CCC-577 Transfer of NAP Coverage

This form is available electronically.
CCC-577
U.S. DEPARTMENT OF AGRICULTURE
(05-08-15)
Commodity Credit Corporation

Form Approved – OMB No. 0560-0175
1. Crop Year:
2A. County FSA Office Name and Address
(Including Zip Code)

NONINSURED CROP DISASTER ASSISTANCE
PROGRAM (NAP) – APPLICATION FOR TRANSFER OF COVERAGE
(2015 and Subsequent Crop Years)
2B. Telephone No. (Including Area Code):
2C. State and County Code

See Page 2 for Privacy Act and Public Burden Statements.
3A. Transferor’s Name

3B. Transferor’s Address

PART A – UNDERSTANDING OF TRANSFEROR AND TRANSFEREE REGARDING TRANSFER OF NAP COVERAGE
Only NAP coverage that has attached and is in effect on the effective date of transfer is eligible for transfer from a NAP covered participant to a
transferee. The coverage that will transfer for each approved transferred coverage crop listed on this request will b e the exact same coverage level
and options as were selected by the transferor on form CCC-471.
4. A transfer of NAP coverage may be sought for various reasons that cause a change in producer crop share interest from one producer to
another in a NAP covered crop. The following are some reasons for seeking a transfer of coverage:
A. sale of land that has a NAP covered crop with existing coverage on it at time of sale;
B. transfer of lease of land having a NAP covered crop planted on it with existing coverage;
C. formation of a new entity to replace a person or legal entity who has NAP coverage on a crop or crops; or
D. other change in crop share interest whereby a person or legal entity succeeds to the crop share interest of the transferor.
A transfer of NAP coverage is inapplicable and will not be used in any of the following instances: (1) after a disaster has occurred;
(2) before the application closing date for the crop/commodity; (3) when estates are closed or entities are dissolved; (4) wh en partial share transfers occur
between two parties; (5) divorce between spouses unless the transfer is 100%; (6) when land is transferred to another administrative county; (7) when the
transferee already has their own coverage for the crop share interest of the transferor for the crop/commodity (added land provisions apply); or (8) if the coverage
period for the crop has not begun. Transfers must be initiated after the application closing date and coverage has attached and before the earlier of either the
disaster event or end of the coverage period. The transferor and transferee agree that in the event FSA approves this transfer request, the transferor and transferee
are jointly and severally liable for any premium that applies or will apply to the transferred NAP coverage. The amount of premium calculated will be based on
status of the transferor. In no case will a premium owed to CCC be reduced by a transfer. Transferee is responsible for meeting all program requirements
including eligible producer requirements. FSA will disapprove a request to transfer NAP coverage for any crop for which coverage has not attached and that is
not in effect or has not yet attached as of the effective date of transfer. The effective date of transfer entered below is an affirmation by the transferor and
transferee as to the date the transferor’s crop share interest in the NAP covered crop was transferred to the transferee. That date entered by the parties below is
subject to review and acceptance by FSA. FSA may at any time it deems appropriate require documentation substantiating this transfer request or any of the
information entered or contained on this form.

PART B – REQUEST TO TRANSFER NAP COVERAGE - LIST EACH CROP FOR WHICH TRANSFER IS SOUGHT (Attach copy of
CCC-471 for Transferor, copy of Producer Application Summary Report, any supporting documentation)
5.
Name of Crop (From CCC-471)
Check if all crops on CCC-471 are
requested for transfer of coverage:

6.
Effective Date of Transfer for
Crop
Check if effective date is the same
for all crops being transferred:

7.
Reason for Transfer of This Crop
Check if the reason is the same for
all crops being transferred:

8.
CCC Action (Approval
or Disapproval)
Approved
Disapproved
Approved
Disapproved
Approved
Disapproved

9.
Transferee Name and Address (Include Zip Code)

10.
Percentage Share Transferred

%

%

%
TOTAL MUST EQUAL 100%

%

CCC-577 (05-08-15)

Page 2 of 2

PART C – CERTIFICATIONS AND SIGNATURES OF TRANSFEROR AND TRANSFEREE
I certify all information entered on this application for transfer of NAP coverage, whether or not personally entered by me, is true and correct. I
understand that FSA may seek additional documentation substantiating any of the information provided on this form either before or after acting on this
request to transfer any of the crop coverage in Part B, Item 5. I acknowledge all of the following: (1) The election of basic 50/55 or buy-up NAP
coverage is as shown on the attached copy of producer application summary and that election is irrevocable and will apply to the transferred coverage.
(2) The premium that will be calculated for the election that transfers with coverage will be withheld from any NAP payment made to the producer. (3)
Any premium determined as a result of election according to the application, the CCC-471 NAP basic provisions, and 7 CFR Part 1437 is owed to CCC
and must be paid regardless of whether or not the NAP covered crop and producer qualifies for a payment or is eligible or ineligible. Transferor and
transferee are jointly and severally liable for premium determined owed to CCC. All information provided herein is subject to verification by the FSA.
As provided in statute and regulation, failure to provide true and correct information may result in the invalidation of this application, a determination
of noncompliance or ineligibility, or other remedies or sanctions. By signing this application for transfer of NAP coverage, I acknowledge receipt of the
CCC-471 NAP basic provisions for the crop year and coverage year of this application. ALL PARTIES TO THIS TRANSFER AGREEMENT MUST
SIGN THE TRANSFER REQUEST FOR THE FORM TO BE CONSIDERED FILED AND PROCESSED FOR ACTION BY FSA FOR CCC.
11A. Transferor’s Signature

11B. Title/Relationship of the Individual if Signing in a
Representative Capacity

11C. Date (MM- DD- YYYY)

12A. Transferee’s Signature

12B. Title/Relationship of the Individual if Signing in a
Representative Capacity

12C. Date (MM- DD- YYYY)

PART D – ACTION BY CCC (Signature below affirms each of the CCC actions for each crop in Part B, Item 5)
13A. Signature of CCC Representative

NOTE:

13B. Title of CCC Representative

13C. 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 1437, the Commodity Credit Corporation Charter Act (15 U.S.C. 714 et seq.), and the
Agricultural Act of 2014 (Pub. L. 113-79). The information will be used to determine eligibility to participate in and receive benefits under the
Noninsured Crop Disaster Assistance Program (NAP). 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 a
determination of ineligibility to participate in and receive benefits under the Noninsured Crop Disaster Assistance Program (NAP).
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
0560-0175. The time required to complete this information collection is estimated to average 5 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.

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