BCAP-24 Producer Contract

Form Approved –OMB No. 0560-0082

This form is available electronically.
BCAP-24
U.S. DEPARTMENT OF AGRICULTURE
(01-05-11)
C ommodity Cr edit C orporation

BIOMASS CROP ASSISTANCE PROGRAM (BCAP)
APPLICATION

1. Farm Number

2. Tract Number(s)

3. Enrollment Number

4. Enrolled Acres

6A. Enrollment Period:
FROM (MM-DD-YYYY)

6B. Enrollment Period:
TO (MM-DD-YYYY)

7A. Admin. ST. & CO Code

7B. Phys. Loc. ST & CO Code

(Establishment and Annual Payments)
5A. County Office Name

5B. County Office Street Address

5C. City, State, ZIP
5D. Telephone Number (Include Area Code):

8. Project Area ID Number:

THIS Application is for purposes of seeking payments from the Commodity Credit Corporation (referred to as ''CCC") on behalf of the undersigned owners, operators, or tenants (who
may be referred to as '"the Participant".) If accepted the Participant agrees to place the designated acreage into the Biomass Crop Assistance Program (''BCAP") from the date the
Application is approved by the CCC. The Participant also agrees to implement on such designated acreage the conservation, forest, stewardship, or equivalent plan for biomass crop
production developed for such acreage and approved by the CCC and the Participant. Additionally, the Participant agrees to comply with the terms and conditions contained in this
Application including the Appendix to this document entitled Appendix to BCAP-24 Biomass Crop Assistance Program Application (referred to as ''Appendix"). By signing below, the
Participant acknowledges that a copy of the Appendix has been provided to such person. Such person also agrees to pay such liquidated damages in an amount specified in the
Appendix if the Participant removes or modifies acres after application approval. The terms and conditions of any approval are contained in this form BCAP-24 and in BCAP-24
Appendix, and all related addendum and forms related to participation in the BCAP program. BY SIGNING THIS APPLICATION FOR PAYMENTS PRODUCERS
ACKNOWLEDGE RECEIPT OF THE FOLLOWING FORMS: BCAP-23; BCAP-24; BCAP-24 APPENDIX AND ANY ADDENDUM THERETO; IF APPLICABLE.
10. Identification of BCAP Land (See Page 2 for additional space)
9A. Annual Rental Rate Per Acre
(BCAP-23)

A.
Common Land Unit

$

B.
BCAP Practice

C.
Acres Accepted

D.
Total Estimated
Establishment
Payment by Field

9B. Total Acres Accepted
(BCAP-23)
9C. Annual Payment
(BCAP-23)

$

9D. First Year Annual Payment

$

9E. Advanced Partial First Year
Payment

$

$
$
$
E. Total Estimated Establishment Payment

$

11. PARTICIPANTS(If more than three individuals are signing, continue on attachment.)
A(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(MM-DD-YYYY)

%
B(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
C(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%

12. CCC USE ONLY –Payments
according to the shares are
approved.
NOTE:

A. Signature of CCC Representative

B. Date
(MM-DD-YYYY)

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 7 CFR Part 1450, the
Commodity Credit Corporation Charter Act (15 U.S.C. 714 et seq.), and the Food, Conservation, and Energy Act of 2008 (Pub. L. 110-246). The information will be used by CCC to review a
participant’
s (must be located within a designated project area) contract under the Biomass Crop Assistance Program. The information collected on this form may be disclosed to other Federal, State,
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 applicable Routine Uses
identified in the System of Records Notice for USDA/FSA-2, Farm Records File (Automated). Providing the requested information is voluntary. However, failure to furnish the requested information will
result in an inability on the part of CCC to review a participant’
s (must be located within a designated project area) contract under the Biomass Crop Assistance Program.
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 0560-0082. The time required to complete this information collection is estimated to average 10 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. The provisions of appropriate
criminal and civil fraud, privacy, and other statutes may be applicable to the information provided. 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.

Original –County Office Copy

Owner’
s Copy

Operator’
s Copy

BCAP-24 (01-05-11)

Page 2 of 3

CONTINUATION OF ITEM 10 –Identification of BCAP Land
A.
Common Land Unit

B.
BCAP Practice

C.
Acres Accepted

D.
Total Estimated
Establishment
Payment by Field
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

Original –County Office Copy

Owner’
s Copy

Operator’
s Copy

BCAP-24 (01-05-11)

Page 3 of 3

CONTINUATION OF ITEM 11 –PARTICIPANTS
11. PARTICIPANTS
A(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(4) Title/Relationship of the Individual if
Signing in a Representative Capacity

(5) Date

(MM-DD-YYYY)

%
B(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
C(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
D(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
E(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
F(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
G(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
H(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
I(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
J(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
K(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

(MM-DD-YYYY)

%
L(1) Name and Address (Zip Code):

(2) Share

(3) Signature (By)

%

(MM-DD-YYYY)