Ccc-505 Voluntary Permanent Base Acres Reduction

This form is available electronically.

CCC-505

2. FARM NO.

1. STATE AND COUNTY
CODE

U.S. DEPARTMENT OF AGRICULTURE
Commodity Credit Corporation

(01-22-13)

3. PROGRAM
YEAR

4. REASON FOR REDUCTION OF BASE ACRES

VOLUNTARY PERMANENT BASE ACRES REDUCTION

CRP Enrollment
Other

NOTE:

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 1412, 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)
as amended by the American Taxpayer Relief Act of 2012 (Pub L. 112-240). The information will be used to process a request for a permanent reduction of the base
acres established for identified crops. The information collected on the 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 to process a request for a permanent reduction of the base acres established for identified crops.
This information collection is exempted from the Paperwork Reduction Act, as it is required for administration of the Food, Conservation, and Energy Act of 2008 (Pub. L.
110-246, Title I, Subtitle F –Administration) as amended by American Taxpayer Relief Act of 2012 (Pub. L. 112-240, Title VII, Extension of Agricultural Programs.)
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.

PART A - REQUEST
The undersigned requests a permanent reduction of the base acres established for the following crop(s) for the farm identified in Item 2 above. However,
I/we understand that the authority expires to: (1) maintain base acres on the farm after September 30, 2013; and 2) restore base acres in any subsequent
year. The existence of base acres and the restoration of those base acres after September 30, 2013, can only be determined by any subsequent statute that
specifically applies to such subject and that applies beyond September 30, 2013.
5.
TRACT NO.

6.
COMMODITY

7.
DIRECT YIELD

8.
COUNTER CYCLICAL
YIELD

9.
COMMODITY BASE
ACRES ON TRACT
BEFORE REDUCTION

10.
COMMODITY BASE
ACRES ON TRACT
TO BE REDUCED

-

=

-

=

-

=

-

=

11.
COMMODITY
BASE ACRES ON
TRACT
AFTER
REDUCTION
(Column 9 MINUS
Column 10)

12. Total Base Acres to be Reduced (Total of Column 10)
13. Total Base Acres on Farm Before Reduction

14. Total Base Acres on Farm After Reduction (Item 13 minus Item 12)

15A. Requestor’
s Signature (By)

15B. Title/Relationship (of the individual signing in the
Representative Capacity)

15C. Date
(mm/dd/yyy)

16A. Owner’
s Signature (By)

16B. Title/Relationship (of the individual signing in the
Representative Capacity)

16C. Date
(mm/dd/yyy)

17A. Owner’
s Signature (By)

17B. Title/Relationship (of the individual signing in the
Representative Capacity)

17C. Date
(mm/dd/yyy)

18. REMARKS (If the base acres are being reduced because of cropland enrollment into CRP, enter the CRP-1 number and the effective date of CRP-1).

PART B- APPROVAL (COUNTY OFFICE USE ONLY)
20. COUNTY FSA OFFICE NAME AND ADDRESS (Including Zip Code)

19. REDUCTION IS:
APPROVED
21. COC'S SIGNATURE

DISAPPROVED
DATE (mm/dd/yyy)

TELEPHONE NUMBER (Area Code):

The U.S. Department of Agriculture (USDA) prohibits discrimination in all 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, genetic information, political beliefs, 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.