
Yes
+
%
100%
=
NONE
b. In 2011, how much was received in Loan Deficiency Payments (LDPs),
Marketing Loan Gains (MLGs), and for net value of commodity certificates?
(Include government payments received through a cooperative.). . . . . . . . . . . . . . . . . . . . . .
18. Payroll taxes and benefits for hired labor?
20. All other operating expenses–
0519
NONE
a. In 2011, how much was received for the Direct Counter-cyclical Payment
(DCP) and Average Crop Revenue Election (ACRE) programs?
(Include government payments received through a cooperative.). . . . . . . . . . . . . . . . . . . . . .
0769
e. all other paid farm and ranch labor?. . .
such as harvesting of fruit, vegetables, berries,
etc. performed on a contract basis by a
contractor, crew leader, cooperative, etc.) . . . .
1
NONE
0574
DOLLARS
In 2011, did this operation receive any Federal, State, or local farm program payments?
0563
responsible for the day-to-day decisions
for this operation)? . . . . . . . . . . . . . . . .
(Include employer’s share of Social Security,
unemployment taxes, health insurance, pension
or retirement plans, Workers Compensation, etc.
Also include any amounts the farm paid for
farm workers that are part of your
(the operator’s) household.) . . . . . . . . . . . . .
No ➔ SKIP to question 2 below
(Include government payments received through a cooperative. Exclude conservation-related
payments recorded in Section A and CCC loan payments.)
0766
other household members are operators,
include their wages here.) . . . . . . . . . . .
d. other operators (those persons
3
b. In 2011, what was the amount spent to repay CCC loan(s)?
(Exclude storage and service fees.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Even if your spouse is an operator,
include his/her wages here.) . . . . . . . . . .
c. your (principal operator’s) other
household members? (Even if your
Yes
(Include Austrian winter peas, barley, canola, rapeseed, corn, cotton, crambe, dry edible peas, NONE
0518
flaxseed, honey, lentils, mohair, mustard seed, oats, peanuts, rice, safflower, sesame seed,
small chickpeas, sorghum, soybeans, sunflower seed, and wheat.). . . . . . . . . . . . . . . . . . . . .
a. you (the principal operator)? . . . . . . . .
b. your (principal operator’s) spouse?
1
a. In 2011, how much was received for all commodities placed under CCC loan(s)?
17. Of the total cash wages (item 16)
how much was paid out to–
(Total 17a + 17b + 17c + 17d + 17e must equal item 16.)
In 2011, did this operation receive or repay any Commodity Credit Corporation (CCC) loans?
0756
0757
0557
List each income item and amount separately, below.
(i) How much of the depreciation
expense was for breeding stock? . .
Section F continues on next page
Section E continues on next page
Page 8
5.
Page 9
Which code from the list below represents the largest portion of this operation’s 2011 total gross value
of sales, including Government agriculture payments? (Include sales of all crops, livestock, poultry, and livestock
products sold in 2011; the value of products removed for all crops, livestock, and poultry produced under contract in
0047
2011; sales of miscellaneous agricultural products in 2011; all Government agricultural payments received in 2011;
landlord’s share of Government payments.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Farm Type
Code
Farm Type
OPERATOR(S) and
PARTNER(S)
CODE
NONE
8.
Purchase for the farm business of–
Hogs and pigs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09
a. diesel fuel? (Include biodiesel.) . . . . . . .
Milk and other dairy products from cows . . . . . . . . . . . . . . . . . . . . . . . . 10
b. gasoline and gasohol?
Tobacco . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02
Cattle and calves (beef and dairy cattle for breeding
stock, fed cattle, beef and dairy cull animals, stockers
and feeders, veal calves, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Vegetables, melons, potatoes and sweet potatoes (cabbage,
cantaloupes, pumpkins, red beets, sweet corn, tomatoes,
watermelons, vegetable seeds, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . 04
Sheep, goats, and their products (wool, mohair, milk and cheese) . . . . . 12
Fruit, tree nuts and berries (almonds, apples, blueberries,
cherries, cranberries, grapes, hazelnuts, kiwifruit, oranges,
pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . . . . . . . . . . . . . 05
Poultry and eggs (broilers, chickens, turkeys, ducks, eggs,
emus, geese, hatchlings, ostriches, pigeons, pheasants,
quail, poultry products, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Nursery, greenhouse, and floriculture (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms,
nursery potted plants, shrubbery, sod, etc.) . . . . . . . . . . . . . . . . . . . . . . 06
NONE
DOLLARS
CONTRACTOR(S)
NONE
DOLLARS
0645
0646
0647
0648
0649
0650
0651
0652
0653
0654
0655
0656
0657
0658
0659
0660
0661
0662
0844
0845
0846
0708
0709
0710
0714
0715
0716
0729
0730
0731
0738
0739
0741
0742
0744
0745
0746
0747
0748
0749
Code
Grains, oilseeds, dry beans, and dry peas (corn, flaxseed, grain,
silage and forage, grains and oilseeds for seeds, popcorn, rice,
small grains, sorghum, soybeans, sunflowers, etc.) . . . . . . . . . . . . . . . . 01
Cotton and cottonseed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03
DOLLARS
LANDLORD(S)
(Include ethanol blends.) . . . . . . . . . . . .
c. natural gas?. . . . . . . . . . . . . . . . . . . .
Equine (horses, ponies, mules, burros and donkeys) . . . . . . . . . . . . . . . 13
d. LP gas? (propane, butane). . . . . . . . . . .
e. oils and lubricants? (Include grease,
hydraulic fluids, motor oils, transmission
fluids, etc.). . . . . . . . . . . . . . . . . . . . . .
Aquaculture (catfish, trout, other finfish, shellfish, etc.) . . . . . . . . . . . . . . 15
Other animals and other animal products (bees, honey, rabbits, other
fur-bearing animals, semen, manure, other animal specialties, etc.). . . . . 16
f.
Cut Christmas trees and short rotation woody crops . . . . . . . . . . . . . . . 07
Other crops and hay (grass seed, hay and grass silage,
straw, hops, maple syrup, mint, peanuts, sugarcane,
sugarbeets, CRP, pasture, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08
9.
all other fuel? (Include coal, fuel oil,
kerosene, wood, etc.). . . . . . . . . . . . . . .
Farm supplies, marketing containers,
hand tools, farm shop power
equipment, bedding, and litter?
(Include expenses for temporary fences.) . . . .
10. Repairs, parts and accessories
for motor vehicles, machinery,
and farm equipment? . . . . . . . . . . . . . . . .
SECTION F: OPERATING and CAPITAL EXPENDITURES
In 2011, how much was spent by this operation (operators or partners) for the following items? How much did the landlord(s)
and contractor(s) spend on production expenditures for this operation? (Include only farm/ranch expenses. Exclude expenses
connected with performing custom work for others. The operators are those persons responsible for the day-to-day management decisions
for this operation, including hired managers.)
(Exclude any new construction or remodeling.) .
OPERATOR(S) and
PARTNER(S)
1.
Seeds, sets, plants, seed cleaning
and treatments, transplants, trees,
and nursery stock? (Include technology
NONE
DOLLARS
0600
LANDLORD(S)
NONE
DOLLARS
0601
CONTRACTOR(S)
NONE
DOLLARS
0602
or other fees, seed treatments, and seed
cleaning cost.) . . . . . . . . . . . . . . . . . . . . . .
2.
Nutrients, fertilizer, lime, and soil
conditioners? (Include custom application
4.
Biocontrols and agricultural chemicals
for crops, livestock, poultry, and general
farm use? (Include custom application costs.).
Livestock purchases:
0606
0607
0608
0612
0613
0614
b. not secured by real estate?
0623
0571
0572
0573
0633
0634
0635
(Include real estate taxes on the
operator’s dwelling, if owned by the
operation.). . . . . . . . . . . . . . . . . . . . . .
0636
0637
0638
b. livestock, machinery, and other
farm production items? . . . . . . . . . . . .
0642
0643
0644
(Include service fees on CCC loan
redemptions.) . . . . . . . . . . . . . . . . . . . .
15. Property tax paid on–
a. real estate (land and buildings)?
(Include grain, hay, silage, mixed feeds,
concentrates, etc.) . . . . . . . . . . . . . . . . . . .
Medical supplies, veterinary and
custom services for livestock?
(Exclude manure disposal.) . . . . . . . . . . . . .
a. secured by real estate?
0622
(Include leasing of bees for pollination.) . . . . .
7.
(Exclude health insurance and other
payroll insurance.) . . . . . . . . . . . . . . . . . . .
0621
Leasing of livestock?
Purchased feed for livestock and poultry?
0726
(Include interest paid on the operator’s
dwelling, if owned by the operation.) . . . . .
b. All other livestock and poultry? . . . . . .
6.
("Owned by the operation" means the house is–
–recorded as an asset in farm record books, or
–deeded as part of the farm.) . . . . . . . . . . .
14. Interest and fees paid on debts–
a. Breeding stock for beef cattle,
dairy cattle, hogs, and sheep? . . . . . . .
5.
12. Maintenance and repair of the operator’s
house, if it was owned by the operation?
13. Insurance for the farm business?
cost. Exclude potting mixes, vermiculite,
and sterilized soil.) . . . . . . . . . . . . . . . . . . .
3.
11. Maintenance and repair for the upkeep
of all farm buildings, houses other than
the operator’s, land improvements,
and all other farm/ranch improvements?
Section F continues on next page
Section F continues on next page
Page 8
5.
Page 9
Which code from the list below represents the largest portion of this operation’s 2011 total gross value
of sales, including Government agriculture payments? (Include sales of all crops, livestock, poultry, and livestock
products sold in 2011; the value of products removed for all crops, livestock, and poultry produced under contract in
0047
2011; sales of miscellaneous agricultural products in 2011; all Government agricultural payments received in 2011;
landlord’s share of Government payments.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Farm Type
Code
Farm Type
OPERATOR(S) and
PARTNER(S)
CODE
NONE
8.
Purchase for the farm business of–
Hogs and pigs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09
a. diesel fuel? (Include biodiesel.) . . . . . . .
Milk and other dairy products from cows . . . . . . . . . . . . . . . . . . . . . . . . 10
b. gasoline and gasohol?
Tobacco . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02
Cattle and calves (beef and dairy cattle for breeding
stock, fed cattle, beef and dairy cull animals, stockers
and feeders, veal calves, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Vegetables, melons, potatoes and sweet potatoes (cabbage,
cantaloupes, pumpkins, red beets, sweet corn, tomatoes,
watermelons, vegetable seeds, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . 04
Sheep, goats, and their products (wool, mohair, milk and cheese) . . . . . 12
Fruit, tree nuts and berries (almonds, apples, blueberries,
cherries, cranberries, grapes, hazelnuts, kiwifruit, oranges,
pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . . . . . . . . . . . . . 05
Poultry and eggs (broilers, chickens, turkeys, ducks, eggs,
emus, geese, hatchlings, ostriches, pigeons, pheasants,
quail, poultry products, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Nursery, greenhouse, and floriculture (bedding plants, bulbs,
cut flowers, flower seeds, foliage plants, mushrooms,
nursery potted plants, shrubbery, sod, etc.) . . . . . . . . . . . . . . . . . . . . . . 06
NONE
DOLLARS
CONTRACTOR(S)
NONE
DOLLARS
0645
0646
0647
0648
0649
0650
0651
0652
0653
0654
0655
0656
0657
0658
0659
0660
0661
0662
0844
0845
0846
0708
0709
0710
0714
0715
0716
0729
0730
0731
0738
0739
0741
0742
0744
0745
0746
0747
0748
0749
Code
Grains, oilseeds, dry beans, and dry peas (corn, flaxseed, grain,
silage and forage, grains and oilseeds for seeds, popcorn, rice,
small grains, sorghum, soybeans, sunflowers, etc.) . . . . . . . . . . . . . . . . 01
Cotton and cottonseed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03
DOLLARS
LANDLORD(S)
(Include ethanol blends.) . . . . . . . . . . . .
c. natural gas?. . . . . . . . . . . . . . . . . . . .
Equine (horses, ponies, mules, burros and donkeys) . . . . . . . . . . . . . . . 13
d. LP gas? (propane, butane). . . . . . . . . . .
e. oils and lubricants? (Include grease,
hydraulic fluids, motor oils, transmission
fluids, etc.). . . . . . . . . . . . . . . . . . . . . .
Aquaculture (catfish, trout, other finfish, shellfish, etc.) . . . . . . . . . . . . . . 15
Other animals and other animal products (bees, honey, rabbits, other
fur-bearing animals, semen, manure, other animal specialties, etc.). . . . . 16
f.
Cut Christmas trees and short rotation woody crops . . . . . . . . . . . . . . . 07
Other crops and hay (grass seed, hay and grass silage,
straw, hops, maple syrup, mint, peanuts, sugarcane,
sugarbeets, CRP, pasture, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08
9.
all other fuel? (Include coal, fuel oil,
kerosene, wood, etc.). . . . . . . . . . . . . . .
Farm supplies, marketing containers,
hand tools, farm shop power
equipment, bedding, and litter?
(Include expenses for temporary fences.) . . . .
10. Repairs, parts and accessories
for motor vehicles, machinery,
and farm equipment? . . . . . . . . . . . . . . . .
SECTION F: OPERATING and CAPITAL EXPENDITURES
In 2011, how much was spent by this operation (operators or partners) for the following items? How much did the landlord(s)
and contractor(s) spend on production expenditures for this operation? (Include only farm/ranch expenses. Exclude expenses
connected with performing custom work for others. The operators are those persons responsible for the day-to-day management decisions
for this operation, including hired managers.)
(Exclude any new construction or remodeling.) .
OPERATOR(S) and
PARTNER(S)
1.
Seeds, sets, plants, seed cleaning
and treatments, transplants, trees,
and nursery stock? (Include technology
NONE
DOLLARS
0600
LANDLORD(S)
NONE
DOLLARS
0601
CONTRACTOR(S)
NONE
DOLLARS
0602
or other fees, seed treatments, and seed
cleaning cost.) . . . . . . . . . . . . . . . . . . . . . .
2.
Nutrients, fertilizer, lime, and soil
conditioners? (Include custom application
4.
Biocontrols and agricultural chemicals
for crops, livestock, poultry, and general
farm use? (Include custom application costs.).
Livestock purchases:
0606
0607
0608
0612
0613
0614
b. not secured by real estate?
0623
0571
0572
0573
0633
0634
0635
(Include real estate taxes on the
operator’s dwelling, if owned by the
operation.). . . . . . . . . . . . . . . . . . . . . .
0636
0637
0638
b. livestock, machinery, and other
farm production items? . . . . . . . . . . . .
0642
0643
0644
(Include service fees on CCC loan
redemptions.) . . . . . . . . . . . . . . . . . . . .
15. Property tax paid on–
a. real estate (land and buildings)?
(Include grain, hay, silage, mixed feeds,
concentrates, etc.) . . . . . . . . . . . . . . . . . . .
Medical supplies, veterinary and
custom services for livestock?
(Exclude manure disposal.) . . . . . . . . . . . . .
a. secured by real estate?
0622
(Include leasing of bees for pollination.) . . . . .
7.
(Exclude health insurance and other
payroll insurance.) . . . . . . . . . . . . . . . . . . .
0621
Leasing of livestock?
Purchased feed for livestock and poultry?
0726
(Include interest paid on the operator’s
dwelling, if owned by the operation.) . . . . .
b. All other livestock and poultry? . . . . . .
6.
("Owned by the operation" means the house is–
–recorded as an asset in farm record books, or
–deeded as part of the farm.) . . . . . . . . . . .
14. Interest and fees paid on debts–
a. Breeding stock for beef cattle,
dairy cattle, hogs, and sheep? . . . . . . .
5.
12. Maintenance and repair of the operator’s
house, if it was owned by the operation?
13. Insurance for the farm business?
cost. Exclude potting mixes, vermiculite,
and sterilized soil.) . . . . . . . . . . . . . . . . . . .
3.
11. Maintenance and repair for the upkeep
of all farm buildings, houses other than
the operator’s, land improvements,
and all other farm/ranch improvements?
Section F continues on next page
Section F continues on next page
Page 10
Page 7
SECTION E: OTHER FARM-RELATED INCOME
OPERATOR(S) and
PARTNER(S)
NONE
DOLLARS
LANDLORD(S)
NONE
DOLLARS
CONTRACTOR(S)
NONE
1.
DOLLARS
0560
16. Cash wages paid to hired farm/ranch
labor? (Include cash wages, incentives
and bonuses, payments to corporate officers
and paid family members before deductions
for social security, taxes, and insurance
premiums. Exclude wages paid for custom
and contract work, as well as wages paid
for housework.) . . . . . . . . . . . . . . . . . . . . .
0758
0759
0760
2.
0764
0765
0767
0768
0770
0773
0575
0576
0771
0772
0774
0775
0776
0777
0778
0782
0783
0847
0848
0849
0865
0866
0867
(Include electricity, phone, and
purchased irrigation water.) . . . . . . . . . . .
DOLLARS
0525
PERCENT of 2a
(i) Of the total in item 2a, what percent was for
DCP direct payments? . . . . . . . . . . . . . . . . . . . . .
0520
(ii) Of the total in item 2a, what percent was for
DCP counter-cyclical payments? . . . . . . . . . . . . . .
0522
(iii) Of the total in item 2a, what percent was for
ACRE direct payments? . . . . . . . . . . . . . . . . . . . .
0521
(iv) Of the total in item 2a, what percent was for
....................
ACRE revenue payments?
0523
+
+
+
%
%
%
DOLLARS
0529
DOLLARS
0545
3.
0543
What is your estimate of the total dollar amount your landlord(s) received in
government payments for the acres you rented from them? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
In 2011, what was the total income received by you (the operator) and all partners for:
a. custom work, machine hire, and other agricultural services provided by this
operation for farmers and others? (Exclude if this is for a separate business.). . . . . . . . . . .
b. recreational and agri-tourism activities such as hunting, fishing, farm tours,
hospitality services, petting zoos, etc.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0546
0548
0550
c. sales of farm machinery and vehicles? (farm share only) . . . . . . . . . . . . . . . . . . . . . . . .
0552
0750
0751
0753
0754
d. Federal crop or livestock insurance payments? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
cars, trucks, irrigation equipment and
other equipment. Exclude custom hire.) . . .
e. other income that is closely related to the agricultural operation? (Exclude sales of farm
machinery and vehicles. Include grazing of livestock; sales of forest products patronage
dividends and refunds from cooperatives; royalties or leases associated with energy production
such as natural gas, oil, wind turbines, etc.; animal boarding, hedging profits and losses,
insurance indemnity payments other than Federal crop insurance payments, sales of poultry litter
and manure, State fuel tax refunds, tax refunds, sales of value-added goods produced from your
farm commodities such as cheese, cider, jams, jellies, wine, etc. if these are not part of a
separate business. If a loss was incurred, please indicate with a negative sign.). . . . . . . . . . . .
d. Vehicle registration and licensing fees?
e. Depreciation expenses claimed by this
operation in 2011 for all capital assets?
(Estimate 2011 from 2010 if necessary.) .
No ➔ SKIP to question 3 below
payments; tobacco buyout payments, including lump sum payments; and other Federal, State,
or local programs. Exclude Federal Crop Insurance payments and other indemnity payments.
Exclude CRP, CREP, WRP, EQIP, CSP, and CStP payments reported in Section A.). . . . . . . . .
0784
a. Custom work, machine hire,
custom hauling? . . . . . . . . . . . . . . . . .
c. Renting or leasing of tractors,
vehicles, equipment or storage
structures? (Include farm machinery,
3
c. In 2011, how much was received for all other Federal, State, or local program
payments? (Include disaster and market loss payments; Milk Income Loss Contract (MILC)
19. Contract labor? (Include expenses for labor,
b. Utilities used for the farm?
Yes
+
%
100%
=
NONE
b. In 2011, how much was received in Loan Deficiency Payments (LDPs),
Marketing Loan Gains (MLGs), and for net value of commodity certificates?
(Include government payments received through a cooperative.). . . . . . . . . . . . . . . . . . . . . .
18. Payroll taxes and benefits for hired labor?
20. All other operating expenses–
0519
NONE
a. In 2011, how much was received for the Direct Counter-cyclical Payment
(DCP) and Average Crop Revenue Election (ACRE) programs?
(Include government payments received through a cooperative.). . . . . . . . . . . . . . . . . . . . . .
0769
e. all other paid farm and ranch labor?. . .
such as harvesting of fruit, vegetables, berries,
etc. performed on a contract basis by a
contractor, crew leader, cooperative, etc.) . . . .
1
NONE
0574
DOLLARS
In 2011, did this operation receive any Federal, State, or local farm program payments?
0563
responsible for the day-to-day decisions
for this operation)? . . . . . . . . . . . . . . . .
(Include employer’s share of Social Security,
unemployment taxes, health insurance, pension
or retirement plans, Workers Compensation, etc.
Also include any amounts the farm paid for
farm workers that are part of your
(the operator’s) household.) . . . . . . . . . . . . .
No ➔ SKIP to question 2 below
(Include government payments received through a cooperative. Exclude conservation-related
payments recorded in Section A and CCC loan payments.)
0766
other household members are operators,
include their wages here.) . . . . . . . . . . .
d. other operators (those persons
3
b. In 2011, what was the amount spent to repay CCC loan(s)?
(Exclude storage and service fees.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Even if your spouse is an operator,
include his/her wages here.) . . . . . . . . . .
c. your (principal operator’s) other
household members? (Even if your
Yes
(Include Austrian winter peas, barley, canola, rapeseed, corn, cotton, crambe, dry edible peas, NONE
0518
flaxseed, honey, lentils, mohair, mustard seed, oats, peanuts, rice, safflower, sesame seed,
small chickpeas, sorghum, soybeans, sunflower seed, and wheat.). . . . . . . . . . . . . . . . . . . . .
a. you (the principal operator)? . . . . . . . .
b. your (principal operator’s) spouse?
1
a. In 2011, how much was received for all commodities placed under CCC loan(s)?
17. Of the total cash wages (item 16)
how much was paid out to–
(Total 17a + 17b + 17c + 17d + 17e must equal item 16.)
In 2011, did this operation receive or repay any Commodity Credit Corporation (CCC) loans?
0756
0757
0557
List each income item and amount separately, below.
(i) How much of the depreciation
expense was for breeding stock? . .
Section F continues on next page
Section E continues on next page
Page 6
Page 11
CASH OR OPEN MARKET SALES
5.
OPERATOR(S) and
PARTNER(S)
After subtracting marketing expenses, what was the total dollar amount this operation received in 2011 for cash or open
market sales of each of the following crop and/or livestock commodities sold in 2011? (Exclude marketing contract sales,
NONE
f.
DOLLARS
0501
a. Corn, rice, sorghum, soybeans, oats, barley, wheat (Include silage. Exclude sweet corn) . .
0502
b. Other grains and oilseeds, dry beans, and dry peas (flaxseed, other grain silage and
forage, other grains and oilseeds, popcorn, sunflowers, etc.). . . . . . . . . . . . . . . . . . . . . . . . .
0503
0504
e. Fruit, tree nuts, berries (almonds, apples, blueberries, cherries, grapes, hazelnuts,
kiwifruit, oranges, pears, pecans, strawberries, walnuts, etc.) . . . . . . . . . . . . . . . . . . . . . . . .
0505
Nursery, greenhouse, cut Christmas trees, floriculture and sod (bedding plants, bulbs,
......
cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants, shrubbery, etc.)
0506
g. Other crops and hay, and short rotation woody crops (grass seed, hay and
grass silage, hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, etc.) . . . . . . . . . . . . . .
0507
f.
Cash values of commodities,
feed, fuel, housing, meals, utilities,
vehicles, or any other non-cash
payment to workers for farm work? . . .
g. Market value of commodities
produced and used on this
operation for home consumption?
(Exclude those reported in f above.) . . . . .
c. Tobacco, cotton, and cottonseed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Vegetables, melons, potatoes, and sweet potatoes (cabbage, cantaloupes,
pumpkins, red beets, sweet corn, tomatoes, watermelons, vegetable seeds, etc.). . . . . . . . . . . .
DOLLARS
NONE
production contract removals, landlord’s share of market value.)
h. Amount paid to purchase professional
or farm management services such as
record keeping, accounting, tax and
business planning, farm product
advice, conservation practices, etc.?. . .
i.
General business and all other
operating expenses not reported
above? (Exclude capital expenditures
LANDLORD(S)
DOLLARS
NONE
CONTRACTOR(S)
DOLLARS
NONE
0871
0799
0801
0577
0578
0579
for vehicles and machinery, buildings, etc.)..
List general business expense items and amounts below.
0508
h. Hogs and pigs (Exclude breeding stock.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0509
i.
Hog breeding stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j.
Milk from cows (before deduction of any hauling fees) . . . . . . . . . . . . . . . . . . . . . . . . . . .
0510
21. What was the total cost of all capital expenditures and other improvements for this
operation in 2011? Report only the farm share. (Include purchases of equipment, tractors,
0511
k. Cattle and calves (fed cattle, beef and dairy cull animals, stockers and feeders,
veal calves, etc.) (Exclude breeding stock.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
machinery, and farm share of vehicles/SUV’s. Also include the amount spent in 2011 on capital
improvements such as land preparation, irrigation systems, wells, ponds, drainage, roads, feedlots,
silos, lagoons, and new fences. In addition, include all costs for new construction, remodeling, or
0802
additions to structures and dwellings owned by the operation. Exclude repairs and maintenance,
and land purchases.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0512
l.
Cattle breeding stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0524
m. Poultry and eggs (broilers, chickens, turkeys, ducks, eggs, emus, geese,
hatchlings, ostriches, pigeons, pheasants, quail, poultry products, etc.) . . . . . . . . . . . . . . . . . .
n. Other animals and other animal products (sheep, goats, and their products
6.
7.
1.
0527
What was the total amount received from straw and other crop residue sales?
(Exclude hay sales.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MARKETING CHARGES: In 2011,
how much was spent by this operation
(operators, partners, landlords, and
contractors) for marketing and storage
expenses incurred by this operation?
SECTION G: FARM ASSETS
0517
(wool, mohair, and goat milk); horses, ponies, mules, burros, and donkeys;
aquaculture; bees and honey; semen and embryo sales) . . . . . . . . . . . . . . . . . . . . . . . . . . .
What was the total estimated MARKET VALUE of the following assets OWNED by
this operation on December 31, 2011 – (Include any owned assets on rented land.)
a. farm operator’s dwelling, if owned by this operation? (Owned by the operation means
the house is recorded as an asset in farm record books or deeded as part of the farm.) . . . . . . .
DOLLARS
NONE 0850
0851
OPERATOR(S) and
PARTNER(S)
DOLLARS
NONE
(Include check-off, commissions, storage,
inspection, ginnings, etc. Include marketing
expenses for contract sales.) (The operators
0868
are those persons responsible for the
day-to-day management decisions for this
operation, including hired managers.) . . . . . . .
b. all other dwellings? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LANDLORD(S)
DOLLARS
NONE
CONTRACTOR(S)
c. all other farm buildings and structures? (Include barns, cribs, grain bins,
greenhouses, silos, storage sheds, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DOLLARS
NONE
0852
0853
0869
d. orchard trees and vines, nursery trees, and trees grown for woody crops? . . . . . . . . . .
0870
e. land? (Include land rented to others. Exclude houses, buildings, orchard trees,
vines, and trees grown for woody crops.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ACCOUNTS RECEIVABLE/DEFERRED PAYMENTS
8.
DOLLARS
2.
What is the estimated market value of the land and buildings on the acres rented
or leased FROM OTHERS on December 31, 2011? (Reported in Section A,
items 2a, 2b, and 2c.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
What is the estimated market value of the land and buildings on the acres rented
or leased TO OTHERS on December 31, 2011? (Reported in Section A, item 4.) . . . . . . . .
For each item below, report income received or the amount owed to the operation on the dates specified. Do not include
crops in storage and not yet sold. (Include cash sales, marketing contract sales, and production contract removals.)
DOLLARS
NONE
a. On January 1, 2011, what was the total dollar amount owed to this operation for
all commodities produced and sold (cash or contract) before January 1, 2011?. . . . . . .
0885
0854
0855
0857
0875
(i) How much did this operation receive from item 8a during 2011? . . . . . . . . . . . . . . .
b. What was the total dollar amount owed to this operation on December 31, 2011,
for all commodities produced, sold (cash or contract), delivered, or removed
under contract in 2011 or earlier years?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0886
Section G continues on next page
Page 12
For each item below, report the market value(s) of the
assets owned by the operation on the dates specified.
4.
Page 5
SECTION D: COMMODITY MARKETING and INCOME
Beginning of Year
January 1, 2011
What was the ESTIMATED MARKET VALUE
for this operation’s share of [item] on–
a. crops owned and stored on or off this operation
End of Year
December 31, 2011
DOLLARS
(Include crops stored at co-op or gin warehouse, specialty crops, hay,
silage, and nursery and greenhouse products not in the ground.
Exclude crops under CCC loans.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MARKETING CONTRACTS
1. Did this operation have marketing contracts for any commodities delivered1/ in 2011? (A marketing contract is a verbal or
DOLLARS
0888
written agreement, reached before harvest of a crop or before completion of a livestock production stage, setting a price or pricing
formula and market for the commodity.)
0889
0300
2.
b. breeding livestock owned by and located on or off this operation
0863
(Include aquaculture, bees, cattle, equine, hogs, mink, poultry, sheep,
etc., kept for breeding purposes. Exclude livestock being produced
under contract on another operation (reported in Section C, item 3).) . . . . . . . . .
c. non-breeding livestock owned by and located on or off this operation
0877
0878
0879
3
Yes – Continue to question 2
No ➔ SKIP to question 3 below
(If Yes) Report the commodities delivered in 2011 through marketing contract(s). List the quantities marketed and the final
price received. (Include only the quantity owned by the operation. Exclude money received from contractors as reimbursement for expenses
(report this in SECTION F). Exclude landlord shares (report in SECTION B, item 3 and SECTION C, item 2). Also exclude marketing charges
(report in item 7) and money received for any reimbursements for expenses (report in SECTION F).)
0864
0876
(Include aquaculture, bees, cattle, equine, hogs, mink, poultry, sheep,
etc., kept for non-breeding purposes. Exclude livestock being produced
under contract on another operation (reported in Section C, item 3).) . . . . . . . . .
1
1
What commodities did this
operation have
MARKETING
contracts for in 2011?
2
Commodity
Code
[Write in commodities]
d. production inputs owned by this operation such as processed feed,
fertilizer, chemicals, fuels, parts, purchased seed, other supplies, etc. . . .
e. production inputs already used by this operation for cover crops,
crops planted but not yet mature for harvest (also known as sunk costs),
or the value of inputs used for production contracts that have yet to be
delivered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0880
0881
QUANTITY
CODE
(from list
below)
DOLLARS & CENTS
0301
0304
0305
0306
0316
0319
0320
0321
0331
0334
0335
0336
0346
0349
0350
0351
0361
0364
0365
0366
0376
0379
0380
0381
6
What was the total dollar
amount received in 2011
from this contract?
(Exclude marketing
charges.)
TOTAL DOLLARS
0307
0322
.
0337
.
trucks and cars owned by this operation (Include farm share only.). . . . . . . . . . . . . . . . . . . . . . . .
0883
0352
.
g. tractors, machinery, tools, equipment and implements owned by this operation . . . . . . . . . . . . . .
0884
0367
.
h. stock in other farm cooperatives and Farm Credit System (FCS) . . . . . . . . . . . . . . . . . . . . . . . .
5.
CODE
5
What was (will be) the FINAL PRICE
RECEIVED per [column 4] unit
by this operation for this commodity
marketed under this contract?
(Exclude marketing charges.)
.
0882
f.
4
Unit Code
Office use
only
3
What quantity of this
commodity was delivered
through this contract?
(Exclude landlord’s
share.)
0382
VALUE CODE
(From the list
below)
What value code represents the dollar range for the value of all other farm assets not
previously listed (liquid assets) on December 31, 2011? (Include money owed to this operation
(except money owed from commodity sales), cash certificates of deposit, savings and checking accounts,
0887
hedging account balances, government payments due, balance of land contract sales, any other farm assets
not reported earlier. Exclude any personal debt owed to the operator(s).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
1/ “Delivered” includes commodities for which partial payment was made even if not physically delivered by December 31, 2011.
PRODUCTION CONTRACTS AND CUSTOM FED LIVESTOCK
3. Did this operation have production contracts for any commodities it produced in 2011? (A production contract is a verbal or
Value
Dollar Range
Code
None . . . . . . . . . . . . 01
Value
Dollar Range
Code
$10,000 – 14,999 . . . . . . . 10
Value
Dollar Range
Code
$80,000 – 99,999 . . . . . . . . . 19
Value
Dollar Range
Code
$1,000,000 – 1,499,999. . . . . . . . 28
$1 – 499. . . . . . . . . . . 02
$15,000 – 19,999 . . . . . . . 11
$100,000 – 124,999. . . . . . . . 20
$1,500,000 – 1,999,999. . . . . . . . 29
$500 – 999 . . . . . . . . . 03
$20,000 – 24,999 . . . . . . . 12
$125,000 – 149,999. . . . . . . . 21
$2,000,000 – 2,999,999. . . . . . . . 30
$1,000 – 1,999 . . . . . . 04
$25,000 – 29,999 . . . . . . . 13
$150,000 – 199,999. . . . . . . . 22
$3,000,000 – 4,999,999. . . . . . . . 31
$2,000 – 2,999 . . . . . . 05
$30,000 – 34,999 . . . . . . . 14
$200,000 – 274,999. . . . . . . . 23
$5,000,000 – 7,499,999. . . . . . . . 32
$3,000 – 3,999 . . . . . . 06
$35,000 – 39,999 . . . . . . . 15
$275,000 – 349,999. . . . . . . . 24
$7,500,000 – 9,999,999. . . . . . . . 33
$4,000 – 4,999 . . . . . . 07
$40,000 – 49,999 . . . . . . . 16
$350,000 – 499,999. . . . . . . . 25
$10,000,000 and over . . . . . . . . . 34
$5,000 – 7,499 . . . . . . 08
$50,000 – 59,999 . . . . . . . 17
$500,000 – 749,999. . . . . . . . 26
$7,500 – 9,999 . . . . . . 09
$60,000 – 79,999 . . . . . . . 18
$750,000 – 999,999. . . . . . . . 27
written agreement setting terms, conditions, and fees to be paid by the contractor to the operation for the production of crops, livestock,
or poultry. The contractor usually owns the commodity and often provides inputs.)
0400
4.
1
3
Yes – Continue to question 4
No ➔ SKIP to question 5
(If Yes) Report in the table below the commodities with production contracts in 2011. Also list the quantities removed under
these contracts and the final fee received. (Exclude money received to pay for production expenses. Expense reimbursements
should be reported in Section F.)
1
What commodities did
this operation have
PRODUCTION
contracts for in 2011?
2
Commodity
Code
4
Unit Code
Office use
only
3
What quantity of this
commodity was removed
from the operation
under this contract?
(Exclude landlord’s share.)
[Write in commodities]
CODE
QUANTITY
CODE
(from list
below)
5
What was (will be)
the FINAL FEE RECEIVED
per [column 4] unit by this
operation for producing this
commodity under this contract?
6
What were the TOTAL
FEES RECEIVED in
2011 under this
contract?
1/
DOLLARS & CENTS
TOTAL DOLLARS
0401
0404
0405
0406
0416
0419
0420
0421
0431
0434
0435
0436
0446
0449
0450
0451
0407
.
OFFICE
USE ONLY
SECTION H: FARM DEBT
0999
0422
.
DOLLARS
1.
2.
What was the total amount of all production loans taken out and repaid in 2011?
(Include seasonal production and equipment loans.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NONE 0890
.
Did this operation owe money to any banks, co-ops, individuals, merchants, or
Federal agencies on December 31, 2011? (Include multi-purpose loans used both
1
Yes – Continue to question 3
3
0452
.
for farm and non-farm purposes. Exclude CCC commodity loans and any loans used
exclusively for non-farm purposes.)
1058
0437
1/ Income received for commodities produced under contract in previous years should be recorded in item 8a(i) on page 6.
Unit
Pound .
Cwt . . .
Ton . . .
Bushel .
No ➔ SKIP to Section I
Section H continues on next page
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Code
01
02
03
04
Unit
Bin . . .
Box . . .
Bale . .
Carton .
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Code
. 05
. 06
. 07
. 08
Unit
Dozen . . .
Flat . . . . .
Head/Bird.
Plant/Pot .
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Code
. 09
. 10
. 11
. 13
Unit
Barrel . . . . . .
Acre . . . . . . .
Animal Space
Kilogram . . . .
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Code
. 20
. 22
. 39
. 40
Section D continues on next page
Page 4
2.
Page 13
SQUARE FEET UNDER
glass or other protection
NONE
What was the area grown for sale of nursery, floriculture,
or greenhouse crops, including Christmas trees, ornamental
plants, flowers, mushrooms, aquatic plants, sod, food crops
under protection, vegetable seeds, flower seeds, or other
propagative materials? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0191
ACRES
in the OPEN
3.
0192
.
Tenths
a. One year or less production
or other loans . . . . . . . . . . . . . . . . . . .
DOLLARS
NONE
3.
For acres rented to this operation on a share basis in 2011, what was the estimated
total market value of your landlord’s share of total crop production in 2011?. . . . . . . . . . . .
4.
a. Beef cows (Include beef heifers that
On Dec. 31, 2011,
how many [item],
regardless of
ownership,
were on hand?
NONE
On Dec. 31, 2011,
how many [item]
were owned by
this operation?
0254
0255
0256
1049
1051
1052
1054
1055
0257
0258
0259
1.
.
2.
%
Hundredths
%
NONE
DOLLARS
1057
OFFICE
USE ONLY
0261
0295
1
3
Yes
No
1246
In 2011, how many owners of this operation were there? (Exclude landlords, contractors,
and lending institutions holding farm debt. Include yourself if you have an ownership interest.) . . . . . . . . . .
3.
d. Total cattle and calves (total items a+b+c) . . .
1
2
PERCENT
1248
%
0296
Family or individual operation (Exclude partnerships and corporations.)
Legal partnership operation (Include family partnerships.)
1204
Is this partnership registered under State law? . . . . . . . . . . . . . . . . . . . . . . . .
e. All hogs and pigs . . . . . . . . . . . . . . . . . . .
0248
0249
NUMBER
In 2011, what was this operation’s legal status for tax purposes?
1240
0263
2001
In 2011, was more than 50% of the ownership interest in this operation held by you (the principal operator) and/or persons
related to you by blood, marriage, or adoption, including relatives not residing in your household? (Ownership interest is defined
a. What percent of the ownership interest did you (the operator) and your
household hold? (Exclude relatives not living in your household.) . . . . . . . . . . . . . . . . . . . .
0253
c. Other cattle and calves . . . . . . . . . . . . . . .
0262
%
Hundredths
NONE
0252
0260
%
1056
.
Cwt.
0251
%
1053
.
c. More than one year real estate debt . . .
How much of the debt owed on December 31, 2011 (reported above)
was for the operator’s dwelling? (If the operator’s dwelling is owned
1249
0270
%
Hundredths
as having ownership of at least some of the farm business assets. Potential owners include individuals, partners, corporate shareholders,
and members of a Limited Liability Company. Potential owners DO NOT INCLUDE landlords, contractors, and lenders.)
b. Milk cows, including any dry cows
(Exclude any heifers not yet freshened.). . . . . .
1050
SECTION I: FARM MANAGEMENT and USE of TIME
have calved. Exclude heifers that have not
calved, steers, calves, and bulls.) . . . . . . . . . .
(i) Milk produced in 2011 (report in cwt.) . . .
1048
How much of this
debt was for farm
use?
PERCENT
by the operation, debt should be included here and above. Exclude operator’s
dwelling if not owned by the operation.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
non-contract and contract sales.)
Did this operation have on hand or
produce any [item] during 2011?
What was the
average interest rate
of this debt?
PERCENT
b. More than one year non-real
estate debt . . . . . . . . . . . . . . . . . . . . .
Please report the total numbers, including landlord’s share, of livestock, poultry, and/or livestock product sold or removed
from the operation during 2011 and the total inventory on December 31, 2011 regardless of ownership. (Include both
What was the total
number of [item]
sold or removed in
NONE
2011?
NONE
What was the
balance owed on
December 31, 2011?
DOLLARS
NONE
0184
SECTION C: LIVESTOCK
1.
For each type of loan, what was the balance
owed, average interest rate, and percent for
farm use?
1
Yes
3
No
NUMBER
0250
1232
f.
How many partners are there in the operation? . . . . . . . . . . . . . . . . . . . . . . . . .
Egg layers . . . . . . . . . . . . . . . . . . . . . . . .
3
0266
4
........
(i) Chicken eggs (report in dozens)
Dz.
0268
0269
5
0298
C-Corporation
S-Corporation
Other (Include estates, trusts, cooperatives, grazing associations, etc.)
1202
4.
g. Turkeys . . . . . . . . . . . . . . . . . . . . . . . . . .
0264
0265
Was this operation organized as a Limited Liability Company (LLC) under State law? . . . . . . . .
1
Yes
3
No
0297
SHARE OF NET FARM INCOME
h. Broilers . . . . . . . . . . . . . . . . . . . . . . . . . .
0272
i.
2.
0273
0299
5.
All other livestock and
poultry. Specify type(s) ➔
if incorporated, receiving corporate dividends.)
1225
What was the estimated total market value of your landlord’s share of livestock
0276
production sold or removed from this operation in 2011?
(Exclude shared livestock production not part of a land rental arrangement.)
.......................
1
Yes
3
No ➔ SKIP to Section D
a. What were your gross receipts from items sold or removed under these contracts? . . . .
b. On December 31, 2011, what was the market value of unsold livestock or poultry
remaining under these contracts? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0051
c. How much was paid to contractees for labor, management, and reimbursement for
expenses?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0052
Yes
3
No ➔ SKIP to question 6
NUMBER
0976
a. How many other households shared in the net income of the farm business? . . . . . . . . . . . . .
DOLLARS
NONE 0050
1
DOLLARS
OTHER OPERATIONS GROWING, FEEDING, OR RAISING LIVESTOCK FOR THIS OPERATION
3. Did any other operation(s) grow, feed, or raise livestock or poultry owned by this operation under a contract arrangement in
2011 (you are the contractor)?
0271
In 2011, did any households, other than your (the principal operator’s) household, share in
the net farm income of this business? (Sharing can occur by receiving a share of profits/losses or,
6.
Is this operation a C-Corporation or an LLC that chose to file as a C-Corporation?
1226
1
3
Yes
No ➔ SKIP to question 6b
a. What value code represents the corporate dividends that you (the operator) and your
household received from this farming operation? (If your operation is an LLC that elected to
VALUE CODE
(from list on
page 16)
0975
file for tax purposes as a C-Corporation, consider this as income here.) [See Value Code list on
page 16. Skip 6b and proceed to question 7.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERCENT
b. What percent of net income (whether profit or loss) were you (the operator) and your
0974
household entitled to receive from this farming operation? (If your operation is an LLC
that elected to report income for tax purposes as a pass-through, consider this as income here.). . . . . . .
%
Section I continues on next page
Page 3
Page 14
FARM OPERATORS
7.
In 2011, how many operators (individuals) were involved in the day-to-day decisions for
this operation? ( Enter the number of operators, including the operator named on the front of this
NUMBER
CROP
1200
form, and family members if they are also operators. Exclude family members unless they make
day-to-day decisions for the operation. Exclude hired workers unless they are a hired manager.) . . . . . . . . .
1205
8.
9.
Did you (the principal operator) have a spouse for at least part of 2011? . . . . . . . . . . . . . . . . .
Did the principal operator’s spouse make day-to-day decisions for this farm/ranch at any
1209
point during 2011? (If yes, the principal operator’s spouse should be included in item 7 above.). . . . . . .
For items 10-13, please answer for up to three primary operators of this
operation as of December 31, 2011. If one of the operators is the
principal operator’s spouse, record his/her information in operator 2.
How many crop
ACRES were
harvested?
NONE
FIELD CROPS
0121
1
3
Yes
No
Potatoes (report sweet potatoes
in all other crops). . . . . . . . . . . . . . .
0122
.
1
3
Yes
No
OPERATOR
2
OPERATOR
3
NAME
NAME
NAME
Rice . . . . . . . . . . . . . . . . . . . . . . . .
0130
0133
0134
0137
0138
0141
0142
Sorghum for grain . . . . . . . . . . . . . .
1262
AGE
1282
AGE
Tons
0139
Bu.
.
Bu.
Lbs.
Tenths
1241
YEAR
1261
YEAR
1281
SMALL GRAINS
YEAR
12. In what year did the operator(s) begin to operate any farm operation?
0145
0146
0149
0150
0153
0154
Barley for grain . . . . . . . . . . . . . . . .
1
2
1263
Male
Female
1283
1
1
Male
2
0995
1
Male
2
Female
14. Were you a hired manager for this operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Female
3
Yes
No
USE OF TIME
0147
Bu.
Oats for grain . . . . . . . . . . . . . . . . .
Bu.
0151
Bu.
Wheat, all types, for grain. . . . . . . . .
Bu.
0155
Bu.
Bu.
HAY CROPS
For items 15-16, please answer for each of the
three-month periods during 2011.
15. On average, about how many paid and
unpaid hours per week (work and
management time) did–
Bu.
0135
Tons
Tobacco, all types . . . . . . . . . . . . . .
13. What was the gender of the operator(s)?. . . . . . . . . . . . . . . . . . . . .
Cwt.
0131
Bu.
Soybeans . . . . . . . . . . . . . . . . . . . .
AGE
Cwt.
0127
Cwt.
0129
11. What was the age of operator(s) on December 31, 2011? . . . . . . . . . .
1243
0126
Sorghum for silage . . . . . . . . . . . . .
10. What was the full name of the operator(s)? . . . . . . . . . . . . . . . . . . . . .
0123
Cwt.
Tenths
0125
PRINCIPAL
OPERATOR
1242
How much of this operation’s
share of the TOTAL AMOUNT
was (will be) USED on this
operation?
What was the
TOTAL AMOUNT of
PRODUCTION?
1st Quarter
Jan-Mar, 2011
2nd Quarter
Apr-June, 2011
3rd Quarter
July-Sept, 2011
4th Quarter
Oct-Dec, 2011
0157
0158
0161
0162
Hay, dry, alfalfa and alfalfa mixtures .
NONE
a. you (the principal operator) work for
this farm/ranch?. . . . . . . . . . . . . . . . . . . .
b. your (the principal operator’s) spouse
work for this farm/ranch? (Even if your
HOURS/WEEK
0828
HOURS/WEEK
0829
HOURS/WEEK
0830
HOURS/WEEK
0831
NONE
16. On average, about how many hours per
week (work and management time) did
unpaid workers (such as non-operator
partners, family members, etc.) work for
this farm/ranch? . . . . . . . . . . . . . . . . . . . . . .
Tons
Hay, dry, all others . . . . . . . . . . . . .
Tons
0163
Tons
Tons
OTHER CROPS
0832
0833
0834
0165
0166
0169
0170
0173
0174
Canola . . . . . . . . . . . . . . . . . . . . . .
0836
0837
0838
0839
Lbs.
Other oilseeds . . . . . . . . . . . . . . . . .
0840
HOURS/WEEK
0841
HOURS/WEEK
0842
HOURS/WEEK
0843
Lbs.
0171
Lbs.
Sugarcane or sugarbeets . . . . . . . . .
HOURS/WEEK
0167
0835
spouse is an operator, include his/her
hours here.) . . . . . . . . . . . . . . . . . . . . . . .
c. other operators (those persons
responsible for the day-to-day
management decisions for this
operation) work for this farm/ranch? . . . . .
0159
Lbs.
0175
Tons
Tons
0177
Dry edible beans, peas and lentils . . .
0178
Vegetables for processing . . . . . . . .
All other vegetables and melons
0179
(Exclude vegetables grown under
glass or other protection.) . . . . . . . . . . .
0180
Fruits, nuts and berries. . . . . . . . . . .
0181
Nursery and greenhouse crops
(Include Christmas trees.) . . . . . . . . . .
.
0182
All other crops not listed above
(Include sweet potatoes.). . . . . . . . . . .
Tenths
Section B continues on next page
Page 2
6.
Page 15
Of the total acres in this operation (item 5 on the previous page),
how many acres were–
a. considered cropland? (Include land in government programs, fruit/nut/berry/nursery
NUMBER OF ACRES
NONE
1.
b. covered under a Federal crop insurance policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. enrolled in the Conservation Reserve Program (CRP), Conservation Reserve
Enhancement Program (CREP), and/or Wetlands Reserve Program (WRP)? . . . . . . .
0039
Are the principal operator and/or the principal operator’s spouse of Spanish, Hispanic, or Latino origin or background,
such as Mexican, Cuban, or Puerto Rican, regardless of race?
0028
Operator ➔
2.
0041
d. used to harvest certified organic crops? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NONE
8.
DOLLARS
0477
In 2011, what was the total dollar amount received for CRP, CREP, and/or WRP
payments? (Verify that CRP, CREP, and/or WRP acres are reported in item 6c.) . . . . . . . . . . . .
At any time during 2011 did you have a current Environmental Quality Incentives
Program (EQIP), Conservation Security Program (CSP), and/or Conservation
Stewardship Program (CStP) contract? (Check yes if you had a current contract, regardless of
1
1213
1215
3
NUMBER OF ACRES
NONE
3.
Native Hawaiian or Other Pacific Islander
White
White
What is the highest level of formal education achieved by the principal operator and the principal operator’s spouse?
1
0044
4.
0113
0114
1207
0117
0118
Peanuts . . . . . . . . . . . . . . . . . . . . .
1
3
2
High school
3
Some college (Include associates degree)
4
4-year college graduate and beyond
Less than high school diploma
High school
Some college (Include associates degree)
4-year college graduate and beyond
SPOUSE
1208
Farm or ranch work
Work other than farming or ranching
Currently not in the paid workforce
1
2
3
Farm or ranch work
Work other than farming or ranching
Currently not in the paid workforce
Do you (the principal operator) now consider yourself to be retired from farming/ranching?
1259
1
Yes
3
No
NUMBER
1227
6.
How many persons lived in the principal operator’s household on December 31, 2011?
(Include operator, spouse, children, and others living in operator’s household.) . . . . . . . . . . . . . . . . . . . . .
7.
Did the principal operator receive pay for off-farm/ranch work or operate an off-farm business during 2010?
0043
How much of this operation’s
share of the TOTAL AMOUNT was
(will be) USED on this operation?
Bu
0111
Tons
1
Yes
3
No ➔ SKIP to question 8
WEEKS
0933
a. How many weeks did the operator work off this farm/ranch for pay or operate an off-farm
business in 2011? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOURS PER WEEK
0935
b. During those weeks, how many hours per week did the operator usually work off this
farm/ranch for pay or operate an off-farm business in 2011? . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
If the principal operator has a spouse, did the principal operator’s spouse receive pay for off-farm/ranch
work or operate an off-farm business during 2011?
0932
0107
Tons
Cotton, all types. . . . . . . . . . . . . . . .
Less than high school diploma
1
In 2011, what was the primary occupation of the principal operator and the principal operator’s spouse?
0042
Bu
Corn for silage or green chop . . . . . .
SPOUSE
1260
DOLLARS
5.
0106
0110
Asian
1224
4
FIELD CROPS
0109
American Indian or Alaska Native
Black or African American
3
on land rented to others and cover crops if not harvested.)
Corn for grain . . . . . . . . . . . . . . . . .
1214
1222
2
For 2011, please report the acreage and quantity harvested, and amount used on this operation for the following crops on
the total acres in this operation (Section A, item 5). (Include crops grown on a contract or custom basis. Exclude crops grown
0105
No
Native Hawaiian or Other Pacific Islander
0478
SECTION B: ACREAGE and PRODUCTION
NONE
3
Black or African American
0931
CROP
Yes
1221
0046
13. For acres share-rented to others, what was the total value of crop or livestock shares
received in 2011 by this operation? (Include rent received in 2011 for previous years and
government payments received from those acres.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
1218
2
years, rent received in advance, and government payments from those acres. Exclude grazing of livestock,
to be reported in Section E.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1220
OPERATOR
0045
11. In 2011, how much did this operation spend on pasturing or grazing of livestock on
privately owned land (railroads, another farm/ranch, etc.) used on a fee per head
(AUM) or gain basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RENT RECEIVED
12. Including rent for land and buildings, what was the total CASH RENT RECEIVED in
2011 for acres rented TO others by this operation? (Include rent received in 2011 for previous
What was the
TOTAL AMOUNT of
PRODUCTION?
Operator’s spouse ➔
OPERATOR
10. In 2011, what were the total usage fees this operation paid for the use of publicly
owned land on an AUM basis? (Include fees paid for privately owned land administered
by a public agency through exchange of use.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
How many crop
ACRES were
harvested?
No
Asian
DOLLARS
Exclude storage bins, to be reported later in Section F, item 20c. Exclude grazing of livestock,
to be reported in items 10 & 11 below.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
1217
1257
b. What was the total dollar amount received for EQIP, CSP, and/or CStP contracts?
(Verify that EQIP, CSP, and/or CStP acres are reported in item 8a.) . . . . . . . . . . . . . . . . . .
RENT PAID
9. Including rent for land and/or buildings, what was the total CASH RENT PAID in 2011
NONE
by this operation? (Include rent paid in 2011 for previous years and rent paid in advance.
Yes
American Indian or Alaska Native
0070
applied (e.g., reduced tillage, terraces, and grassed waterways) and acreage of fields/tracts
that are adjacent to field-edge practices such as filter strips, riparian buffers, or fences.) . . . . .
1.
1
1216
1223
Yes
No ➔ SKIP to question 9 below
a. What was the total acreage of fields subject to conservation treatments under
EQIP, CSP, and/or CStP contract? (Include acreage of the fields where practices are
1219
Which of these do you (the principal operator) and your (the principal operator’s) spouse consider yourself? Are you–
(Check all that apply)
SPOUSE
OPERATOR
whether you received a payment during 2011.)
0526
2002
0030
acres, and land planted to hay, including wild hay. Exclude CRP acres planted to trees.) . . . . .
7.
OFFICE
USE ONLY
SECTION J: FARM HOUSEHOLD
1
Yes
3
No ➔ SKIP to question 9
WEEKS
0934
a. How many weeks did the principal operator’s spouse work off this farm/ranch for pay or
operate an off-farm business in 2011?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOURS PER WEEK
0936
b. During those weeks, how many hours per week did the principal operator’s spouse usually
work off this farm/ranch for pay or operate an off-farm business in 2011?. . . . . . . . . . . . . . . . .
Lbs.
0119
Lbs.
Lbs.
Section B continues on next page
Section J continues on next page
Project Code 904 QID 044-005 VERSION 5 CORE (10/28/11)
OMB No. 0535-0218 Approval Expires 12/31/2012
Page 16
9. Using the table to the right, which value code represents the total
income the principal operator, spouse, and all other household
members received in 2011 from – (Exclude farm income reported earlier.)
NONE
VALUE CODE
(from list on
the right)
0952
a. all off-farm wages, salary and tips before taxes and withholdings?. . . . . .
b. net cash income from operating another farm or ranch (net of
depreciation)? (if a loss was incurred, please indicate with a negative sign) . . .
$0 . . . . . . . . . . . . . . .
$1-499 . . . . . . . . . . . .
$500-999 . . . . . . . . . .
$1,000-1,999 . . . . . . .
$2,000-2,999 . . . . . . .
$3,000-3,999 . . . . . . .
$4,000-4,999 . . . . . . .
$5,000-7,499 . . . . . . .
$7,500-9,999 . . . . . . .
$10,000-14,999 . . . . .
$15,000-19,999 . . . . .
$20,000-24,999 . . . . .
$25,000-29,999 . . . . .
$30,000-34,999 . . . . .
$35,000-39,999 . . . . .
$40,000-49,999 . . . . .
$50,000-59,999 . . . . .
$60,000-79,999 . . . . .
$80,000-99,999 . . . . .
$100,000-124,999. . . .
$125,000-149,999. . . .
$150,000-199,999. . . .
$200,000-274,999. . . .
$275,000-349,999. . . .
$350,000-499,999. . . .
$500,000-749,999 . . . .
$750,000-999,999. . . .
$1,000,000-1,499,999 .
$1,500,000-1,999,999 .
$2,000,000-2,999,999 .
$3,000,000-4,999,999 .
$5,000,000-7,499,999 .
$7,500,000-9,999,999 .
$10,000,000 and over .
0957
c. net cash income from renting farmland to others, excluding land rented
to others from this operation? (if a loss was incurred, please indicate with a
negative sign) (Include rental of farmland that is not part of this operation,
which may include whole farms or ranches owned by household members as
well as smaller parcels of land. Include cash or share-rented income.). . . . . . . .
d. net cash income from operating any other business (net of depreciation)?
(if a loss was incurred, please indicate with a negative sign) . . . . . . . . . . . . . .
0963
0960
0969
e. interest income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0966
f. dividend income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. total proceeds from the sale of farm and non-farm capital assets?
(Include operator household’s share only.) . . . . . . . . . . . . . . . . . . . . . . . . .
(i) recognized gain/loss on the sale of capital assets reported above
(item 9g)? (if a loss was incurred, please indicate with a negative sign) . . . .
0978
0981
0939
h. income from private pensions and private disability payments? . . . . . . . .
i.
income from public sources including Social Security, military and
other public retirement, veteran’s benefits, public disability,
unemployment, or other public benefits? . . . . . . . . . . . . . . . . . . . . . . . .
0998
0993
j.
other off-farm sources of income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.01
.02
.03
.04
.05
.06
.07
.08
.09
.10
.11
.12
.13
.14
.15
.16
.17
.18
.19
.20
.21
.22
.23
.24
.25
.26
.27
.28
.29
.30
.31
.32
.33
.34
10. Which value code represents the total amount spent on household and family living expenses
in 2011? (Include food, including dining out; rent, utilities and other household expenses; non-farm
VALUE CODE
transportation costs; out of pocket health and medical expenses, including insurance; contributions to
(from the list
insurance and retirement plans; contributions to individuals outside of the household, including alimony
NONE
above)
and child support; clothing, house furnishings, education and child care, charity donations, and
1111
entertainment, as well as mortgage interest and property taxes for operators who live in a dwelling
owned by the household and not the farm.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AGRICULTURAL RESOURCE
MANAGEMENT SURVEY
2011
National
Agricultural
Statistics
Service
Value
Code
Dollar Range
National Agricultural
Statistics Service
1201 East 10th Street
Jeffersonville, IN 47132
1-888-424-7828
Fax: 1-812-218-2232
e-mail: [email protected]
YOUR REPORT IS CONFIDENTIAL
and it will only be used for statistical
purposes. Your report CANNOT be
used for purposes of taxation,
investigation, or regulation. The law
also provides that copies retained in
your files are immune from legal
processes.
Results from this important
data collection will be available
in August 2012 at
http://www.nass.usda.gov and
http://www.ers.usda.gov/
Please make corrections to label name, address, and ZIP Code if needed.
SECTION A: LAND in FARM/RANCH
For the farm/ranch listed above, please report the 2011 farm/ranch land owned, rented or used by you, your spouse, or by the
partnership, corporation or organization for which you are reporting. (Include all cropland, idle land, CRP, pastureland, woodland,
wasteland, farmstead, acres used for crop/livestock production facilities, and all other building sites associated with this operation, etc.)
NUMBER OF ACRES
NONE
11. Which value code represents the total amount of off-farm assets owned by the principal
operator and members of the operator’s household on December 31, 2011? (Include cash,
0020
checking, savings, retirement accounts, corporate stock, certificates of deposit, and real estate not
part of the farm. Exclude assets reported earlier.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Which value code represents the total amount of all off-farm debt owed on December 31, 2011
by the principal operator and members of the operator’s household? (Exclude debt reported earlier.) . . . .
0994
1103
1.
How many acres of farm and ranch land were owned?. . . . . . . . . . . . . . . . . . . . . . . . . .
2.
How many acres of farm and ranch land were rented or leased from others –
(Exclude land used on an animal unit month (AUM) or fee per head basis under a grazing permit.)
13. Which value code represents the total farm sales in the PREVIOUS YEAR (2010)?. . . . . . . . . . . . . .
15. Which value code represents the total off-farm income in the PREVIOUS YEAR (2010)?
(Include wages, salaries, and tips before taxes, and other income.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0021
+
a. for a fixed or flexible cash rent payment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1113
14. Which value code represents the net operating income for this operation in the PREVIOUS
YEAR (2010)? (if a loss was incurred, please indicate with a negative sign) . . . . . . . . . . . . . . . . . . . . . . .
+
b. for a share of crop or livestock production?
(Include hybrid rental arrangement where rent paid is based
on a fixed cash payment plus some shared production.) . . . . . . . . . . . . . . . . . . . . . . . . . .
1114
0023
+
0024
1115
+
c. for free? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SUBTOTAL
SECTION K: CONCLUSION
3.
SUBTOTAL (total items 1 + 2a + 2b + 2c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =
4.
How many acres of farm and ranch land were rented or leased to others?
Thank you. In case we have questions, please provide your contact information:
Your Name
NUMBER OF ACRES
Telephone Number
Date Completed
TOTAL
0026
We are collecting information on cost and returns and need your help to make the information as accurate as possible. Authority for collection of
information on the Agricultural Resource Management Survey report is Title 7, Section 2204 of the U.S. Code. Under Title 7 of the U.S. Code and
CIPSEA (Public Law 107-347), facts about your operation are kept confidential and used only for statistical purposes. Response is voluntary. You
may skip any question(s) you prefer not to answer.
To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/. 0099 1
Would you rather have a brief summary mailed to you at a later date? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
–
(Include land rented out for cash, for a share of crop or livestock production, or rent free.) . . . . . .
9910
1.
0025
5.
TOTAL ACRES in this operation in 2011 (subtract item 4 from item 3). . . . . . . . . . . . . . . . . . . =
Section A continues on next page
Yes
3
No
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 0535-0218. The time required to complete this information
collection is estimated to average 70 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.
Office
Use
Only
R. Unit
Resp
Respd
Mode
Enum
Eval
0921
9901
9902
9903
0098
0100
MM
DD
YY
12
9910
Time
.
0008
Beg
End
0004
0005
or
| File Type | application/pdf |
| File Title | v5core11_p01_16.g |
| File Modified | 2011-12-13 |
| File Created | 2011-10-27 |