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

Applicants must complete all Items.

Fld Name /
Item No.
Instruction
1
Name
Enter the applicant’s name.

Enter the last two digits of the year for which information is provided at the beginning of each column.  Complete the appropriate column for the year that information is being provided.
A
Dairy Production
A1a
Herd Number
Enter the average number of milk cows for each of the three preceding years.
A1b
Lbs. of Milk Sold
Enter the total pounds of milk sold for each of the three preceding years.
A1c
Average Production Per Cow
Enter the average milk production per cow for each of the preceding three years.  The number should be the Herd Number (A1a) divided by the pounds of milk sold (A1b).


A1d
Calves Sold
Enter the number of calves sold each year for the preceding three years.
A1e
Calves Average Sale Weight
Enter the average weight of calves at the time they were sold for each of the three preceding years.



A1f
Number of Cows Culled

Enter the number of cows culled for each of the three preceding years.
B
Livestock and Poultry Production
B1
Livestock (Type)
Enter the type of livestock being raised (cattle, hogs, sheep, etc.).  For clarification purposes break down the type of livestock further, such as “brood cows,” “market animals,” “calves,” etc., when applicable.  Enter each different type of livestock as a separate set of information.
B1a
Units Raised
Enter the number of livestock that were raised (for the type described only) on the farm for each of the three preceding years.
B1b
Units Purchased
Enter the number of livestock (for the type described only) that were purchased for each of the three preceding years.
B1c
Total Units
Enter the total number (the total of units raised and units purchased) of livestock of this type for each of the preceding three years.
B1d
Units Sold
Enter the total number of livestock of this type that were sold during each of the preceding three years.
B1e
Death Loss
Enter the total number of loss due to death for the type of animal described in item B1 for each of the preceding three years.
B1f
Purchase Weight
Enter the average weight per unit of livestock that was purchased for sale in each of the three preceding years.
B1g
Sales Weight
Enter the average weight per unit of livestock that was sold in each of the three preceding years.
B2
Livestock (Type)
Enter the type of livestock being raised (cattle, hogs, sheep, etc.).  For clarification purposes break down the type of livestock further, such as “brood cows,” “market animals,” “calves,” etc., when applicable.  Enter each different type of livestock as a separate set of information.
B2a
Units Raised
For the type described only, enter the number of livestock that were raised on the farm for each of the three preceding years.
B2b
Units Purchased
For the type described only, enter the number of livestock that were purchased for each of the three preceding years.


B2c
Total Units
Enter the total number of livestock (the total of units raised and units purchased) of this type for each of the preceding three years.

B2d
Units Sold
Enter the total number of livestock of this type that were sold during each of the preceding three years.
B2e
Death Loss
Enter the total number of loss due to death for the type of animal described in item B1 for each of the preceding three years.
B2f
Purchase Weight
Enter the average weight per unit of livestock that was purchased for sale in each of the three preceding years.
B2g
Sales Weight
Enter the average weight per unit of livestock that was sold in each of the three preceding years.
B3
Livestock (Type)
Enter the type of livestock being raised (cattle, hogs, sheep, etc.).  For clarification purposes break down the type of livestock further, such as “brood cows,” “market animals,” “calves,” etc., when applicable.  Enter each different type of livestock as a separate set of information.
B3a
Units Raised
For the type described only, enter the number of livestock that were raised on the farm for each of the three preceding years.
B3b
Units Purchased
For the type described only, enter the number of livestock that were purchased for each of the three preceding years.
B3c
Total Units
Enter the total number of livestock (the total of units raised and units purchased) of this type for each of the preceding three years.
B3d
Units Sold
Enter the total number of livestock of this type that were sold during each of the preceding three years.
B3e
Death Loss
Enter the total number of loss due to death for the type of animal described in item B1 for each of the preceding three years.
B1f
Purchase Weight
Enter the average weight per unit of livestock that was purchased for sale in each of the three preceding years.
B1g
Sales Weight
Enter the average weight per unit of livestock that was sold in each of the three preceding years.
C
Crop Production
C1
Crop/Unit
Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
Note: Complete a separate section for each type of crop raised, including crops that were only raised for a portion of the reporting period.
C1a
Total Yield
Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C1b
Acres
Enter the total number acres of the described crop raised in each of the three preceding years.

C1c
Average Yield
Enter the average yield per acre of the described crop for each of the three preceding years.  Average yield should be the total yield divided by the number of acres.
C2
Crop/Unit
Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C2a
Total Yield
Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C2b
Acres

Enter the total number acres of the described crop raised in each of the three preceding years.
C2c
Average Yield
Enter the average yield per acre of the described crop for each of the three preceding years.  Average yield should be the total yield divided by the number of acres.
C3
Crop/Unit
Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C3a
Total Yield
Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C3b
Acres
Enter the total number acres of the described crop raised in each of the three preceding years.
C3c
Average Yield
Enter the average yield per acre of the described crop for each of the three preceding years.  Average yield should be the total yield divided by the number of acres.
C4
Crop/Unit
Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C4a
Total Yield
Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C4b
Acres
Enter the total number acres of the described crop raised in each of the three preceding years.
C4c
Average Yield
Enter the average yield per acre of the described crop for each of the three preceding years.  Average yield should be the total yield divided by the number of acres.
C5
Crop/Unit
Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C5a
Total Yield
Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C5b
Acres
Enter the total number acres of the described crop raised in each of the three preceding years.
C5c
Average Yield
Enter the average yield per acre of the described crop for each of the three preceding years.  Average yield should be the total yield divided by the number of acres.
C6
Crop/Unit
Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C6a
Total Yield
Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C6b
Acres
Enter the total number acres of the described crop raised in each of the three preceding years.
C6c
Average Yield
Enter the average yield per acre of the described crop for each of the three preceding years.  Average yield should be the total yield divided by the number of acres.
C7
Crop/Unit
Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C7a
Total Yield
Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C7b
Acres
Enter the total number acres of the described crop raised in each of the three preceding years.
C7c
Average Yield
Enter the average yield per acre of the described crop for each of the three preceding years.  Average yield should be the total yield divided by the number of acres.
C8
Crop/Unit
Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C8a
Total Yield
Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C8b
Acres
Enter the total number acres of the described crop raised in each of the three preceding years.
C8c
Average Yield
Enter the average yield per acre of the described crop for each of the three preceding years.  Average yield should be the total yield divided by the number of acres.
C9
Crop/Unit
Enter a description for each type of crop and how that unit is marketed (bushels, pounds, etc.) for all crops raised in each of the three preceding years.
C9a
Total Yield
Enter the total yield (bushels, pounds, etc.) for each crop described above, for each of the three preceding years.
C9b
Acres
Enter the total number acres of the described crop raised in each of the three preceding years.
C9c
Average Yield
Enter the average yield per acre of the described crop for each of the three preceding years.  Average yield should be the total yield divided by the number of acres.
D
Signature
D1
Signature
Enter the applicant’s signature.

D2
Date
Enter the date the applicant signed the form.