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Form Approved –OMB No. 0560-0238
(See Page 2 for Privacy Act and Public Burden Statements.)
U.S. DEPARTMENT OF AGRICULTURE
Position 3
Farm Service Agency
This form is available electronically.
FSA-2038
(03-24-10)
FARM BUSINESS PLAN WORKSHEET
Projected/Actual Income and Expense
1. NAME
2. For Production Cycle Beginning:
Projected
20
Thru:
Actual
20
A - INCOME
1. Crop Sales:
1F.
Farm Use
Production
1A. Description
1B.
Acres
1C.
Yield
1D.
% Share
1E.
# Units
Purchases
1G.
# Units
1H.
$/Unit
Sales
1I.
Total $
1J.
# Units
1K.
$/Unit
1L.
Total $
2. Livestock and Poultry Sales:
2B.
Purch/Raised
2A. Description
P
2C.
# Units
R
2G.
Death Loss
Purchases
2D.
Weight
2E.
$/Unit
2F.
Total $
Sales
2H.
# Units
2I.
Weight
3H.
# Units
3I.
Weight
2J.
$/Unit
2K.
Total $
3. Dairy Livestock Sales:
3B.
3A. Description
Purch/Raised
P
R
3C.
# Head
3G.
Death Loss
Purchases
3D.
Weight
3E.
$/Unit
3F.
Total $
Sales
3J.
$/Unit
3K.
Total $
4. Milk Sales:
4B.
# Head
4A. Description
4C.
Production/Head/Year
4D.
Total Production
4E.
Price
4F.
Sales $
5. Livestock Product Sales:
5B.
Production
5A. Description
Close
5C.
Measure
5D.
Units
Sales
5E.
$/Unit
5F.
Total $
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FSA-2038 (03-24-10)
A - INCOME (Continued)
Page 2 of 2
6. Ag Program Payments
$ Amount
8. Custom Hire Income
$ Amount
7. Crop Insurance Proceeds
$ Amount
9. Other Income
$ Amount
10. Total Income (Items 1 through 9)
B - EXPENSES
$ Amount
11. Car and Truck
$ Amount
23. Rent –Land/Animals
12. Chemicals
24. Repairs and Maintenance
13. Conservation
25. Seeds and Plants
14. Custom Hire
26. Supplies
15. Feed Supplement
27. Taxes –Real Estate
16. Feed, Grain and Roughage
28. Utilities
17. Fertilizers and Lime
29. Veterinary/Breeding/Medicine
18. Freight and Trucking
30. Other Expenses
19. Gas/Fuel/Oil
31. Other - Irrigation
20. Insurance
21. Labor Hired
22. Rent –Machinery/Equipment/Vehicles
32. Interest
33. Total Expenses (Items 11 through 32)
C –NON-OPERATING
34. Owner Withdrawal (Total Family Living Expenses
and Non-Farm Debt Payments)
35. Income Taxes
36. Non-Farm Income
37. Non-Farm Expense
D - CAPITAL
38. Capital Sales
40. Capital Expenditures
39. Capital Contributions
41. Capital Withdrawals
E - WARNING
I certify that the information provided is true, complete, and correct to the best of my knowledge and is provided in good faith. (Warning:
Section 1001 of Title 18, United States Code, provides for criminal penalties to those who provide false statements. If any information is
found to be false or incomplete, such finding may be grounds for denial of the requested action.)
42A. SIGNATURE
NOTE:
42B. DATE
The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a - as amended). The authority for requesting the information
identified on this form is the Consolidated Farm and Rural Development Act, as amended (7 U.S.C. 1921 et. seq.). The information will be used to determine
eligibility and feasibility for loans and loan guarantees, and servicing of loans and loan guarantees. The information collected on this form may be disclosed to
other Federal, State, and local government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by
statute or regulation and/or as described in the applicable Routine Uses identified in the System of Records Notice for USDA/FSA-14, Applicant/Borrower.
Providing the requested information is voluntary. However, failure to furnish the requested information may result in a denial for loans and loan guarantees,
and servicing of loans and loan guarantees. The provisions of criminal and civil fraud, privacy, and other statutes may be applicable to the information
provided.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0238. The time required to
complete this information collection is estimated to average 1.25 hours per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO
YOUR COUNTY FSA OFFICE.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all of its programs and activities on the basis of race, color, national origin, age, disability, and where applicable,
sex, marital status, familial status, parental status, religion, sexual orientation, political beliefs, genetic information, reprisal, or because all or part of an individual’
s income is derived
from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program
information (Braille, large print, audiotape, etc.) should contact USDA’
s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA,
Assistant Secretary for Civil Rights, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, DC 20250-9410, or call toll-free at
(866) 632-9992 (English) or (800) 877-8339 (TDD) or (866) 377-8642 (English Federal-relay) or (800) 845-6136 (Spanish Federal-relay). USDA is an equal opportunity provider and
employer.
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File Type | application/pdf |
File Title | FSA2038_100324V01 |
Author | usda |
File Modified | 2010-11-17 |
File Created | 2010-04-06 |