1
Recording State
|
Enter the producer’s recording state.
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2
Program Year
|
Enter the applicable program year.
|
3
Recording County
|
Enter the producer’s recording county.
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4
Application Number
|
Application Number will be assigned by the automated system.
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Part A
Producer Agreement
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For Informational Purposes
Applicants who are
an individual person must complete automated CCC-902 or manual
CCC-902, Parts A and B, and provide name, address, taxpayer
identification number, and citizenship status. An individual
who is not a U.S. resident or lawful alien must also report
contributions of labor, capital, and land contributions to the
farming operation.
Applicants who are
a legal entity, including General Partnership or Joint Venture,
must complete automated CCC-902 or manual CCC-901 and provide
the name, address and taxpayer identification number for the
legal entity and all members, partners or stockholders with an
ownership interest. If any member, partner or stockholder is
not a U.S. resident or lawful alien, CCC-902 must be completed
to report contributions of labor to the legal entity.
|
Part B – Producer Information
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5
Producer’s Name, Address (City, State,
and Zip Code) and Phone Number
|
Enter the producer’s name, address, including the ZIP
code, and the producer’s phone number.
|
Part C – Dairy Production Information
|
6
Unit of Measure
|
Displays the unit of measure for dairy production as pounds
(LBS).
|
7
January 2020 Production
|
Enter the total January 2020 production, including dumped milk,
in pounds (LBS).
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8
February 2020
Production
|
Enter the total February 2020 production, including dumped milk,
in pounds (LBS).
|
9
March 2020 Production
|
Enter the total March 2020 production, including dumped milk, in
pounds (LBS).
|
10
COC Adjusted Jan 2020 Production (COC USE
ONLY)
|
COC may enter the adjusted January 2020 Production, if
applicable.
Note: An entry is only required when
COC determines the January 2020 production is different than
what is certified to by the producer in Item 7.
|
11
COC Adjusted Feb
2020 Production
(COC USE ONLY)
|
COC may enter the adjusted February 2020 Production, if
applicable.
Note: An entry is only required when
COC determines the February 2020 production is different than
what is certified to by the producer in Item 8.
|
12
COC Adjusted March 2020 Production (COC
USE ONLY)
|
COC may enter the adjusted March 2020 Production, if applicable.
Note: An
entry is only required when COC determines the March 2020
production is different than what is certified to by the
producer in Item 9.
|
A
If you are no
longer producing milk, what is the latest date milk was
produced?
(MM/DD/YYYY)
|
Enter the last date milk was produced for those producers
applying that are no longer producing milk.
Note: if you cease producing milk
before July 1, 2020, you are required to notify the FSA County
office of the date you stopped producing milk.
|
B
COC Adjusted Last
Date Milk was Produced
(COC USE ONLY)
|
COC may enter the adjusted last date milk was produced, if
applicable.
Note: An entry is only required when
COC determines the last date milk was produced is different than
what is certified to by the producer in Item A.
|
Part D – Non-Specialty Crop & Wool Information
|
13
Commodity
|
Enter the eligible non-specialty crop or wool.
|
14
Unit of Measure
|
Enter the applicable unit of measure for the commodity entered
in Item 13.
|
15
2019 Total
Production
|
Enter the 2019 total production from all farms entered for the
commodity entered in Item 13.
|
16
2019 Production
Not Sold (as of Jan 15,2020)
|
Enter the 2019 production from all farms, not sold, of
non-specialty crops or wool to be eligible to submit loss claim
as of January 15, 2020.
|
17
COC Adjusted 2019
Total Production
(COC USE ONLY)
|
COC may enter the adjusted 2019 total production, if applicable.
Note: An entry is only required when
COC determines the 2019 total production is different than what
is certified to by the producer in Item 15.
|
18
COC Adjusted 2019 Production Not Sold (as
of Jan 15, 2020)
|
COC may enter the adjusted 2019 production not sold, if
applicable.
Note: An entry is only required when COC determines the
2019 production not sold is different than what is certified to
by the producer in Item 16.
|
Part E – Livestock Information
|
19
Livestock
|
Enter the name of the eligible livestock.
Eligible livestock
categories are:
Feeder Cattle:
< 600 lbs (cattle weighing less than 600 pounds)
Feeder Cattle:
> 600 lbs (cattle weighing 600 pounds or more but less
than "Slaughter Cattle: Fed Cattle")
Slaughter
Cattle: Fed Cattle (cattle weighing 1,200 pounds or more and
are intended for slaughter)
Slaughter
Cattle: Mature Cattle (culled cattle raised or maintained
for breeding purposes, but which were removed from inventory and
are intended for slaughter)
All Other
Cattle (commercially raised or maintained bovine animals not
meeting the definition of another category of cattle, excluding
beefalo, bison, and animals used for dairy production or
intended for dairy production)
Pigs: < 120
lbs (any swine weighing less than 120 pounds)
Hogs: > 120
lbs (any swine 120 pounds or more)
Lambs & Yearlings: Less Than 2 Years
Old (all sheep less than 2 years old)
|
20
Unit of Measure
|
Enter the applicable unit of measure, for the livestock entered
in Item 19. The unit of measure for livestock is “Head”.
|
21
Sales
(Between Jan 15,
2020 –
April 15, 2020)
of Inventory Owned as of Jan 15, 2020.
|
Enter the total sales between January 15, 2020 and April 15,
2020, of owned unpriced inventory as of Jan 15, 2020 for the
livestock entered in Item 19, if applicable.
Note: Offspring from owned inventory
as of January 15, 2020 that were sold between January 15 and
April 15, 2020 are eligible.
|
22
Inventory (Highest
Between April 16, 2020 – May 14, 2020)
|
Enter the highest owned inventory between April 16, 2020, and
May 14, 2020, for the livestock entered in Item 19, if
applicable.
|
23
COC Adjusted Sales
(Between Jan 15,
2020 –
April 15, 2020)
of Inventory Owned as of Jan 15, 2020.
(COC USE ONLY)
|
COC will enter the adjusted total sales between January 15,
2020, and April 15, 2020, for owned unpriced inventory as of Jan
15, 2020, and any sales of offspring from owned inventory, if
applicable.
Note: An entry is only required when
COC determines the total sales is different than what is
certified to by the producer in Item 21.
|
24
COC Adjusted Inventory (Highest Between
April 16, 2020 – May 14, 2020) (COC USE ONLY)
|
COC will enter the adjusted owned inventory, if applicable.
Note: An entry is only required when COC determines the
inventory is different than what is certified to by the producer
in Item 22.
|
Part F – Value Loss Information
|
25
Commodity
|
Enter the eligible value loss commodity.
|
26
Value of Sales (Jan 15, 2020 – April
15, 2020)
|
Enter the total value of sales from all farms between January
15, 2020, and April 15, 2020, for the value loss commodity
entered in Item 25.
|
27
Value of Inventory (as of April 15, 2020)
|
Enter the total value of marketable inventory from all farms as
of April 15, 2020, for the value loss commodity entered in Item
25.
|
28
COC Adjusted Value
of Sales (Jan 15, 2020 – April 15, 2020)
(COC USE ONLY)
|
COC may enter the adjusted value of sales between January 15,
2020, and April 15, 2020, if applicable.
Note: An entry is only required when COC determines the
total value of sales is different than what is certified to by
the producer in Item 26.
|
29
COC Adjusted
Value of Inventory (as of April 15, 2020)
(COC USE ONY)
|
COC may enter the adjusted value of inventory as of April 15,
2020, if applicable.
Note: An entry is only required when COC determines the
value of inventory is different than what is certified to by the
producer in Item 27.
|
Part G – Specialty Crops (COC Determination Not
Required)
|
30
Commodity
|
Enter the eligible specialty crop.
|
31
Unit of Measure
|
Enter the unit of measure for the crop in Item 30.
|
32
Volume of Production Sold (Jan 15, 2020 –
April 15, 2020)
|
Enter the total volume of production sold between January 15,
2020, and April 15, 2020, for the crop in Item 30.
|
33
Volume of Production Shipped that Spoiled or
Unpaid (Jan 15, 2020 – April 15, 2020)
|
Enter the total volume of production shipped that spoiled or
went unpaid between January 15, 2020, and April 15, 2020, for
the crop in Item 30.
|
34
Acres with
Production Not Shipped or Sold
(Jan 15, 2020 – April 15, 2020)
|
Enter the total number per unit of output basis left in the
field or harvested but not shipped between January 15, 2020, and
April 15, 2020, for the crop in Item 30
|
35
AMS Adjusted
Volume of
Production Sold (Jan 15, 2020 – April 15, 2020)
(AMS USE ONLY)
|
Leave blank. AMS will enter an adjusted number if application
is selected for audit.
Note: No action required by producer.
|
36
AMS Adjusted
Volume of
Production Shipped that Spoiled or Unpaid (Jan 15, 2020 –
April 15, 2020) (AMS USE ONLY)
|
Leave blank. AMS will enter an adjusted number if application
is selected for audit.
Note: No action required by producer,
|
37
AMS Adjusted
Acres with
Production Not Shipped or Sold
(Jan 15, 2020 –
April 15, 2020)
(AMS USE ONLY)
|
Leave blank. AMS will enter an adjusted number if application
is selected for audit.
Note: No action required by producer.
|
Part H – Increased Payment Limitation for
Corporations, Limited Liability
Companies, and Limited
Partnerships
|
38
A-C
Members
|
Enter the member/partner or stockholder name(s) who provide 400
hours or more of active personal labor or active personal
management, or combination thereof, to the farming operation
identified in Part A, Item 5.
Note: Entry only required to be completed by
Corporations, LLC’s, and LP’s.
|
Part I – Producer Certification
|
39A
Signature (By)
|
Producer applying for CFAP benefits must sign.
|
39B
Title/Relation-ship of the Individual Signing
in the Representative Capacity
|
Enter title and/or relationship to the individual when signing
in a representative capacity.
Note: If the producer signing is not signing
representative capacity, this field should be left blank.
|
39C
Date (MM/DD/YYYY)
|
Enter the date the AD-3114 is signed in Item 39A.
|
Part J – COC Determination – COC USE ONLY
|
40
Payment Part
(COC USE ONLY)
|
Displays the Payment Parts – CARES and CCC.
|
41
COC or Designee
Signature
(COC USE ONLY)
|
COC or their representative’s signature.
Note: COC must complete for both
payment parts in Item 40.
|
42
Date (MM/DD/YYY)
(COC USE ONLY)
|
Date COC or their representative signs the AD-3114.
|
43
Determination
(COC USE ONLY)
|
Check () either
“Approved” or “Disapproved” for both
payment parts in Item 40.
Important: AD-3114 will be approved or disapproved as
certified by the producer after applicable COC adjustment fields
are completed.
|