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pdfOMB No. 0535-0218: Approval Expires 07/31/2018
2016 AGRICULTURAL RESOURCE MANAGEMENT SURVEY
Costs and Returns
Report – Version 1
Project Code: 904
(06/27/2016) Draft 3
National Agricultural
Statistics Service
ECONOMIC RESEARCH SERVICE
U.S. Department of Agriculture
Rm 5030, South Building
1400 Independence Ave., S.W.
Washington, DC 20250-2000
Phone: 1-888-424-7828
Fax: 202-690-2090
E-mail: [email protected]
Please make corrections to label name, address, and ZIP code, if needed.
The information you provide will be used for statistical purposes only. In accordance with the Confidential Information Protection provisions of Title V, Subtitle A,
Public Law 107&347 and other applicable Federal laws, your responses will be kept confidential and will not be disclosed in identifiable form to anyone other than
employees or agents. By law, every employee and agent has taken an oath and is subject to a jail term, a fine, or both if he or she willfully discloses ANY identifiable
information about you or your operation. Response is voluntary. You may skip any question(s) you prefer not to answer.
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 0535-0218. The time required to complete this
information collection is estimated to average 100 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.
[If this operation is a partnership, please identify the other person(s) involved.]
Partner 1
Partner 2
Partner Name
Partner Name
Address
Address
City
State
Zip
Phone Number
City
Partner 3
Partner 4
Partner Name
Partner Name
Address
Address
City
State
Zip
Phone Number
City
State
Zip
Phone Number
State
Zip
Phone Number
Office Use Only
Screening
Box
0006
Beginning Time
(Military)
Hours
Minutes
0004
Total
Points
0929
R. Unit
9921
Duplication
Adjustor
0922
Office Use
Only
Partner Stratum
9922
9923
9927
9928
21816012
0009
Number of
Supplements
0002
§6rS/¤
2
SECTION A
LAND IN FARM / RANCH
For 2016, please report farm/ranch land owned, rented, or used by you, your spouse, or by the partnership, corporation or
organization for which you are reporting. (Include all cropland, idle land, Conservation Reserve Program (CRP), pastureland, woodland,
wasteland, farmstead, acres used for crop/livestock production facilities, and all other building sites associated with this operation, etc.)
Number of Acres
None
ACRES OPERATED
1.
How many acres of farm/ranch land were owned? . . . . . . . . . . . . . . . . . . . . . . . . .
2.
How many acres of farm/ranch land were rented or leased from others — (Exclude land
+
0020
used on an animal unit month (AUM) or fee per head basis under a grazing permit.)
a. for a fixed cash rent payment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
+
0021
b. for a flexible rent payment? (Include hybrid rental arrangements.) . . . . . . . . . . . . . 0022
c. for a share of the crop or livestock production? (Exclude hybrid rental arrangement
where rent paid is based on a fixed cash payment plus some shared production.) . . . . . 0023
+
d. for free? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0024
+
3.
How many acres of farm/ranch land were rented or leased to others? (Include land
rented for cash, for a flexible rent, for a share of crop or livestock production, or rent free.). . 0025
-
4.
Then the TOTAL ACRES in this operation in 2016 were:
(Total Items 1 + 2a + 2b + 2c + 2d - 3.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0026
5.
How many of the (Item 4) acres were considered cropland in 2016? (Include land
+
Total Acres
=
in government programs, fruit/nut/berry/nursery acres, and land planted to hay, including
wild hay. Exclude CRP acres planted to trees.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0063
RENTED LAND
6.
Including rent for land and/or buildings, what was the total CASH RENT PAID in 2016
by this operation? (Include rent paid in 2016 for previous years and rent paid in advance.
None
Exclude storage bins, to be reported in SECTION I, Item 20. Exclude grazing of livestock, to
be reported in Item 7 below.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0044
7.
8.
9.
Dollars
$
.00
a. In 2016, what were the total fees this operation paid for the use of publicly
owned land on an AUM basis? (Include fees paid for privately owned land
administered by a public agency through exchange-of-use.) . . . . . . . . . . . . . . . . . . . . 0045
$
.00
b. In 2016, how much did this operation spend on pasturing or grazing of livestock
on privately owned land (railroads, another farm/ranch, etc.) used on a fee per
head (AUM) or gain basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0046
$
.00
Report any land this operation used (on a per head or AUM basis) that is administered
either by: public or private agencies, industrial corporations, grazing associations, or
rented from individuals on a short term grazing arrangement in 2016.
Report any crop or livestock SHARE RENT payments for land rented from others in 2016.
a. What was the estimated total MARKET VALUE of your landlord’s share
of crop production from this operation in 2016? . . . . . . . . . . . . . . . . . . . . . . . . . .
0184
$
.00
b. What was the estimated total MARKET VALUE of your landlord’s share
of livestock production sold or removed from this operation in 2016?
(Exclude shared livestock production not part of a land rental arrangement.) . . . . . . . . . .
0276
$
.00
What was the estimated market value of the land and buildings on the acres
rented or leased FROM OTHERS on December 31, 2016? . . . . . . . . . . . . . . . . . . . . 0855
$
.00
10. Including rent for land and/or buildings, what was the total CASH RENT RECEIVED
in 2016 for acres rented TO OTHERS by this operation? (Include rent received in 2016
None
for previous years, rent received in advance, and government payments received from those
acres. Exclude grazing of livestock, to be reported in SECTION H, Item 3b.) . . . . . . . . . . . . . 0042
Dollars
$
.00
11. For acres SHARE-RENTED to others, what was the total value of crop or livestock
shares received in 2016 by this operation? (Include rent received in 2016 from previous
years and government commodity payments received from those acres.) . . . . . . . . . . . . . . . .
0043
$
.00
12. What was the estimated market value of the land and buildings on the acres rented
or leased TO OTHERS on December 31, 2016? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0857
$
.00
21816020
§6r]5¤
3
SECTION B
1.
ACREAGE, PRODUCTION, and CASH SALES
Were any crops harvested from this operation or did this operation receive any income from these crops in 2016?
(Include your landlord’s share and crops grown under contract. Exclude crops grown on land rented to others.)
0104
2.
1
3
Yes - Continue
No - Go to Section C
Report the acreage and production of crops harvested from this operation in 2016. Report quantity harvested in the unit
specified, by crop. For income received from cash sales in 2016, report the dollar amount this operation received from
any year’s production after subtracting marketing expenses. (Exclude contract sales or removals and landlord’s share of sales
in column 5.)
1
2
3
CROP
How many acres
were
HARVESTED?
(Acres)
FIELD CROPS
4
5
(Amount Used on Operation)
(Dollars)
What was the
How much of this
How much was received in Cash
total production?
operation’s share of the
Sales from any year’s
(Include landlord share total production was (will be)
production?
and amount used on
used on this operation for
(Exclude marketing
operation.)
feed, seed, etc.?
contract sales.)
(Total Amount)
Corn for grain . . . . . . . . . . . . . . . .
0105
0106
Bu. 0107
Bu. 0108
$
.00
Corn for silage or greenchop . . . . .
0109
0110
Tons 0111
Tons 0112
$
.00
Cotton, all types . . . . . . . . . . . . . .
0113
0114
Lbs.
0116
$
.00
Peanuts . . . . . . . . . . . . . . . . . . . .
0117
0118
Lbs. 0119
Lbs. 0120
$
.00
Acres
Tenths
Potatoes (report sweet potatoes
in all other crops) . . . . . . . . . . . . .
0121
0122
Cwt. 0123
Cwt. 0124
$
.00
Rice . . . . . . . . . . . . . . . . . . . . . . .
0125
0126
Cwt. 0127
Cwt. 0128
$
.00
Sorghum for grain or seed . . . . . .
0129
0130
Bu. 0131
Bu. 0132
$
.00
Sorghum for silage . . . . . . . . . . . .
0133
0134
Tons 0135
Tons 0136
$
.00
Soybeans . . . . . . . . . . . . . . . . . . .
0137
0138
Bu. 0139
Bu. 0140
$
.00
0141
0142
Lbs.
0144
$
.00
Barley for grain or seed . . . . . . . .
0145
0146
Bu. 0147
Bu. 0148
$
.00
Oats for grain or seed . . . . . . . . .
0149
0150
Bu. 0151
Bu. 0152
$
.00
Wheat, all types, for grain or seed
0153
0154
Bu. 0155
Bu. 0156
$
.00
Hay, dry, alfalfa and alfalfa mixtures
0157
0158
Tons 0159
Tons 0160
$
.00
Hay, dry, all others . . . . . . . . . . . .
0161
0162
Tons 0163
Tons 0164
$
.00
Canola . . . . . . . . . . . . . . . . . . . . .
0165
0166
Lbs. 0167
Lbs. 0168
$
.00
Other oilseeds . . . . . . . . . . . . . . .
0169
0170
Lbs. 0171
Lbs. 0172
$
.00
Sugarcane or sugarbeets . . . . . . .
0173
0174
Tons 0175
Tons 0176
$
.00
Dry edible beans/peas/lentils . . . . .
0177
0185
$
.00
Vegetables for processing . . . . . . .
0178
0186
$
.00
All other vegetables and melons
(Exclude vegetables grown under
glass or other protection.) . . . . . . .
0179
0187
$
.00
0188
$
.00
0189
$
.00
0190
$
.00
Acres
Tobacco, all types. . . . . . . . . . . . .
Tenths
SMALL GRAINS
DRY HAY CROPS
OTHER CROPS
Fruits, nuts, and berries
(Include citrus.) . . . . . . . . . . . . . . .
0180
Nursery and greenhouse crops
(Include Christmas trees.). . . . . . .
All other crops not listed above
(Include sweet potatoes.) . . . . . . .
SQUARE FEET UNDER
glass or other protection
0191
ACRES in the OPEN
Tenths
0192
0182
21816038
§6r]G¤
4
SEED TECHNOLOGY
3.
Was any alfalfa hay, canola, corn, cotton, sugar beets, soybeans, or wheat harvested (Section B, item 2, column 2)
in 2016?
0101
1
3
Yes - Continue
CROP
No - Go to Question 4
1
2
3
4
5
Geneticallyengineered
herbicide tolerant
(HT) seed varieties
(Acres)
Geneticallyengineered
insect-resistant
(Bt) seed varieties
(Acres)
Geneticallyengineered
drought- resistant
seed varieties
(Acres)
Non-genetically
engineered seed
varieties
Identity
Preserved (IP)
seed varieties
(Acres)
(Acres)
Corn for grain . . . . . .
1192
1193
Cotton, all types . . . .
1198
1199
Soybeans . . . . . . . . .
Wheat, all types,
for grain or seed. . . .
Hay, dry alfalfa and
alfalfa mixtures . . . . .
1194
1196
1197
1202
1203
1204
1208
1209
1210
1214
1215
1216
1220
1221
Canola . . . . . . . . . . .
1222
1226
1227
Sugarbeets . . . . . . . .
1228
1232
1233
(Note: Some cells in the above table are blocked out because those types of seeds do not exist. Any acres entered in the IP column should
also be entered in the Non-GE column. For soybeans, wheat, alfalfa hay, canola, and sugarbeets, columns 1 and 4 should sum to the total
acres harvested (item 2, column 2 on the previous page). This may not be the case for corn or cotton, because stacked versions of those
seeds are commercially available.)
RISK MANAGEMENT
4.
For the following crops planted in 2016, please indicate the number of acres planted, the number of acres insured with
buy-up yield policies1 or revenue policies2. Also report the average coverage rates for these acres and whether any
acres were enrolled in either SCO (Supplemental Coverage Option) or STAX (Stacked Income Protection Plan)
programs. Only report acres insured under a yield or revenue policy for the crops listed. Exclude acres insured under
the Catastrophic Risk Protection Endorsement program (CAT).
1
2
3
4
Number of Acres
Planted in 2016
Acres Insured Under
YIELD1 Policies
Acres Insured Under
REVENUE2 Policies
Were these acres enrolled in:
CROP
(Acres)
Average
Coverage
Rate
(Percent)
(Acres)
Average
Coverage
Rate
(Percent)
(Acres)
SCO?
Yes
Corn. . . . .
xxxx
xxxx
xxxx
xxxx
xxxx
xxxx
Soybeans. .
xxxx
xxxx
xxxx
xxxx
xxxx
xxxx
Wheat. . . .
xxxx
xxxx
xxxx
xxxx
xxxx
xxxx
Cotton. . . .
xxxx
xxxx
xxxx
xxxx
xxxx
xxxx
STAX?
No
Yes
No
xxxx
1/
Yield policies include: Actual Production History (APH), Yield Base Dollar Amount of Insurance (YDO), Yield Protection (YP), and Area
Yield Protection (AYP or GRP).
2/
Revenue policies include: Revenue Protection (RP), Revenue Protection with Harvest Price Exclusion (RP-HPE), Area Revenue Protection
Insurance (ARPI or GRIPH), and Area Revenue Protection Insurance with Harvest Price Exclusion (ARPI-HPE or GRIP).
5.
Did this operation sell any corn, cotton, rice, soybeans, wheat, cattle, or milk in 2016?
2210
1
Yes - Continue
3
No - Go to Question 7
21816046
§6r]O¤
5
6.
Producers may follow a variety of strategies to manage commodity price risks. In 2016, did you, or anyone acting on
your behalf (such as a cooperative):
Commodity
1
2
3
4
5
6
Use future
markets to hedge
this commodity?
What quantity of the
2016 production was
hedged using futures
markets?
Use options
markets to hedge
this commodity?
What quantity of the
2016 production was
hedged in options
markets?
Use a cooperative
to market any part
of this commodity?
Use on-farm
storage for this
crop?
Yes
No
Yes
No
Yes
No
Yes
Corn . . . . .
2211
2212
Bu.
2213
2214
Bu.
xxxx
xxxx
Cotton . . . .
2215
2216
Lbs. 2217
2218
Lbs. xxxx
xxxx
Rice. . . . . .
2219
2220
Cwt. 2221
2222
Cwt. xxxx
xxxx
Soybeans. .
2223
2224
Bu.
2225
2226
Bu.
xxxx
xxxx
Wheat . . . .
2227
2228
Bu.
2229
2230
Bu.
xxxx
xxxx
Cattle. . . . .
2231
2232
Lbs. 2233
2234
Lbs. xxxx
Dairy . . . . .
2235
2236
Lbs. 2237
2238
Lbs. xxxx
7.
No
In 2016, did you use futures or options markets to hedge any other commodities other than those listed above?
xxxx
1
8.
3
Yes - Continue
What other commodities were hedged [enter up to 3]?
Commodity
9.
No - Go to Question 9
Code (Office Use Only)
Acres
None
On how many cropland acres in 2016 did you:
a. Plant a cover crop (e.g., ryegrass, clover) that was not harvested?. . . . . . . . . . . .
xxxx
b. Harvest two or more crops from the same acres (double crop)? . . . . . . . . . . . . . .
xxxx
10. Did you use no-till, strip-till, or other conservation tillage practices in 2016?
xxxx
1
3
Yes - Continue
No - Go to Question 12
11. In 2016, how many of the (Section A, Item 5) cropland acres were planted using no-till, strip-till, or other conservation
practices?
Corn
Soybeans
Wheat
Cotton
All other crops
No-till
xxxx
xxxx
xxxx
xxxx
xxxx
Strip-till
Other conservation tillage
(exclude no-till and strip-till)
xxxx
xxxx
xxxx
xxxx
xxxx
xxxx
xxxx
xxxx
xxxx
xxxx
NURSERY CROPS
12. Did you grow nursery or greenhouse crops for human consumption (e.g. mushrooms, tomatoes, peppers, other vegetables,
sprouts of all kinds, etc. Include crops grown hydroponically, under high tunnels, or under glass)?
2239
1
Yes - Continue
3
No - Go to Section C
None
13. What percent of the total sales of the nursery and greenhouse products reported in
Section B, item 2 did these crops represent? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Percent
2240
14. Were tunnels or high hoops used for nursery crops on your operation in 2016?
2241
1
Yes
3
No
21816053
§6r]V¤
6
SECTION C
1.
LIVESTOCK INVENTORY, NUMBER SOLD/REMOVED, and CASH SALES
Did you or anyone else have any livestock or poultry on this operation in 2016 (regardless of ownership), or did this
operation receive any income from livestock, poultry, or livestock products in 2016? (Include your landlord’s share &
livestock/poultry grown for others on a contract basis. Exclude livestock/poultry grown or fed by someone else on a custom or
contractual basis.)
0247
2.
1
Yes - Continue
3
No - Go to Section D
Report the total number of livestock, poultry, and livestock products, by type. For income received in 2016, report the
total dollars this operation received from cash sales after subtracting marketing expenses. (Exclude contract sales or
removals and landlord’s share of sales in column 5.)
INVENTORY
1
LIVESTOCK
SALES
2
3
4
5
On Dec. 31,
2016,
how many
[column 1]
regardless of
ownership were
on hand?
(Number)
On Dec. 31,
2016,
how many
[column 1] were
owned by this
operation?
What was the
total number of
[column 1] sold
or removed in
2016?
How much was received in
Cash Sales of [column 1]
from any year’s production
in 2016?
(Exclude marketing
contract sales.)
(Number)
(Number)
(Dollars)
a. Beef cows (Include beef heifers that have
calved. Exclude heifers that have not calved,
steers, calves, and bulls.) . . . . . . . . . . . . . . . 0255
0256
0254
1254
$
.00
0259
0257
1258
$
.00
0253
0251
1251
$
.00
0295
0260
b. Milk cows, including any dry cows
(Exclude any heifers not yet freshened.) . . . . . . 0258
c. Other cattle and calves (Include fed cattle,
beef and dairy cull animals, stockers and
feeders, veal calves, etc.) . . . . . . . . . . . . . . . 0252
1295
$
.00
(i) Of the total (row d, col. 5) dollars, how
much was for breeding stock?1/. . . . .
0512
$
.00
(ii) Recognized gain/loss on sale of
breeding stock. (If a loss was incurred,
indicate with a negative sign) . . . . . . . . . . .
0535
$
.00
d. Total cattle and calves (Items a + b + c) . . . .
0261
e. Total milk sold in 2016 (report in cwt). . . . . .
0270
Cwt 0510
$
.00
(i) Total certified organic milk sold in
2016 (report in cwt). . . . . . . . . . . . . . . .
xxxx
Cwt xxxx
$
.00
0262
1296
$
.00
(i) Of the total (row f, col. 5) dollars, how
much was for breeding stock?1/ . . . . .
0509
$
.00
(ii) Recognized gain/loss on sale of
breeding stock. (If a loss was incurred,
indicate with a negative sign) . . . . . . . . . . .
0533
$
.00
0248
0526
$
.00
0266
Doz 0514
$
.00
f.
All hogs and pigs . . . . . . . . . . . . . . . . . . .
g. All layers and pullets, including table
and hatching . . . . . . . . . . . . . . . . . . . . . .
0263
0249
0296
0250
(i) All eggs, including hatching eggs
(report in dozens) . . . . . . . . . . . . . . . . .
h. Turkeys . . . . . . . . . . . . . . . . . . . . . . . . . .
0269
0298
0268
0515
$
.00
i.
Broilers . . . . . . . . . . . . . . . . . . . . . . . . . .
0265
0297
0264
0513
$
.00
j.
Other Poultry (Include other chickens, ducks,
emus, geese, hatchlings, ostriches, pigeons,
pheasants, quail, poultry products, etc.) . . . . . . . 0275
0299
0274
0516
$
.00
1273
0272
k. Other animals and other animal products
(Include sheep, goats, & their products (wool,
mohair, & goat milk); horses, ponies, mules,
burros, & donkeys; aquaculture; bees & honey;
semen & embryo sales). . . . . . . . . . . . . . . . . 0273
1/
0517
$
.00
(i) Of the total (row k, col. 5) dollars, how
much was for breeding stock?1/ . . . . .
0528
$
.00
(ii) Recognized gain/loss on sale of
breeding stock. (If a loss was incurred,
indicate with a negative sign) . . . . . . . . . . .
0534
$
.00
Report breeding and non-breeding stock as defined on Tax form 1040F and form 4797.
21816061
§6r]^¤
7
OTHER OPERATIONS GROWING, FEEDING, or RAISING LIVESTOCK FOR
THIS OPERATION
SECTION D
1.
Did any OTHER operation(s) grow, feed, or raise livestock or poultry owned by this operation under a contract
arrangement in 2016 (you are the contractor)?
0271
1
3
Yes - Continue
No - Go to Section E
1
2
3
4
5
6
7
What livestock or
poultry were being
raised or fed for this
operation?
Commodity
Code
Office Use
Only
What was the market
value of [type] on
hand on contractee
operations on
Jan. 1, 2016?
What was the
estimated market value
(at placement) of [type]
placed under contract
DURING 2016?
How much was paid
to contractees for
labor, management,
and reimbursement
for expenses?
How much were
the GROSS receipts
from [type] sold or
removed under
this contract?
On Dec. 31, 2016
what was the market
value of unsold [type]
remaining under
contract?
[List type below.]
(Code)
(Dollars)
(Dollars)
(Dollars)
(Dollars)
(Dollars)
0277
0278
0279
0280
0281
0282
0283
0284
0285
0286
0287
0288
0289
0290
0291
0292
0293
0294
SECTION E
1.
MARKETING CONTRACTS
Did this operation have marketing contracts for any commodities delivered1/ in 2016?
(A marketing contract is a verbal or written agreement reached before harvest of a crop or before completion of a livestock production
stage, setting a price or pricing formula and market for the commodity.)
0300
2.
1
3
Yes - Continue
No - Go to Section F
Report the commodities delivered in 2016 through marketing contract(s). List the quantities marketed and the final price
received. (Include only the quantity owned by the operation. Exclude money received from contractors as reimbursement for expenses
(report this in SECTION I). Exclude landlord shares (report in SECTION A) and marketing charges (report in SECTION I, Item 33).)
1
2
3
4
5
6
What commodities did this
operation have
MARKETING contracts for
in 2016?
[Write in commodities]
Commodity
Code
Office Use
Only
(Code)
What quantity of this
commodity was delivered
through this contract?
(Exclude landlord’s share.)
(Quantity)
Unit Code
What was (will be) the FINAL
PRICE RECEIVED per unit by
this operation for this commodity
marketed under this contract?
(Dollars & Cents)
What was the total dollar
amount received in 2016 from
this contract?
Commodity example
10000
(from list
below)
(Code)
0000
04
0000
3
.
75
(Total Dollars)
0000
0000
0000
0301
0304
0305
0306
.
0307
0316
0319
0320
0321
.
0322
0331
0334
0335
0336
.
0337
0346
0349
0350
0351
.
0352
0361
0364
0365
0366
.
0367
0376
0379
0380
0381
.
0382
1351
1354
1355
1356
.
1357
1366
1369
1370
1371
.
1372
1381
1384
1385
1386
.
1387
1396
1399
1400
1401
.
1402
1411
1414
1415
1416
.
1417
1426
1429
1430
1431
.
1432
37500
If more space is needed, please use a separate sheet of paper.
1/ "Delivered” includes commodities for which partial payment was made even if not physically delivered by December 31, 2016.
Unit
Code
Unit
Code
Unit
Code
Unit
Pound. . . . . . . . . . . . . .
CWT. . . . . . . . . . . . . . .
Ton . . . . . . . . . . . . . . .
Bushels. . . . . . . . . . . . .
.
.
.
.
01
02
03
04
Bin . . . . . . . . . . . . . . .
Box . . . . . . . . . . . . . .
Bale . . . . . . . . . . . . . .
Carton . . . . . . . . . . . . .
05
06
07
08
Dozen . . . . . . . . . . .
Flat . . . . . . . . . . . . .
Head / Bird . . . . . . .
Plant / Pot . . . . . . .
.
.
.
.
.
.
.
.
09
10
11
13
21816079
Barrel . . . . . . .
Acre . . . . . . . .
Animal Space .
Kilogram . . . . .
.
.
.
.
.
.
.
.
Code
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
20
22
39
40
§6r]p¤
8
SECTION F
1.
During 2016, were you a production contract grower for a processor or contractor for whom you grew a crop, raised
livestock or poultry, or custom fed any livestock that you did not own? A production contract is an agreement setting
terms, conditions, and fees to be paid by the contractor to the operation for the production of crops, livestock, or poultry.
0400
2.
PRODUCTION CONTRACTS & CUSTOM FED LIVESTOCK
1
3
Yes - Continue
No - Go to Section G
Report in the table below the commodities with production contracts in 2016. Also list the quantities removed under
these contracts and the final fee received. (Exclude money received to pay for production expenses. Expense reimbursements
should be reported in SECTION I.)
1
2
What commodities did
this operation have
PRODUCTION
contracts for in 2016?
[Write in commodities]
3
4
5
6
Commodity Total quantity moved from Unit Code What was (will be) the FINAL
Code
this operation under
FEE RECEIVED per unit by this
contract in 2016?
(from list
operation for producing this
Office Use
below)
commodity under this contract?
(Exclude landlord’s share.)
Only
(Code)
(Quantity)
(Code)
(Dollars & Cents)
Commodity example
5000
0000
11
0000
15
.
25
What were the
TOTAL FEES
RECEIVED in 2016
under contract?1/
(Total Dollars)
0000
0000
0401
0404
0405
0406
.
0407
0416
0419
0420
0421
.
0422
0431
0434
0435
0436
.
0437
0446
0449
0450
0451
.
0452
1441
1444
1445
1446
.
1447
1456
1459
1460
1461
.
1462
1471
1474
1475
1476
.
1477
1486
1489
1490
1491
.
1492
76250
0000
If more space is needed, please use a separate sheet of paper.
1/ Income received for commodities produced under contract in previous years should be recorded in Section G, Items 1a and 1a(i).
Unit
Code
Pound. . . . . . . . . . . . . .
CWT. . . . . . . . . . . . . . .
Ton . . . . . . . . . . . . . . .
Bushels. . . . . . . . . . . . .
SECTION G
1.
. 01
. 02
. 03
. 04
Unit
Code
Bin . . . . . . . . . . . . . . .
Box . . . . . . . . . . . . . .
Bale . . . . . . . . . . . . . .
Carton . . . . . . . . . . . . .
05
06
07
08
Unit
Code
Unit
Dozen . . . . . . . . . . .
Flat . . . . . . . . . . . . .
Head / Bird . . . . . . .
Plant / Pot . . . . . . . .
. . 09
. . 10
. . 11
. . 13
Barrel . . . . . . .
Acre . . . . . . . .
Animal Space .
Kilogram . . . . .
Code
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
20
22
39
40
ACCOUNTS RECEIVABLE & DEFERRED PAYMENTS
For each item below, report income received or the amount owed to the operation on the dates specified.
Exclude crops in storage and not yet sold. (Include cash sales, marketing contract sales, and production contract removals.)
[NOTE: Crops in storage and not sold as of the reference date should be reported in Section J, Item 3a.]
Dollars
None
a. On January 1, 2016, what was the total dollar amount owed to this operation for
all commodities produced and sold (cash or contract) before January 1, 2016? . .
0885
$
.00
(i) How much did this operation receive from Item 1a during 2016? . . . . . . . . . .
0875
$
.00
b. What was the total dollar amount owed to this operation on December 31, 2016,
for all commodities produced, sold (cash or contract), delivered, or removed
under contract in 2016 and earlier years? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0886
$
.00
21816087
§6r]x¤
9
SECTION H
1.
GOVERNMENT PAYMENTS & OTHER FARM RELATED INCOME
In 2016, did this operation receive or repay any Commodity Credit Corporation (CCC) loans?
0560
1
Yes - Continue
3
No - Go to Item 2
a. In 2016, how much was received for all commodities placed under CCC loans?
None
(Include Austrian winter peas, barley, canola, rapeseed, corn, cotton, crambe, dry edible
peas, flaxseed, honey, lentils, mohair, wool, mustard seed, oats, peanuts, rice, safflower,
sesame seed, small chickpeas, sorghum, soybeans, sugar, sunflower seed, and wheat.) . . 0518
b. In 2016, what was the amount spent to repay all CCC loans?
(Exclude storage and service fees.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0519
Dollars
$
.00
$
.00
[NOTE: If any of the crops or livestock products redeemed from the CCC were sold in 2016, verify that these sales are
recorded in Marketing Contracts (SECTION E, Item 2) or in Cash Sales (SECTIONS B and C). If the redeemed
crops or livestock products were NOT sold in 2016, their value should be reported in SECTION J, Item 3a or
Item 3c.]
2.
In 2016, did this operation receive Federal, State or local farm program payments?
(Include government payments received through a cooperative. Exclude CCC loan payments.)
0563
1
Yes - Continue
3
No - Go to Item 3
a. In 2016, how much was received in Loan Deficiency Payments (LDPs), and
Marketing Loan Gains (MLGs)? (Include government payments received through
a cooperative.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
None
Dollars
$
0529
.00
b. In 2016, how many acres were enrolled and how much was received from each of the following programs?
None
Acres
Dollars
(i) Conservation Reserve Program (CRP) . . . . . .
0565
0538
$
.00
(ii) Environmental Quality Incentives
Program (EQIP) . . . . . . . . . . . . . . . . . . . . . .
0543
0540
$
.00
(iii) Conservation Stewardship Program (CSP) . . .
0567
0566
$
.00
(iv) All other U.S. federal conservation programs. .
0544
0541
$
.00
c. In 2016, how much was received...
(i) For agricultural disaster payments? (Include all disaster assistance programs
such as Livestock forage Disaster Program (LFP), market loss assistance programs,
None
Reimbursement Transportation Cost Payment Program (RTCP) and Trade
Adjustment Assistance for Farmers (TAAF). Exclude Federal crop insurance and
other indemnity payments, Margin Protection Program - Dairy.) . . . . . . . . . . . . . . . . 0537
Dollars
$
.00
(ii) Under the Price Loss Coverage (PLC) program? (Include government
payments received through a cooperative.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0464
$
.00
(iii) Under the Agricultural Risk Coverage (ARC) program? (Include government
payments received through a cooperative.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
xxxx
$
.00
(iv) Under the Margin Protection Program for Dairy (MPP - Dairy)? . . . . . . . . . . .
0467
$
.00
received only from governmental entities and not from private sector organizations
or individuals. Include any U.S. government miscellaneous or supplemental
payments received in 2016 and not included above. Exclude Federal crop insurance
payments and other indemnity payments, and payments received in 2016 from
selling an easement.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0545
$
.00
(v) For all other Federal, State, or local program payments? (Include payments
21816095
§6r]¢¤
10
OTHER FARM RELATED INCOME
3.
In 2016, what was the total income received by you (the operator) and all partners for:
Dollars
None
a. custom work, machine hire, and other agricultural services provided by this
operation for farmers and others? (Exclude if this is a separate business.). . . . . . . . . 0546
b. grazing of livestock? (Include payments for livestock pastured on a per-head basis,
per-month basis, AUM basis, etc. Exclude contract arrangements previously reported.) . . . 0547
$
.00
$
.00
c. sales of all forest products? (Include firewood, timber, etc. Exclude maple
syrup and Christmas trees.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0549
$
.00
d. sales of farm machinery and vehicles? (Include farm share only) . . . . . . . . . . . . . .
0550
$
.00
and other crop and livestock insurance, casualty insurance, hail insurance, vehicles
and equipment and blanket insurance policies. Include indemnities received on the
operator’s dwelling, if owned by the operation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxxx
$
.00
(i) Of the (item 3e) dollars, how much was received for Federal crop and
livestock insurance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0552
$
.00
e. all insurance indemnity payments? (Include indemnity payments for all federal
f. cooperative patronage dividends and refunds?. . . . . . . . . . . . . . . . . . . . . . . . . . .
0554
$
.00
g. income from royalties or leases associated with energy production
(e.g. natural gas, oil, and wind turbines)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0555
$
.00
h. proceeds from sales of farmland and other farm real estate owned by this
operation only? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0558
$
.00
(i) What was the recognized gain/loss on the (item 3h) sales of farmland and other
farm real estate? (If a loss was incurred, please indicate with a negative sign). .
0559
$
.00
Acres
(ii) How many acres were sold? . . . . . . . . . . . . . . . . . . . . .
i.
0561
all other farm related sources of income? (Include: allotment or quota leases, animal
boarding, sales of poultry litter and manure, income from recreational activities such as
hunting, fishing, tourism, etc., State fuel tax refunds, tax refunds, real estate tax rebates
for land preservation; refunds of marketing expenses; renting or leasing of livestock or
None
machinery; sales of value-added goods such as cheese, cider, jams, etc. if these are not
part of a separate business. Hedging profits and losses and if a loss was incurred,
please indicate with a negative sign.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0556
4.
Dollars
$
In 2016, did the largest portion of this operation’s total gross value of sales come from crops or livestock?
(If the operation had no sales in 2016, choose crops if the value of cropland on the operation exceeds the value of any
livestock on the operation in 2016. Otherwise, choose livestock).
0562
1
CROP
2
LIVESTOCK
21816103
§6r^$¤
.00
11
SECTION I
OPERATING & CAPITAL EXPENDITURES
Report total production expenses paid by this operation in 2016. (Include only expenses related to this operation. Exclude
expenses NOT related to this farm/ranch; expenses of performing custom work FOR others, if this is a separate business; and expenses
on land rented to others.)
In 2016, how much was spent for (item) by [column] –
OPERATING EXPENSES in 2016
1.
seeds, sets, plants, seed cleaning and treatments,
transplants, trees and nursery stock? (Include
LANDLORD(S)
CONTRACTOR(S)
(Dollars)
(Dollars)
(Dollars)
None
0600
0601
0602
0606
0607
0608
biocontrols and agricultural chemicals for crops,
livestock, poultry, and general farm use? (Include
biological pest controls and custom application costs.) . . . . .
0612
0613
0614
a. Of the (Item 3) dollars, how much was only for
custom application? (Include cost of chemicals
used for custom application.) . . . . . . . . . . . . . . . . . . .
0618
0619
0620
livestock purchases of –
a. breeding stock for beef cattle, dairy cattle,
hogs and sheep? . . . . . . . . . . . . . . . . . . . . . . . . .
0621
0622
0623
0624
0625
0626
0627
0628
0629
0630
0631
0632
0633
0634
0635
0636
0637
0638
0639
0640
0641
0642
0643
0644
technology or other fees, seed treatments, and seed
cleaning cost. Exclude items purchased for resale
without additional growth.). . . . . . . . . . . . . . . . . . . . . . .
2.
OPERATOR(S) and
PARTNER(S)
nutrients, fertilizer, lime, and soil conditioners?
(Include cost of custom application and organic materials.
Exclude potting mixes, vermiculite, and sterilized soil.). . . . .
3.
4.
b. other cattle, calves, hogs and pigs?
[Report other sheep in Item 4d.] . . . . . . . . . . . . . .
c. chickens and turkeys?
[Report ducks and game birds in Item 4d.] . . . . . . .
d. other livestock and poultry, including other sheep,
lambs, bees, brooder fish, fingerlings, goats, etc.?
5.
leasing of livestock? (Include bees, bulls, dairy cattle,
etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
purchased feed for livestock and poultry? (Include
grain, hay, silage, mixed feeds, concentrates, etc.) . . . . . . .
7.
bedding and litter for livestock? . . . . . . . . . . . . . . . . .
8.
medical supplies, veterinary and custom services for
livestock? (Exclude manure disposal. Include artificial
insemination (AI), branding, breeding fees, caponizing,
castrating, custom feed processing, hormone injections,
performance testing, pregnancy testing, seining, sheep
shearing, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21816111
§6r^,¤
12
OPERATOR(S) and
PARTNER(S)
In 2016, how much was spent for (item) by [column] –
None
9.
purchases for the farm business of –
a. all fuels, oils and lubricants?
LANDLORD(S)
(Dollars)
CONTRACTOR(S)
(Dollars)
(Dollars)
0663
0664
0665
0645
0646
0647
0648
0649
0650
0651
0652
0653
0654
0655
0656
0657
0658
0659
0660
0661
0662
0675
0676
0677
0696
0697
0698
0872
0873
0874
0702
0703
0704
0708
0709
0710
0714
0715
0716
0729
0730
0731
0732
0733
0734
(total of 9a(i) through 9a(vi) must equal Item 9a) . . . . . .
(i) diesel fuel? (Include biodiesel.) . . . . . . . . . . . . .
(ii) gasoline and gasohol? (Include ethanol blends.). .
(iii) natural gas? . . . . . . . . . . . . . . . . . . . . . . . . .
(iv) LP gas (propane, butane)? . . . . . . . . . . . . . . .
(v) oils and lubricants? (Include grease, hydraulic
fluids, motor oils, transmission fluids, etc.). . . . . . . .
(vi) all other fuel?
(Include coal, fuel oil, kerosene, wood, etc.)
........
10. electricity for the farm business? . . . . . . . . . . . . . . . .
11. purchased water for irrigation? (Include irrigation
assessments and fees.) . . . . . . . . . . . . . . . . . . . . . . . .
12. all other utilities, such as the farm share of telephone
service, water purchased other than for irrigation, and
Internet access?. . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. farm supplies, marketing containers, hand tools and
farm shop power equipment? (Include expenses for
temporary fencing. Exclude expenses for bedding/litter and
permanent fencing.). . . . . . . . . . . . . . . . . . . . . . . . . . .
14. repairs, parts and accessories for motor vehicles,
machinery and farm equipment? (Include repairs to drying
equipment, tune-ups, overhauls, repairs to livestock equipment,
replacement parts for machinery, tubes, tires, and accessories
such as air conditioners, CB’s, radios and hydraulic cylinders.
Exclude irrigation equipment and pump repairs.) . . . . . . . .
15. maintenance and repair for the upkeep of all farm
buildings, houses other than the operator’s, land
improvements, and all other farm/ranch improvements?
(Include conservation improvements, corrals, feeding floors,
feedlots, gravel, land drainage structures, tiling, trench, silos,
wells, irrigation equipment and pump repairs and facilities.
Exclude any new construction or remodeling.). . . . . . . . . .
16. maintenance and repair of the operator’s house
if it was owned by the operation? (“Owned by the
operation” means the house is —
• recorded as an asset in farm record books, or
• deeded as part of the farm.) . . . . . . . . . . . . . . . . . .
0726
17. insurance for the farm business? (Include all casualty
insurance, hail insurance, and any other crop or livestock
insurance; motor vehicle liability and blanket insurance
policies. Include insurance on operator’s dwelling, if owned
by the operation. Exclude health insurance (reported in
SECTION I, Item 26 or SECTION N, Item 2e(i) and other
payroll insurance items.) . . . . . . . . . . . . . . . . . . . . . . . .
a. Of the (Item 17) dollars how much was for
Federal crop insurance? . . . . . . . . . . . . . . . . . . . .
21816129
§6r^>¤
13
OPERATOR(S) and
PARTNER(S)
In 2016, how much was spent for (item) by [column] –
None
18. interest and fees paid on debts —
a. secured by real estate? (Include interest paid on
the operator’s dwelling, if owned by the operation.). . . . .
LANDLORD(S)
CONTRACTOR(S)
(Dollars)
(Dollars)
(Dollars)
0738
0739
0741
0742
0744
0745
0746
0747
0748
0749
0750
0751
0753
0754
b. not secured by real estate? (Include service fees
on CCC loan redemptions.) . . . . . . . . . . . . . . . . . . .
19. property taxes paid on —
a. real estate (land and buildings)? (Include real
estate taxes on the operator’s dwelling, if owned by
the operation.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. livestock, machinery, and other farm production
items? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20. renting or leasing of tractors, vehicles, equipment or
storage structures? (Include storage bins, farm machinery,
cars, trucks, irrigation equipment and other equipment.
Exclude custom hire.) . . . . . . . . . . . . . . . . . . . . . . . . .
21. vehicle registration and licensing fees? . . . . . . . . . . . .
22. depreciation expense claimed by this operation in
2016 for all capital assets? (If partnership, include
0756
amounts claimed by all partners in this operation.
Estimate from 2015 if necessary.) . . . . . . . . . . . . . . . . .
0757
a. Of the (Item 22) dollars how much was claimed
for breeding livestock?. . . . . . . . . . . . . . . . . . . . .
Include
The following table applies to items 23 and 24
Exclude
• Cash wages
• Incentives and bonuses
• Payments to corporate officers and family members, including
yourself and other operators if they received a wage
•
•
•
•
Draws by individual operators and partners
Wages paid for custom labor or contract work
Payments to pensions or retirement plans
Social Security on owner/operator
Employer’s share of:
• Social Security and unemployment taxes
• Health and life insurance
• Worker’s compensation
0758
0759
0760
0764
0765
0766
0767
0768
0769
0574
0575
0576
0770
0771
0772
0773
0774
0775
0705
0706
0707
23. CASH WAGES paid to hired farm and ranch labor? . .
24. Of the (Item 23) dollars, how much salary or wage was
paid to —
(total 24a + 24b + 24c + 24d + 24e must equal Item 23)
a. you (the principal operator)? . . . . . . . . . . . . . . . . .
b. your (the principal operator’s) spouse? (Even if your
spouse is an operator, include his/her wages here.) . . .
c. other members of your (the operator’s) household?
(Even if your other household members are operators,
include their wages here.). . . . . . . . . . . . . . . . . . . .
d. other operators (outside the operator’s household)?
(Those persons responsible for the day-to-day
management decisions for this operation.) . . . . . . . . . .
e. all other paid farm and ranch labor? . . . . . . . . . . .
25. payroll taxes for hired labor? (Include employer’s share
of Social Security and unemployment taxes. Include any
amounts the farm paid for farm workers that are part of
your (the operator’s) household.) . . . . . . . . . . . . . . . . . . .
Percent
0788
a. What percent of the (Item 25) dollars was for
household members? . . . . . . . . . . . . . . . . . . . . . .
21816137
§6r^F¤
14
OPERATOR(S) and
PARTNER(S)
In 2016, how much was spent for (item) by [column] –
26. benefits for hired labor? (Include employer’s share of
None
health insurance, pension or retirement plans, Worker’s
Compensation, etc. Include any amounts the farm paid
for farm workers that are part of your (the operator’s)
household.). . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .
LANDLORD(S)
(Dollars)
0915
CONTRACTOR(S)
(Dollars)
(Dollars)
0916
0917
0782
0783
0784
0776
0777
0778
0791
0792
0793
xxxx
xxxx
xxxx
0804
0805
0806
0868
0869
0870
Percent
0790
a. What percent of the (Item 26) dollars was for
household members? . . . . . . . . . . . . . . . . . . . . . .
27. contract labor? (Include expenses for labor, such as
harvesting of fruit, vegetables, berries, etc. performed on a
contract basis by a contractor, crew leader, cooperative, etc.
Exclude contract work for building construction, repairs, or
farm improvements, and payments to other operations that
fed/raised livestock under contract FOR this operation.) . . . .
28. custom work such as —
(Custom work is work performed by machines & labor
hired as a unit.)
a. hauling? (Include all custom grain, livestock, milk,
manure, and other custom hauling.) . . . . . . . . . . . . . .
b. all other custom work done on this operation?
(Report custom livestock services in Item 8.). . . . . . . . .
29. The cash value of all commodities and NON-CASH
PAYMENTS for farm work provided to:
a. workers who were members of your (the operator’s)
household? (Include value of a percentage of crops,
calves, etc. Exclude operator payments or draws.) . . . .
b. workers who were NOT members of your (the
operator’s) household? (Include feed, fuel, housing,
meals, utilities, vehicles for personal use, etc. Exclude
home gardens, unless expenses were recorded
previously. Exclude partner payments or draws.). . . . . .
30. The market value of commodities produced and used
on this operation for home consumption? (Exclude any
0797
0798
0799
commodities provided as payment to household members
for farm work reported in Item 29a.) . . . . . . . . . . . . . . . . .
Percent
0800
a. What percent of the (Item 30) dollars was for
livestock and livestock products? . . . . . . . . . . . . .
31. professional or farm management services such
as record keeping, accounting, tax and business
planning, farm product advice, conservation
practices, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dollars
0801
32. Participation fees and any buy-up coverage for
FSA’s Margin Protection Program for Dairy?. . . . . . . .
33. general business expenses? . . . . . . . . . . . . . . . . . . .
Specify General Business Expenses & Amounts:
34. Marketing and storage expenses incurred by this
operation? (Include check-off, commissions, storage,
inspection, ginning, etc. Include marketing expenses for
contract sales.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21816145
§6r^N¤
15
In 2016, how much was spent for (item) by [column] –
CAPITAL EXPENSES in 2016
OPERATOR(S) and
PARTNER(S)
LANDLORD(S)
CONTRACTOR(S)
(Dollars)
(Dollars)
(Dollars)
None
35. improvements on land such as land preparation,
permanent irrigation improvements, well drilling,
ponds, drainage, roads ditching, tiling, feedlots,
trench silos, lagoons, new fences, etc.?
(Exclude moveable equipment.) . . . . . . . . . . . . . . . . . . .
0807
0808
0807
0808
0808
36. new construction and remodeling of dwellings
(excluding the operator’s dwelling), barns, buildings,
hog houses, poultry houses, milk barns, storage
facilities, sheds, silos, etc.?
(Exclude repairs and maintenance.) . . . . . . . . . . . . . . . . .
0810
0811
0809
0812
0813
37. new construction or remodeling of the operator’s
dwelling, if owned by the operation? . . . . . . . . . . . . . .
Report the TOTAL NET COST (after deducting the value of trade-ins, rebates & discounts) of the following items
purchased in 2016 for the farm/ranch:
None
Percent for
farm/ranch use
Dollars
0817
0816
0819
0818
38. Cars – (Include new and used.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39. Trucks – (Include new and used trucks, pickups, sport utility vehicles, vans,
campers and buses.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
None
Dollars
0820
40. Tractors – (Include new and used.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0821
41. Self-propelled equipment – (Include implements and self-propelled equipment for livestock,
dairy, or poultry production. Exclude tractors.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0822
42. Other farm machinery, non-self-propelled farm equipment, pumps, and capital equipment
for crop or livestock production. (Include farm share only.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0823
43. Office equipment, furniture, and computers that were placed on a depreciation schedule. . . . . .
None
Acres
Dollars
0802
0803
44. Farmland and other farm real estate for expanding this operation. . . . . . . .
None
Dollars
0824
45. All other capital expenditures. (Include ATVs, and all other capital expenditures that were
placed on a depreciation schedule.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Specify Other Capital Expenditures & Amounts:
None
OPERATOR(S) and
PARTNER(S)
(Dollars)
0825
LANDLORD(S)
CONTRACTOR(S)
(Dollars)
0826
(Dollars)
0827
46. What other expenses did this operation have in 2016
that have not been recorded? (Include potting soil.). . .
Specify Other Expenses & Amounts:
21816152
§6r^U¤
16
SECTION J
1.
FARM ASSETS
What was the MARKET VALUE of the following assets OWNED by this operation on December 31, 2016:
(Include owned assets on rented land.)
Dollars
None
a. farm operator’s dwelling, if owned by the operation? (Owned by the operation means
the house is recorded as an asset in farm record books or deeded as part of the farm.) . . . . . .
2.
b. all other dwellings? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. all other farm buildings and structures? (Include barns, cribs, grain bins, greenhouses,
silos, storage sheds, fences, corrals, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0851
d. orchard trees and vines, nursery trees, and trees grown for woody crops? . . . . . . . . .
0853
e. oil, gas, and mineral rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. land? (Include land rented to others. Exclude houses, buildings, orchard trees and vines,
and trees grown for woody crops.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7101
0852
0854
What was the ESTIMATED MARKET VALUE of the following on December 31, 2016:
a. trucks and cars owned by the operation? (Include farm share only) . . . . . . . . . . . . . . .
0882
b. tractors, machinery, tools, equipment and implements owned by the operation?. . . . .
0883
c. stock in farm cooperatives and the Farm Credit System? . . . . . . . . . . . . . . . . . . . . .
0884
For each item below, report the MARKET VALUE(S) of the assets owned
by the operation on the dates specified.
3.
0850
What was the ESTIMATED MARKET VALUE for the farm
share of [item] on —
a. crops owned and stored on or off this operation?
None
Beginning of Year
End of Year
JAN. 1, 2016?
(Dollars)
DEC. 31, 2016?
(Dollars)
0888
0889
0863
0864
poultry, sheep, etc., kept for non-breeding purposes. Include livestock
products such as honey, mohair, and wool. Exclude livestock being
produced under contract on another operation (reported in Section D).). . . .
0876
0877
d. production inputs owned by this operation, such as processed
feed, fertilizer, chemicals, fuels, parts, purchased seed and other
supplies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0878
0879
0880
0881
(Include crops stored at co-op or gin warehouse, specialty crops,
fruit storage, hay, silage, and nursery and greenhouse products not in the
ground. Exclude trees and vines and crops under CCC loans.). . . . . . . . .
b. breeding livestock owned by and located on or off this operation?
(Include aquaculture, bees, cattle, equine, hogs, mink, poultry, sheep,
etc., kept for breeding purposes. Exclude livestock being produced under
contract on another operation (reported in Section D).) . . . . . . . . . . . . . .
c. non-breeding livestock owned by and located on or off this
operation? (Include aquaculture, bees, cattle, equine, hogs, mink,
e. production inputs already used by this operation for cover crops
or crops planted but not yet mature for harvest (also known as
sunk costs), or the value of inputs used for production contracts
that have yet to be delivered? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LIQUID ASSETS
4.
What was the ESTIMATED MARKET VALUE of all other farm assets not previously
listed on December 31, 2016? (Include money owed to this operation (except money owed
from commodity sales), cash certificates of deposit, savings and checking accounts, hedging
None
account balances, government payments due, insurance indemnity payments due, balance of
land contract sales, and any other farm assets not reported earlier. Exclude any personal
debt owed to the operator(s).). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0887
21816160
DEC. 31, 2016
(Dollars)
§6r^]¤
17
SECTION K
1.
FARM DEBT
Was debt used in funding the operation of this farm/ranch in 2016, including any loans obtained in earlier years?
(Include seasonal production and other loans taken and repaid during 2016.)
1080
2.
1
3
Yes - Continue
No - Go to Section L
What was the total amount repaid on farm business loans taken out in 2016?
(Record any outstanding balances of loans taken out in 2016 in Item 3.)
(Include only seasonal production and other short term farm loans.) . . . . . . . . . . . . . . . . .
3.
None
Dollars
$
0890
.00
To estimate the financial position of farms correctly and their ability to service debt and to categorize debt by types, we
need to list loans this operation had on December 31, 2016, including any line of credit. (Include farm/ranch loans, debt on
the operator’s house if owned by the operation, and multi-purpose loans used for both farm and non-farm purposes. Exclude CCC
commodity loans and any loans used exclusively for non-farm purposes.)
1
2
3
4
5
6
7
Who is
the
lender?
What was the
balance owed on
January 1, 2016
including
outstanding
principal plus
unpaid interest?
What was the
balance owed on
Dec. 31, 2016
including
outstanding
principal plus
unpaid interest?
What was
the interest
rate on
Dec. 31, 2016?
What is
the type
of loan?
What year
was it
obtained?
What is
the original
term of
the loan?
[Report in
hundredths
of a percent.
Example:
9% = 09.00]
[From Loan
Type Codes
Below.]
[For refinanced
loans, report
year refinanced]
(Dollars)
(Dollars)
(Percent)
(Code)
(Year)
(YYYY)
[From
Lender
Codes
Below.]
(Code)
8
(Number
of Years)
9
What
What is
percent is
the primary
for operating farm purpose
expenses,
of this loan?
capital
expenditures,
or other
[From Loan
expenses of
Purpose
the farm
Codes Below.]
operation?
(Percent)
(Code)
1001
xxxx
1002
1003
1004
1005
1008
1006
1007
1010
xxxx
1011
1012
1013
1014
1017
1015
1016
1019
xxxx
1020
1021
1022
1023
1026
1024
1025
1028
xxxx
1029
1030
1031
1032
1035
1033
1034
1037
xxxx
1038
1039
1040
1041
1044
1042
1043
If more space is needed, please use a separate sheet of paper.
Lender Codes (Column 1)
Lender
Code
FARM CREDIT SYSTEM . . . . . . . . . . . . . . . . . . 1
USDA Farm Service Agency (FSA). . . . . . . . . . . 2
Small Business Administration (SBA). . . . . . . . . . 3
State & county government lending agencies . . . . 4
Savings and loan associations, residential
mortgage lenders . . . . . . . . . . . . . . . . . . . . . . 5
Commercial banks . . . . . . . . . . . . . . . . . . . . . . . 6
Life insurance companies . . . . . . . . . . . . . . . . . . 7
Implement dealers and financing corporations . . . 8
Input suppliers . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Co-ops and other merchants . . . . . . . . . . . . . . . 10
Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Individuals from whom any land in this
operation was bought under a
mortgage or deed of trust . . . . . . . . . . . . . . 12
Individuals from whom any land in this
operation was bought under a land
purchase contract . . . . . . . . . . . . . . . . . . . . 13
4.
Loan Purpose Codes (Column 8)
Lender Codes (Column 1) (continued)
Lender
Any other individuals . . . . . . . . . . . . . .
Any other lenders . . . . . . . . . . . . . . . .
Credit cards . . . . . . . . . . . . . . . . . . . .
Farmer Mac . . . . . . . . . . . . . . . . . . . .
Credit Union . . . . . . . . . . . . . . . . . . . .
Other debts (such as unpaid bills, etc.) .
.
.
.
.
.
.
Code
. . . 14
. . . 15
. . . 16
. . . 17
. . . 18
. . . 19
Loan Type Codes (Column 4)
Type
Code
One year or less production or other loans . . . 1
Non-real estate loan more than one year . . . . 2
Real estate loan more than one year for
operator’s dwelling . . . . . . . . . . . . . . . . . . 3
Other real estate loans more than one
year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Purpose
Code
Purchased real estate (land & its attachments) . . . 1
➢ farm and home improvements
➢ building construction
➢ construction of livestock and poultry
facilities
➢ grove development and rehabilitation
Purchase feeder livestock . . . . . . . . . . . . . . . . . . 2
Purchase other livestock . . . . . . . . . . . . . . . . . . 3
Other current operating expenses . . . . . . . . . . . . 4
➢ current crop production
➢ care and feeding livestock including
poultry
➢ labor, feed, seed, fertilizer, grove
caretaking, repair and maintenance
Farm machinery and equipment . . . . . . . . . . . . . 5
Debt consolidation . . . . . . . . . . . . . . . . . . . . . . . 6
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
If you had farm loans in addition to the five recorded above, what is the total
amount of debt from these loans owed on December 31, 2016? (Include farm/ranch
None
loans and debt on the operator’s house if it is owned by the operation. Exclude any loans
exclusively for non-farm purposes that are secured by assets of the farm/ranch.). . . . . . . . . . 1047
5.
Dollars
$
.00
How much of the total debt owed on December 31, 2016 (reported in items
3 and 4 above), was for the operator’s dwelling? (If the operator’s dwelling is owned
by the operation debt should be included here and above. Exclude operator’s dwelling
if not owned by the operation.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1057
$
.00
0999
Office Use Only
21816178
§6r^o¤
18
SECTION L
1.
FARM LABOR AND MANAGEMENT
In 2016, did your household and extended family own more than 50% of this farming operation?
Select yes if more than 50% of the assets of this operation are owned by you (the principal operator), members of
your household, and/or other persons related to you by blood, marriage, or adoption, including relatives not residing
in your household. Consider only farm or ranch assets owned – not rented or leased – by this operation, and
exclude the assets held by non-family landlords and contractors.
1249
1
3
Yes
No
Number
2.
In 2016, how many owners of this operation were there? (Exclude landlords, contractors,
and lending institutions holding farm debt. Include yourself if you have an ownership interest.) . . . . . . . . . . .
1246
Percent
a. What percent of the ownership interest did you (the operator) and your household hold?
(Exclude relatives not living in your household.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
1248
In 2016, what was this operation’s legal status for tax purposes?
1240
1
Family or individual operation (Exclude partnerships and corporations.)
2
Legal partnership operation (Include family partnerships.)
➥
➥
a. Is this partnership registered under State law? . . . . . . . . . .
1204
1
Yes
3
No
Number
b. How many partners are there in this operation? . . . . . . . . . . . . . . . . . . .
3
C-Corporation
4
S-Corporation
5
Other (Include estates, trusts, cooperatives, grazing associations, etc.)
1
1232
Was this operation organized as a Limited Liability Company (LLC) under State law?. . 1202
5.
In 2016, did any households, other than your (the principal operator’s) household, share in the net farm income of this
business? (Sharing can occur by receiving a share of profits/losses or, if incorporated, receiving corporate dividends.)
1225
1
Yes - Continue
3
Yes
3
4.
No - Go to Item 6
Number
a. How many other households shared in the net income of the farm business? . . . . . . . . . . . . . .
6.
No
0976
Is this operation a C-Corporation or an LLC that chose to file as a C-Corporation in 2016?
1226
1
Yes - Continue
3
No - Go to Item 6b
a. How much did you (the principal operator) and your household receive in
corporate dividends from this farming operation in 2016? (If your operation is
Dollars
an LLC that elected to file for tax purposes as a C-Corporation, consider this as
income here.) [Skip 6b and proceed to item 7.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0975
$
.00
b. What percent of net income (whether profit or loss) were you (the operator) and
your household entitled to receive from this farming operation in 2016? (If your
Percent
operation is an LLC that elected to report income for tax purposes as a pass-through,
consider this as income here.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0974
7.
In 2016, how many operators (individuals) were involved in the day-to-day decisions for
this operation? (Enter the number of operators, including the operator named on the front of this
Number
form, and family members if they are also operators. Exclude family members unless they make
day-to-day decisions for the operation. Exclude hired workers unless they are a hired manager.) . . . . . . . . . . 1200
8.
Did you (the principal operator) have a spouse at any point during 2016?
1205
9.
1
Yes - Continue
3
No - Go to Item 10
Did your spouse make day-to-day decisions for this farm/ranch at any point
during 2016? (If yes, the principal operator’s spouse should be included in Item 7 above.) .
. . . 1209
21816186
1
Yes
3
No
§6r^w¤
19
10. Answer the following questions for up to three primary operators of this operation as of December 31, 2016.
(If one of the operators is the principal operator’s spouse and makes day-to-day decisions, record his/her information under
operator 2.)
Principal Operator
Operator 3
Operator 2
a. Full name of operator. . . . . .
1243
b. Sex of operator? . . . . . . . . .
1
c. What was the Operator’s
age on December 31,
2016? . . . . . . . . . . . . . . . . .
1242
d. In what year did the
operator begin to operate
ANY farm? . . . . . . . . . . . . .
1241
1263
Male 2
Female
1
1283
Male 2
1262
Male 2
Female
Age
1261
None
1
1282
Age
11. On average, for each of the three-month periods
during 2016, about how many hours per week
(work and management time) did —
Female
Jan - Mar
Hours / Week
Age
1281
April - June
Hours / Week
July - Sept
Hours / Week
Oct - Dec
Hours / Week
0828
0829
0830
0831
0480
0481
0482
0483
0832
0833
0834
0835
0580
0581
0582
0583
0836
0837
0838
0839
1061
1062
1063
1064
d. all other unpaid workers not previously
reported work for this farm/ranch?
(Exclude custom hire and contract labor.) . . . .
0840
0841
0842
0843
e. all other paid workers not previously
reported work for this farm/ranch?
(Exclude custom hire and contract labor.) . . . .
0859
0860
0861
0862
a. you (the principal operator) work for this
farm/ranch? (Include both paid and
unpaid hours). . . . . . . . . . . . . . . . . . . . . . . . .
(i) of the hours in (a), how many were unpaid?
b. your spouse (the principal operator’s) work
for this farm/ranch? (Even if your spouse is
an operator, include his/her hours here.
Include both paid and unpaid hours) . . . . . .
(i) of the hours in (b), how many were unpaid?
c. all other operators and household members
work for this farm/ranch? (Exclude the
principal operator and spouse. Include
both paid and unpaid hours). . . . . . . . . . . . .
(i) of the hours in (c), how many were unpaid?
(Example: If the operation had 2 hired farm workers who were not household members who each averaged 40 paid hours per week
during Jan-Mar, report 80 for column 1 of Item 11e.)
12. Report the following counts of paid wage and salary
workers (excluding operators, custom hire, and
contract labor) for each of the three-month periods.
a. Average number of full-time workers
None
employed during each three-month period.
Full-time workers are defined as those who
averaged 30 hours a week or more over a
given three-month period . . . . . . . . . . . . . . . .
b. Average number of full-time-equivalents worked
by part-time workers. Part-time workers are
defined as those who averaged less than 30
hours per week over a given three-month period.
To calculate full-time-equivalents, sum the total
hours worked by part-time workers over each
three-month period and divide by 360 . . . . . . .
1
Jan - Mar
2
April - June
3
July - Sept
4
Oct - Dec
NUMBER OF
WORKERS
NUMBER OF
WORKERS
NUMBER OF
WORKERS
NUMBER OF
WORKERS
1083
1084
1085
1086
1087
1088
1089
1090
(Example: A farm employed 4 full-time workers (who were not operators, custom hire, or contract labor) in each month during
January - March. In addition, they employed 2 part-time workers, who averaged 20 hours per week over the three-month period, for a
total of 480 hours of part-time employment (2 workers X 20 hours per week X 4 weeks per month X 3 months = 480). Report “4” for
12(a), Column 1, and “1.33” for 12(b) Column 1.
21816194
§6r^¡¤
20
13. Over the past year, how many hours per week did each of the following people spend working outside of this farm or
ranch? (Include time spent working for a wage or salary, or for a non-farm business. Exclude time spent working at another
farm/ranch and time spent commuting.) —
None
Jan - Mar
Hours / Week
April - June
Hours / Week
July - Sept
Hours / Week
Oct - Dec
Hours / Week
0488
0489
0490
0491
0588
0589
0590
0591
1069
1070
1071
1072
a. You (the principal operator). . . . . . . . . . . . . . .
b. Your spouse (the prinicipal operator’s spouse)
c. All other members of the household . . . . . . . . .
(Example: If two adult children live in the household and work off-farm, one for 40 hours/week and one for 20 hours/week, report 60
hours/week total.)
DIRECT SALES
14. During 2016, did you produce, raise, or grow any commodities for human consumption that this operation sold
directly to
a. Individual consumers? (Include sales from roadside stands, farmers markets; pick
your own, door to door, Community Supported Agriculture (CSAs). Exclude non-edible
products such as Christmas trees and flowers, nursery products, craft items, and
processed products such as jellies, sausages, and hams.) . . . . . . . . . . . . . . . . . . . . . . . 1151 1
Yes
3
No
b. Retail outlets and regional distributors that sold directly to individual consumers?
(Include restaurants, grocers, food hubs, and other local food aggregators.) . . . . . . . . . .
1152 1
Yes
3
No
c. Institutions such as schools and hospitals that provide dining services to
consumers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1153 1
Yes
3
No
[If you answered YES to 14a, 14b, or 14c, continue; otherwise go to Section M.]
Crop Products and
Commodities
15. In 2016, how much was received for the cash market, open market, or
marketing contract sales of [column] sold: (Exclude non-edible products such
as Christmas trees and flowers, craft items, and processed products such as jellies,
sausages, and hams. Exclude commodities produced under production contracts).
(Dollars)
Livestock Products
and Livestock
Commodities
(Dollars)
1154
1159
1155
1160
1156
1161
1157
1162
1158
1163
a. directly to consumers at farmers markets?. . . . . . . . . . . . . . . . . . . . . . . . . . .
b. directly to individual consumers from on-farm stores, u-pick,
road-side stands, Community Supported Agriculture (CSAs)? . . . . . . . . . . . . .
c. to local retail outlets such as a restaurant or grocery
store that sold directly to individual consumers?. . . . . . . . . . . . . . . . . . . . . . .
d. to a regional distributor such as a food hub or an internet
aggregator that sold directly to individual consumers? . . . . . . . . . . . . . . . . . .
e. to a local institutional outlet such as a school, hospital, or
other business that provided dining services to consumers? . . . . . . . . . . . . . .
2001
Office Use Only
21816202
§6r_#¤
21
SECTION M
FARM OPERATOR & HOUSEHOLD CHARACTERISTICS
[NOTE: Please answer the following questions for yourself (the principal operator) and your spouse, if you reported one in Section L, Item 8.
Spouse
Principal Operator
Spanish, Hispanic,
or Latino origin
1219
1.
Are you or your spouse of Spanish, Hispanic, or
Latino origin or background, such as Mexican, Cuban,
or Puerto Rican, regardless of race? . . . . . . . . . . . . . . . . . . .
1
3
Yes
Spanish, Hispanic,
or Latino origin
1220
1
No
1215
4.
5.
At which occupation did you and your spouse spend
the majority (50 percent or more) of your work time
in 2016?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Do you (the principal operator) now consider yourself
to be retired from farming/ranching?. . . . . . . . . . . . . . . . . . .
1218
Black or African
American
American Indian
or Alaska Native.
Specify tribe:
1213
What is the highest level of formal education you and
your spouse have achieved? . . . . . . . . . . . . . . . . . . . . . . . .
White
White
1217
3.
No
1224
What is your and your spouse’s race? . . . . . . . . . . . . . . . . . .
1221
3
Mark one or more.
Mark one or more.
1223
2.
Yes
1214
1216
Asian
1222
Native Hawaiian
or Other Pacific
Islander
Mark one answer only.
1257
Black or African
American
American Indian
or Alaska Native.
Specify tribe:
1
Less than high
school diploma
2
Asian
Native Hawaiian
or Other Pacific
Islander
Mark one answer only.
1260
1
Less than high
school diploma
High school
2
High school
3
Some college
(Include
associates degree)
3
Some college
(Include
associates degree)
4
4-year college
graduate and
beyond
4
4-year college
graduate and
beyond
Mark one answer only.
Mark one answer only.
1207
1208
1
Farm or ranch work.
1
Farm or ranch work.
2
Work other than
farming/ranching.
2
Work other than
farming/ranching.
3
Currently not in the
paid workforce.
3
Currently not in the
paid workforce.
1
Yes
1259
3
No
Number
6.
How many persons lived in the principal operator’s household on December 31, 2016?
(Include operator, spouse, children, and others living in the operator’s household.) . . . . . . . . . . . . . . . . . . .
1227
2003
Office Use Only
21816210
§6r_+¤
22
SECTION N
FARM OPERATOR HOUSEHOLD – INCOME, ASSETS, & DEBT
Value
Dollar Range
Code
$0 . . . . . . . . . . . . . . . 01
Value
Dollar Range
Code
$10,000 – 14,999 . . . . . . . 10
Value
Dollar Range
Code
$80,000 – 99,999 . . . . . . . . . 19
Value
Dollar Range
Code
$1,000,000 – 1,499,999. . . . . . . . 28
$1 – 499. . . . . . . . . . . 02
$15,000 – 19,999 . . . . . . . 11
$100,000 – 124,999. . . . . . . . 20
$1,500,000 – 1,999,999. . . . . . . . 29
$500 – 999 . . . . . . . . . 03
$20,000 – 24,999 . . . . . . . 12
$125,000 – 149,999. . . . . . . . 21
$2,000,000 – 2,999,999. . . . . . . . 30
$1,000 – 1,999 . . . . . . 04
$25,000 – 29,999 . . . . . . . 13
$150,000 – 199,999. . . . . . . . 22
$3,000,000 – 4,999,999. . . . . . . . 31
$2,000 – 2,999 . . . . . . 05
$30,000 – 34,999 . . . . . . . 14
$200,000 – 274,999. . . . . . . . 23
$5,000,000 – 7,499,999. . . . . . . . 32
$3,000 – 3,999 . . . . . . 06
$35,000 – 39,999 . . . . . . . 15
$275,000 – 349,999. . . . . . . . 24
$7,500,000 – 9,999,999. . . . . . . . 33
$4,000 – 4,999 . . . . . . 07
$40,000 – 49,999 . . . . . . . 16
$350,000 – 499,999. . . . . . . . 25
$10,000,000 and over . . . . . . . . . 34
$5,000 – 7,499 . . . . . . 08
$50,000 – 59,999 . . . . . . . 17
$500,000 – 749,999. . . . . . . . 26
$7,500 – 9,999 . . . . . . 09
$60,000 – 79,999 . . . . . . . 18
$750,000 – 999,999. . . . . . . . 27
1.
Use the value codes from the box above to answer the questions in Section N. (Exclude farm income reported earlier.)
Which value code represents the total income received by the principal operator, spouse, and household in 2016 from –
SOURCE
SPOUSE
INCOME
OPERATOR
INCOME
(Value Code)
(Value Code)
TOTAL
HOUSEHOLD
INCOME
(Value Code)
0950
0951
0952
b. net cash income from operating another farm or ranch
(net of depreciation)? (if a loss was incurred, please indicate
with a negative sign). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0955
0956
0957
c. net cash income from operating any other business (net
of depreciation)? (if a loss was incurred, please indicate with
a negative sign) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0958
0959
0960
a. all off-farm wages, salaries, and tips before taxes and
withholdings? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. net cash income from renting farmland to others, excluding land rented to others from this
operation? (Include rental of farmland that is not part of this operation, which may include whole
farms or ranches owned by household members as well as smaller parcels of land. Include cash or
share-rental income. If a loss was incurred, please indicate with a negative sign.) . . . . . . . . . . . . . . . . . 0963
e. interest income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0969
f.
dividend income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0966
g. total proceeds from the sale of farm and non-farm capital assets?
(Include operator household’s share only.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0978
(i) recognized gain/loss on the sale of capital assets reported above? (Item 1g)
(if a loss was incurred, please indicate with a negative sign) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0981
h. income from private pensions and private disability payments? . . . . . . . . . . . . . . . . . . . . . . . .
0939
i.
j.
income from public sources? (Include Social Security, military and other public retirement,
veteran’s benefits, public disability, unemployment, or other public assistance.) . . . . . . . . . . . . . . . . . . .
0998
other off-farm sources of income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0993
HOUSEHOLD SPENDING – (Please see VALUE CODES above.)
2.
Value Code
Which value code from the list above represents how much this household spent in 2016 on –
a. food, including food away from home? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. rent payments for principal operator’s dwelling, if not owned by the household
(Item 3c, on next page) or farm business (Section J, Item 1a has a zero value)? . . . . . . . . . . . . . . . .
1105
c. utilities and household supplies?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1106
1104
d. non-farm transportation for the:
(i) renting or leasing of vehicles for household use, public transportation expenses, etc.? . . . . .
(ii) fuel, maintenance and repairs, vehicle insurance, parking and license fees for non-farm
share of vehicles? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21816228
1107
1119
§6r_=¤
23
HOUSEHOLD SPENDING – (Please see VALUE CODES on page 22.)
e. health and medical expenses of:
(i) health and/or dental insurance costs? (costs not covered by the farm operation or an
off-farm employer). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1108
(ii) out of pocket expenses for health and medical needs?
(Include co-payments, co-insurance, deductibles, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1112
f. contributions to personal insurance (including life, disability, and liability insurance but not
including health, homeowner or vehicle insurance) and retirement plans including pensions
and Social Security? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. contributions to individuals outside of the household, including alimony, child support,
gifts (not including bequests) and charitable contributions? . . . . . . . . . . . . . . . . . . . . . . . . .
h. mortgage interest for operators who live in a dwelling owned by the household and not
the operation? (Exclude any parts of mortgage principal.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i. property taxes for operators who live in a dwelling owned by the household and not the
operation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
j.
Value Code
. . 1109
. . 1110
. . 1120
. . 1121
all other family living expenses, such as non-farm household insurance payments,
clothing and personal care products and services; house furnishings and equipment,
education and child (or adult) care, entertainment (hobbies, recreation, and vacations)?. . . . . . . 1118
OFF-FARM ASSETS – (Please see VALUE CODES on page 22.)
3.
Which value code on page 22 represents the total value of each of the following categories of off-farm assets
owned by the operator and members of the operator’s household on December 31, 2016, for – (Exclude assets
of this operation, reported in Section J.)
a. financial assets held in non-retirement accounts?
(Include cash, checking, savings, money market accounts, certificates of deposit, savings bonds,
government securities, outstanding personal loans due to the operator or household, corporate
stock, mutual funds, cash surrender value of life insurance, other financial assets. Exclude all
farm business-related assets.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0953
Value Code
b. retirement accounts? (401k, 403b, IRA, Keogh, other retirement accounts) . . . . . . . . . . . . . . . . . . . . 0954
c. operator’s dwelling, if not owned by the operation? (not reported in Section J, Item 1a). . . . . . . . . . 0984
d. real estate and other personal (second) homes?
(other farms, residential rental, commercial, and other real estate) . . . . . . . . . . . . . . . . . . . . . . . . . . . 0985
e. business not part of this farm? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0986
f. all household vehicles? (Including household share of vehicles partly owned by the operation). . . . . . . 0982
g. other assets not reported elsewhere? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0987
OFF-FARM DEBT – (Please see VALUE CODES on page 22.)
4.
Which value code on page 22 represents the total value of each of the following categories of off-farm debt (debt not
associated with this operation) owed by the operator and members of the operator’s household on December 31, 2016,
for – (Include off-farm debt secured with farm assets. Exclude any debt – household debt, credit cards, etc. – reported in Section K,
Farm Debt.)
[NOTE: If mortgage debt on the operator dwelling was reported earlier in Section K, Item 5, then skip Item 4a and continue with 4b.
If mortgage debt on the operator dwelling was NOT reported in Section K, Item 5, then continue with Item 4a.]
Value Code
a. mortgages on operator’s dwelling, if not owned by the operation?
(Include home mortgages, home equity loans, and lines of credit secured by the operator’s dwelling.) . . . . 0988
b. mortgages on other real estate and other personal homes such as second homes?
(Include mortgages, equity loans, and lines of credit secured by other real estate, including other
farms, residential rental, commercial, and other real estate.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0989
c. loans on businesses that are not a part of this farm operation? . . . . . . . . . . . . . . . . . . . . . . . . 1101
21816236
§6r_E¤
24
OFF-FARM DEBT – (Please see VALUE CODES on page 22.)
5.
Value Code
d. personal loans? (Include credit cards, auto loans, unpaid taxes, and medical bills.) . . . . . . . . . . . . . . .
1102
e. all other off-farm debt owed by the operator or household? . . . . . . . . . . . . . . . . . . . . . . . . . . .
0983
Which value code on page 22 represents the amount of off-farm debt owed by the operator
or household members that was secured by farm assets?
.................................
1117
2015 INCOME & EXPENSES
6.
Which value code on page 22 represents the total farm sales last year (2015)?
Value Code
(Total farm sales includes livestock and crop income from cash and marketing contract sales,
fees received from livestock and crop production contracts, the net change in CCC loans, and
government payments.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1113
7.
8.
Which value code on page 22 represents the net operating income for this operation
last year (2015)? (cash income from all farm sources minus production costs and depreciation;
if negative net operating income, please indicate with a negative sign before the value code) . . . . . . . . . . .
1114
Which value code on page 22 represents the total off-farm income last year (2015)?
(wages, salaries, tips, interest, dividends, other public sources, etc. before taxes, income from
operating another farm, income from operating any other business; if negative off-farm income,
please indicate with a negative sign before the value code) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1115
2002
Office Use Only
SECTION O
1.
CONCLUSION
To receive the complete results of this survey on the release date, go to www.usda.gov/results/.
Would you rather have a brief summary mailed to you at a later date? . . . . . . . .
9990
1
3
Yes
No
(Thank You for Your Participation)
2.
In case we have questions, please provide your contact information.
Reported By:
Telephone:
Date Completed (MM-DD-YY):
9910
Office Use Only
0005
Ending Time (Military)
Hours
Minutes
OR
0008
Time in Hours
Hours
Tenths
Office Use Only
Response
Respondent
9901
Mode
9902
Enum
9903
1-Comp
1-Op / Mgr
1-Mail
2-R
2-Sp
2-Tel
3-Inac
3-Acct / Bkpr
3-Face-to-Face
9998
Eval
9900
Field Office
Use
0093
Optional
0003
Office Use for POID
4-Partner
9989
9-Other
Name
21816244
§6r_M¤
| File Type | application/pdf |
| File Modified | 2016-07-05 |
| File Created | 2016-06-27 |