PSD- 3003 Annual Report of Market Agency - Selling on Commission

OMB Control No. 0581-0308

Business Entity ID Number

For PSD Stamp Only

PSD Bar Code Only

U.S. Department of Agriculture
Agricultural Marketing Service
Fair Trade Practices Program
Packers and Stockyards Division

Select this box if you want to receive
electronic notification to file your annual
report. This will begin in the next
reporting cycle.

ANNUAL REPORT OF
MARKET AGENCY SELLING
ON COMMISSION

Electronic Filing

Instructions: If a line's value is zero, enter "0". If a line does not apply, enter "N/A". Return completed form to
the PSD Central Reporting Unit. If all lines are not completed when the form is received, the form will be
returned. See separate instructions for complete information about this report.
GENERAL INFORMATION - SECTION 1

101

Reporting Period
(mm/dd/yyyy)

a. FROM:

b. TO:

102 Entity Name
103 Trade Name/d.b.a.
104 Mailing Address
105 City, State, Zip+4
106 Operating Address
107 City, State, Zip+4
108 Contact Name
109 Contact Telephone

110 Fax Number

111 E-Mail Address

112 Web Address
ORGANIZATIONAL STRUCTURE - SECTION 2

List owners, officers, partners, and members in control of this business with their ownership percentage.
a. Name

b. Title

c. %

201
202
203
204
205

206 Type organization:

Individual

Partnership

Corporation

L.L.C.

L.L.P.

Co-op

207 Is this the same organization type reported last year?

Yes

No

208 Does the entity own or operate a scale on which purchased livestock is weighed?

Yes

No

209 a. Manufacturer

c. Serial Number

b. Model

210 What is the basis of payment made to the entity for most livestock you sell?

Per Head

211 Is this business owned or controlled by another business entity? If Yes, list information on line 212
212 Entity Name:

Association

Live Wt.

Dressed Wt. or Carcass Basis

Yes

No

Entity Address:

213 Name and Version of software program used for consigner/buyer invoices

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214

Does this Business, including any Owners, Officers, Directors, Members or Employees, own an
interest in any other Market Agency, Dealer Organization, or Packing Company?

Yes

No

If line 214 is yes, give the name of related firms, name of person or firms with relationship, and percentage of ownership under lines 215-218
a. Name of Related Firm

c. %

b. Name of Person/Firm with Relationship

215
216
217
218
SELLING ON COMMISSION OPERATION (CLAUSE 1 BOND) - SECTION 3

Livestock Sold at Market

a. Cattle

b. Hogs

c. Sheep & Goats

d. Horses & Mules

e. Total (a+b+c+d)

Livestock consigned by others to your
301 market (number of head)
Livestock consigned by you to your market
302 (number of head)
Total livestock consigned to your market
303 (number of head)
Gross value of livestock sold on
304 commission

$

$

$

$

$

305 Number of Public Sales days covered by this report
DEALER AND BUYING ON COMMISSION OPERATION (CLAUSE 2 BOND) - SECTION 4

Livestock Dealer Purchases

a. Cattle

Cost of livestock purchased on a dealer
401 basis for registrant's account

$

Number of head of livestock purchased on
402 a dealer basis for registrant's account
Dealer Volume by quarter

$

a. First Quarter

Cost of livestock purchased as a dealer, per
403 quarter (403e is equal to 401e)
$
Livestock Bought on Commission
Cost of livestock bought on commission
(BOC) for the account of others regardless
404 of who paid for the livestock
Number of head of livestock bought on
commission for the account of others
405 regardless of who paid for the livestock
BOC Volume by quarter
Cost of livestock bought on commission,
406 per quarter (406e is equal to 404e)

b. Hogs

$

b. Second Quarter
$

a. Cattle
$

$

c. Third Quarter

b. Hogs

$

$

$

407 Total Cost of Livestock Purchased - line 401e plus line 404e

$

e. Total (a+b+c+d)
$

d. Horses & Mules
$

c. Third Quarter

e. Total (a+b+c+d)

d. Fourth Quarter
$

c. Sheep & Goats

b. Second Quarter

d. Horses & Mules
$

$

$

a. First Quarter

c. Sheep & Goats

e. Total (a+b+c+d)
$

d. Fourth Quarter
$

e. Total (a+b+c+d)
$

$

408 Number of days livestock was purchased during the reporting year
CLEAREE AND CLEAROR DESIGNATIONS - SECTION 5

501 Select this box if you are a clearee (Cleared and under the bond coverage of another entity for your livestock purchases)
502 Provide the name of the clearor if line 501 is checked:
503 Select this box if you are a clearor providing clearing services for clearees.
If the checkbox is selected on line 503, you must enter the required information for lines 504-514
Clearee's Name as Registered

Dollar Value of Livestock Purchased

504

505

$

506

507

$

508

509

$

510

511

$

512

513

$

Total Livestock Purchases of all Clearees 514

$

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ANALYSIS OF CUSTODIAL BANK ACCOUNT FOR SHIPPERS' PROCEEDS - SECTION 6

Date of Custodial Analysis ( as of mm/dd/yyyy - should be same as reporting year end)

601

Balance as per Bank Statement

602 $

Deposits in transit in mail or bank, but not on statement

603 $

Certificates of Deposit/Savings designated as custodial funds

604 $

Proceeds on hand

605 $

Proceeds receivable

606 $
Total of Lines 602 through 606

607 $

Outstanding checks and drafts that have not cleared bank

608 $

Proceeds due consignors of livestock for which checks have not yet been issued

609 $

Unpaid expense items deducted from consignors' proceeds remaining in account

610 $

Total of Lines 608 through 610

611 $

Overage or Shortage in Account

612 $

Accounts Receivable - (from sales of livestock not classified as Proceeds Receivable)

613 $

STATEMENT OF ASSETS, LIABILITIES, AND EQUITY - SECTION 7
Include values only for the reporting entity.

ASSETS
Current Assets:
Cash in Non-Custodial Accounts (Enter overdrafts on Line 722)
Overage in Custodial Bank Account (From Line 612, if a positive amount)
Current Cash Equivalents (CD's, Savings, etc.)
Trade Accounts Receivable-Net (Due in 1 year or less):
Owners, Officers, and Affiliated Companies
All Others (Sources Not Related to Company)
Total Trade Accounts Receivables-Net (Due in 1 year or less) (Total of lines 704 and 705)
Inventory:
Livestock Inventory
Other Inventory (Inventory to be consumed in the business during the year)

704

$

705

$

707

$

708

$

Total Inventories (Total lines 707 and 708)
Notes and Loans Receivable (Due in 1 Year or Less):

701

$

702

$

703

$

706

$

709 $

Owners, Officers, and Related Entities
Others (Sources Not Related to Company)
Total Notes and Loans Receivable (Due in 1 Year or Less) (Total lines 710 and 711)
Advances Made on Livestock
Other Current Assets
Total Current Assets (Total lines 701, 702, 703, 706, 709, 712, 713, and 714)

710

$

711

$
712
713
714

$
$
$

Property, Plant, & Equipment Net of Depreciation and Amortization

715

$

716

$

721
722

$
$

Other Assets:
Investments in Subsidiaries and Related Companies
Due from Owners, Officers, and Related Entities (Due in 1
year or more)
Livestock Inventory not related to sales to customers
(feeding, backgrounding, depreciable assets)
Other Long-Term Assets
Total Other Assets (Total lines 717, 718, 719, and 720)
TOTAL ASSETS (Total of lines 715, 716, and 721)

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717

$

718

$

719

$

720

$

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OMB Control No. 0581-0308

LIABILITIES
Current Liabilities:
Overdraft

723

$

Shortage in Custodial Account (from line 612, if a negative amount)

724

$

Trade Account Payables:
Livestock Payables

725

$

Other Payables to Owners, Officers, and Related Entities (Due in 1 Year or Less)

726

$

Other Payables (Sources Not Related to Company)(Due in 1 Year or Less)

727

$

Total Trade Account Payables (Total Lines 725, 726, and 727)

728 $

Current Maturities of Long-Term Debt: (Demand notes and portion of long-term notes due in 1 year or less)
Owners, Officers, and Related Entities

729

$

Others (Sources Not Related to Company)

730

$

Total Current Maturities of Long-Term Debt (Total lines 729 and 730)

731

$

Other Current Liabilities

732

$

Total Current Liabilities (Total lines 723, 724, 728, 731, and 732)

733

$

Total Long-Term Debt, Less Current Maturities (Total lines 734 and 735)

736

$

All Other Liabilities

737

$

738

$

TOTAL EQUITY (should equal lines 739 through 742)

743

$

TOTAL LIABILITIES AND EQUITY (should equal line 722)

744

$

Total Income

805

$

Total Expenses

806

$

Net Profit (+) or Loss (-)

807

$

Other Liabilities:
Long -Term Debt, Less Current Maturities: (Due in 1 year or more)
Owners, Officers, and Related Entities

734

$

Others (Sources Not Related to Company)

735

$

TOTAL LIABILITIES (Total of lines 733, 736, and 737)
EQUITY
Owner's Equity (Unincorporated)

739

$

Stock Issued (Incorporated)

740

$

Additional Paid-in Capital

741

$

Retained Earnings

742

$

OR

STATEMENT OF REVENUES AND EXPENSES - SECTION 8

Selling Commissions of Market

801

$

Gross Dealer Profit (+) or Loss (-)

802

$

Buying Commission

803

$

Other Income

804

$

CERTIFICATION - SECTION 9

Under the Packers and Stockyards Act any person who willfully makes, or causes any false entry or statement of fact in this report shall be deemed guilty of offense
against the United States, and be subject to a fine of $1,000 to $5,000, or to imprisonment for a term of not more than 3 years, or to both fine and imprisonment.
Section 10 of the FTC Act, made applicable by Section 402 of the Act (7 U.S.C. 222).
With my signature, I certify the information provided on this form is true and correct to the best of my knowledge and belief, I am an owner, officer, or have been
authorized by responsible management to certify this report. (This form must be signed by a person listed in lines 201-205.)
901 Print Name:
903 Phone Number:

902 Signature:
904 Date:

905 Title:

Submitted information is confidential (9 CFR 201.96). Submitted information is confidential (9 CFR 201.96). Failure to report may result with a complaint filed
against the entity in a United States District Court charging the entity with violations of the Packers and Stockyards Act and seeking civil penalties as authorized by
law per day until report receipt. Section 10 of the FTC Act, made applicable by Section 402 of the Act (7 U.S.C. 222).

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OMB Control No. 0581-0308

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 is 0581-0308. The time required to complete this information collection is
estimated to average 2 hours 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.

In accordance with Federal law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the
basis of race, color, national origin, sex, age, disability, and reprisal or retaliation for prior civil rights activity. (Not all prohibited bases apply to all programs.) Persons
with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should
contact the responsible State or local Agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through
the Federal Relay Service at (800) 877-8339. Additionally, program information is also available in languages other than English.
To file a complaint alleging discrimination, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at
http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office or write a letter addressed to USDA and provided in the letter all of the information
requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (a) mail: U.S. Department of
Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (b) fax: (202) 690-7442; or (c) email:
[email protected].

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Form PSD 3003

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Instructions to Complete
Annual Report of Market Agency Selling on Commission
Form PSD 3003
Each individual, corporation, and association engaged in business as a market agency selling
livestock on a commission basis is required to file an annual report with the U.S. Department of
Agriculture, Agricultural Marketing Service, Fair Trade Practices Program, Packers and
Stockyards Division (hereinafter known as “PSD”) on Form PSD3003, Annual Report of Market
Agency Selling on Commission.
If you report on a calendar year basis, your form must be received by PSD by April 15 each year.
If you file on a fiscal year basis, you must submit your Annual Report form 90 days after the close
of your fiscal year. Requests for additional time to file this report must be received no later than
the applicable filing dates above. Failure to file this form may result with a complaint filed against
the entity in a United States District Court charging the entity with violations of the Packers and
Stockyards Act and seeking civil penalties as authorized by law for each day the report is
delinquent. Section 10 of the FTC Act made applicable by Section 402 of the Act (7 U.S.C. 222).
All items must be completed on this form, in its entirety, before submitting the form. Failure
to do so will result in the form being returned as incomplete. If available, you may provide
financial statements as an attachment to the fully completed annual report form.
For questions about Form PSD 3003, or additional copies of the form, please contact the PSD
Central Reporting Unit at 303-375-4264 or [email protected]. Forms and instructions are also
located on PSD's website at https://www.ams.usda.gov/resources/forms. Please fax the completed
form to the Central Reporting Unit at 314-457-4421/844-303-0332, email to [email protected]
or mail to:
USDA PSD
P.O. Box 110639
Aurora, CO 80042
SECTION-BY-SECTION INSTRUCTIONS
FORM HEADER – BUSINESS ENTITY ID
Business Entity ID should be completed using information on the attached annual report letter.
FORM HEADER – ELECTRONIC FILING
By selecting the Electronic filing check box, you will receive an email reminder message from
our system to the address listed on line 111 of the form each year that you are required to file
your annual report. This email is a reminder your report is due and includes instructions for the
E-Forms website located at https://forms.sc.egov.usda.gov to complete and file your report. The
forms are also located on the PSD website at https://www.ams.usda.gov/resources/forms.

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Line No.
101
a and b

102
103
104
and
105
106
and
107
108
109
110
111
112
201a
through
205c

206
207
208
209a.
through
209c.

Form PSD 3003

Subject

Instruction
GENERAL INFORMATION - SECTION
Reporting Period
The reporting year covers the period of time operated the
previous year, either calendar year or fiscal year. (FROM:
should be the beginning of your reporting year; TO: should
be the end of your reporting year, i.e., 01/01/20YY to
12/31/20YY)
If you recently registered, please enter the date you started
operating (FROM) and the end of your reporting year (TO).
If you cease operations and go inactive, the end of your
reporting year (TO) will be the last date of operation.
Entity Name
Enter the name under which you are registered with PSD.
Trade Name/d.b.a
Enter the trade name under which you operate. This is the
name the business uses, if applicable. If you do not operate
with a “Trade Name”, enter “N/A.”
Mailing Address
Enter your mailing address. Enter street, city, state, and zip
+4 code. This is the address where all correspondence from
the Packers and Stockyards Division should be sent.
Operating Address
Enter the physical location of your operating address. Enter
street, city, state, and zip +4 code. This is the address
where you conduct your business services.
Contact Name
Enter the name of the person to be contacted regarding
questions on the annual report.
Contact Telephone
Enter the telephone number where the contact may be
Number
reached.
Fax Number
Enter the Fax number used by the entity.
E-Mail Address
Enter the entity’s e-mail address.
Web Site Address (if
Enter the complete Web site address the business operates.
applicable)
For example: [email protected]
ORGANIZATIONAL STRUCTURE – SECTION 2
Owners, Members,
For each owner, officer, member, and every partner, enter
Partners, Or Officers,
their name, title, and respective percentage of ownership.
(Name and Title),
Provide this information for every individual with any
Percent Ownership
ownership interest, 10% or greater, in the applicant’s
operation. The person signing this report on line 902, must
be listed in this section.
Type of Organization
Check the appropriate box to indicate the type of
organization as it applies to the business’ operation.
Same Organization
Check the appropriate box to indicate if your organization
Reported
is the same as operated the previous year.
Own or Operate a Scale Check the appropriate box to indicate if this entity owns or
operates a livestock scale.
Manufacturer, Model,
If 208 is yes, list the a. manufacturer, b. model, and c. serial
Serial Number
number of each scale the entity operates.

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Line No.
210
211
212
213

Subject
Payment
Business
Control/Ownership
Business Name and
Address
Interest in other Market
Agency, Dealer
Organization or Packing
Company

Instruction
Check the appropriate box to indicate the basis of payment
for the majority of livestock sold.
Check the appropriate box to indicate if this entity is owned
or controlled by another business entity.
If line 211 is yes, list the name and address of the
owner/controlling business.
Check the appropriate box to indicate if this entity, or any
of its owners, officers, directors, members or employees
own an interest in any other market agency, dealer
business, or packing company. If No, continue to Section
3.
List the names of the related firms owned by the reporting
business.

214a.
Related firms’ names
through
217a.
214b.
Person or firm with
List the name of the person or firm with ownership or
through
Relationship
control of the entity listed in column a.
217b.
214c.
Percentage
List the percentage of ownership/control held by the
through
person/firm listed in column b.
217c.
SELLING ON COMMISSION OPERATION (CLAUSE 1 BOND) – SECTION 3
301
Livestock consigned by Enter the total number of head for each category of
a through e others
livestock, sold during the year on a commission bases by
your market agency. Include livestock sold for individual
officers, directors, and separately registered partners.
Report livestock consigned by the market on line 302.
302
Livestock consigned by Enter the number of head, for each category of livestock,
a through e you
consigned by you (the market agency), to the market.
303
Total livestock
For each category of livestock, Enter the sum of lines 301
a through e consigned
and 302, for each category of livestock, as the total number
of head sold on commission.
304
Gross value of livestock Enter the gross value of livestock sold on commission, for
a through e
each category of livestock.
305
Number of Public Sale
Enter the number of day’s livestock sales were conducted
days
by the market.
DEALER AND BUYING ON COMMISSION OPERATION (CLAUSE 2 BOND)–-SECTION
4
NOTE: Do not include the cost of livestock purchased by clearees in this section of the report.
Those figures are to be reported in section 5 of this report. The only volume that should be
reported in section 4 is that purchased by the market as a dealer or on commission for others.
401
Cost of livestock
Enter the cost for each category of livestock, and the total
a through e purchased as a dealer
cost of livestock purchased on a dealer basis during the
reporting period.
402
Number of head of
Enter the number of head purchased for each category of
a through e livestock purchased as a livestock and the total number of head of livestock
dealer
purchased on a dealer basis during the reporting period.

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Line No.
403
a through e
404
a through e

Subject
Cost of livestock
purchased as a dealer,
per quarter
Cost of livestock bought
on commission

405
a through e

Number of head of
livestock bought on
commission

406
a through e

Cost of livestock bought
on commission, per
quarter
Total cost of livestock
purchased
Number of days
livestock purchased

407

Instruction
Enter cost of livestock purchased as a dealer, per quarter.
Enter the cost for each category of livestock and the total
cost of livestock purchased as an order buyer during the
reporting period. You must include all livestock that you
bought on commission regardless whether you or another
entity paid for it.
Enter the number of head purchased for each species of
livestock and the total number of head of livestock
purchased as an order buyer during the reporting period.
You must include all livestock that you bought on
commission, regardless whether you or another entity paid
for it.
Enter cost of livestock bought on commission, per quarter.

Enter the Total Cost of Livestock Purchased. This amount
should be equal to Line 401e plus 404e.
408
Enter the number of days livestock was purchased as a
livestock dealer and/or order buyer during the reporting
year.
CLEAREE AND CLEAROR DESIGNATIONS – SECTION 5
501
Are you a clearee
Check box indicating if another business provides clearing
services for you. (You are cleared under the bond coverage
of another entity
502
Name of clearor
If you checked the box on line 501, enter the name of the
clearing agent (clearor).
If you provide clearing services to other livestock dealers (clearees), you must provide each
clearee’s name and total dollar amount of livestock they purchased. Do not include
the amount reported on line 514 with those reported on lines 401 or 404. If 503 is not checked
skip lines 504-514 and go directly to Section 6.
503
Are you a clearor
Check box if you are a clearor providing clearing services
to people who are cleared under your bond coverage.
504
Clearee’s name and
List the name of each Clearee, and the gross dollar amount
through
dollar amount of
of livestock purchased by each clearee during the reporting
514
livestock purchased
period, regardless of who paid for it, on lines 504-513, and
total on line 514. Attach additional sheet if necessary. If
you are not providing clearing services, skip section 5 and
go to section 6.
CUSTODIAL BANK ACCOUNT ANALYSIS – SECTION 6
601
Date of Custodial
Enter the custodial account analysis date. The analysis date
Analysis
is the last day of your reporting year end month.
602
Balance as per Bank
Enter the balance on the analysis date as shown on the bank
Statement
statement.
603
Deposits in transit
Enter the total dollar amount of any deposits sent to the
bank by the analysis date, but not yet posted to the account.

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Line No.
604

605

Subject
Certificates of deposit
and savings accounts
designated as custodial
funds
Proceeds on hand

606

Proceeds Receivable

607
608

Total
Outstanding Checks and
Drafts

609
610

611
612
613

Form PSD 3003

Instruction
Enter the balance, as of the analysis date, of certificates of
deposits or savings accounts that are designated as custodial
account. These accounts and certificates of deposit must be
at the same bank that holds the custodial checking account.
Enter the total dollar amount of cash and checks received
from market’s sales that can be classified as Proceeds
Receivable and have not been deposited to the account as of
the analysis date, or listed on a deposit in transit.
A Proceed Receivable is money that is owed the market for
the purchase of livestock that has not yet been
collected. The auction market may carry these amounts as a
Proceeds Receivable, owed to the market, until the close of
the seventh day counted from the date of the sale. After the
close of the seventh day subsequent to the sale date, the
market must reimburse the custodial account for any
uncollected funds and the item(s) may no longer be
classified as a Proceeds Receivable when preparing the
custodial account analysis (reconciliation). An exception to
this 7 day rule is when the purchase is made by an owner,
officer or employee of the market. The payment of
purchases by these related parties must be made by the
close of the next business day and may no longer be
classified a Proceeds Receivable when preparing the
custodial account analysis (reconciliation). Additionally,
any time the market extends credit to a buyer, (approves a
buyer to pay other than by the close of the next business
day) the auction market must reimburse the custodial
account for the amount of the payment for which credit has
been extended.

Enter the sum of lines 602 through 606.
Enter the total dollar amount of checks or drafts issued
from the custodial account that have not cleared as of the
analysis date.
Proceeds due consignors Enter the total dollar amount of any livestock sales by the
market agency which has not yet been paid.
Unpaid expense items
Enter the total dollar amount of unpaid expense items.
Unpaid expense items are valid sale expenses deducted
from the consignors’ sales proceeds (for example, check off
fees, health inspections, etc.) Exclude amounts due to the
market for services such as commissions or yardage.
Total
Enter the sum of lines 608 through 610.
Overage or Shortage in
Subtract line 611 from line 607. Show the amount as
the amount
negative if the account is short.
Accounts Receivable
Enter total amount due from the market’s sales that cannot
be classified as Proceeds Receivable. These are amounts
that the market has reimbursed the Custodial Account for
but have not yet been paid by the livestock buyer.
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Line No.

Subject
Instruction
STATEMENT OF ASSETS, LIABILITIES AND EQUITY – SECTION 7

This section must be completed on this form. Include only the Assets, Liabilities and Net
Worth of the reporting Entity. If available, you may provide financial statements as an
attachment to the fully completed annual report form.
All Market Agency’s Selling on Commission, must complete Sections 7 and 8, in their entirety,
regardless of the total volume sold, as reported on line 304
701

Cash

702

Overage in Custodial
Bank Account

703

Cash Equivalents

704

707

Trade Accounts
Receivable from
Owners, Officers, and
Affiliated Companies
Trade Accounts
Receivable from All
Others
Total Trade Accounts
Receivable-Net (Due in
1 year or less)
Livestock Inventory

708

Other Inventory

709
710

Total Inventories
Notes Receivable from
Owners Officers,
Related Entities
Notes Receivable from
All Others

705
706

711
712
713

Form PSD 3003

Total Notes and Loans
Receivable (Due in 1
year or less)
Advances on Livestock

Enter the total book balances of all bank accounts, except
the custodial account. An overdraft should be reported on
line 723.
Enter the dollar amount of overage from analysis of
Custodial Account. A shortage should be reported on line
724.
Enter the dollar value of any current cash investments
(savings, securities, CD’s, etc.). Include only those
marketable securities that represent the cash available for
current operations and not otherwise pledged as security
Enter the dollar amounts owed by owners, officers, or
affiliated companies as a result of delivering goods or
services and extending credit in the ordinary course of
business. (Due in one year or less.)
Enter the dollar amounts owed by customers as a result of
delivering goods or services and extending credit in the
ordinary course of business. (Due in one year or less.)
Enter the sum total of lines 704 and 705.
Enter the dollar amount of livestock held for the purpose of
sale to customers.
Enter any merchandise, raw materials, work in process,
finished goods, operating supplies and ordinary
maintenance materials and parts other than livestock, to be
consumed in the business during the next year.
Enter the sum total of lines 707 and 708.
Enter the total dollar value owed to the company by
owners, officers, or related entities that is due in 1 year or
less.
Enter the total dollar value owed to the company by other
than owners, officers or related entities that is due in 1 year
or less.
Enter the sum total of lines 710 and 711.
Enter the dollar value of cash advances given for the
purchase of livestock.

Expires XX/XX/XXXX

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Line No.
714

Subject
Other Current Assets

715

Total Current Assets

716

Plant, Property and
Equipment

717

720

Investments in
subsidiaries and related
companies
Due from owners,
officers and related
entities
Livestock not related to
sales to customers
Other Assets

721
722
723

Total Other Assets
Total Assets
Overdraft

724

Custodial Account
Shortage
Livestock Payables

718
719

725
726
727
728
729
730
731
732
733

Form PSD 3003

Other Payables to
Owners, Officers, and
Related Entities
Other Payables
Total Trade Account
Payables
Amount due to owners,
officers, or related
entities, 1 year or less
Amount due to others 1
year or less
Total Current Maturities
of Long Term Debt
Accrued and Other
Current Liabilities
Total Current Liabilities

Instruction
Enter the dollar value of prepaid expenses and other assets
expected to be converted to cash or sold or consumed
during the next year.
Enter the sum total of lines 701, 702, 703, 706, 709, 712,
713, and 714,
Enter the dollar value of land, buildings, plant, equipment
and amortizable assets less accumulated depreciation and
amortization.
Enter the total dollar value of any investments in
subsidiaries and related companies.
Enter the dollar value due from owners, officers, and
related entities that is expected to be received more than 1
year from the reporting date of this report.
Enter the dollar value of livestock held for production
(feeding, backgrounding, depreciable assets)
Enter the total dollar value of all others assets expected to
be converted to cash, or sold or consumed in more than 1
year from the reporting date of this report.
Enter the sum total of lines 717 through 720.
Enter the sum total of lines 715, 716, and 721.
Enter the total overdraft balances of all bank accounts,
except the custodial account.
Enter the dollar amount of shortage from the Custodial
Account analysis.
Enter the total dollar amount you owe for livestock. (Due in
one year or less.)
Enter the total dollar amount you owe to owners, officers,
and related entities, for other than livestock. (Due in one
year or less.)
Enter the total dollar amount you owe to all vendors for
other than livestock. (Due in one year or less.)
Enter the sum total of lines 725, 726, and 727.
Enter dollar amount of notes and loans due by you to
owners, officers, and related entities in 1 year or less.
Enter the dollar amount of notes and loans due by you to
other than owners, officers, and related entities in 1 year or
less.
Enter the sum total of lines 729 and 730.
Enter the total dollar value of any accrued liabilities and
other current liabilities due within 1 year of the reporting
date of this report.
Enter the sum total of lines 723, 724, 728, 731, and 732.

Expires XX/XX/XXXX

Page 13 of 14

Line No.
734
735
736
737
738
739
740
741
742
743
744
801
802
803
804
805
806
807
901
902
903
904
905

Form PSD 3003

Subject
Amount due to owners,
officers, or related
entities, after 1 year
Amount due to others
after 1 year
Total Long-Term Debt,
Less Current Maturities
All Other Liabilities
Total Liabilities
Owner’s Equity
“Unincorporated”
Stock Issued
“Incorporated”
Additional paid-in
capital
Retained Earnings
Total Equity

Instruction
Enter the total dollar value of notes, mortgages, bonds, and
installments that are payable to owners, officers, and related
entities after 1 year.
Enter the total dollar value of notes, mortgages, bonds, and
installments that are payable to other than owners, officers,
and related entities after 1 year.
Enter the sum total of lines 734 and 735.
Enter the total dollar value of any accrued liabilities and
other current liabilities due after 1 year of the reporting date
of this report.
Enter the sum total of lines 733, 736, and 737.
If unincorporated, enter the dollar value of the owner’s net
worth.
If incorporated, enter the dollar value of common stock.

If incorporated, enter the dollar value of any additional
paid-in capital.
If incorporated, enter the retained earnings.
Enter the sum of lines 739 through 742 (should equal line
722 less line 738).
Total Liabilities and
Enter the sum total of lines 738 and 743 (should equal line
Equity
722).
STATEMENT OF REVENUES AND EXPENSES – SECTION 8
Selling Commissions of Enter the dollar amount of commission your market agency
Market
collected for selling livestock on a commission basis during
the reporting period.
Gross Dealer Profit or
Enter the gross profit or loss on dealer transactions.
Loss
Buying Commission
Enter the gross income dollar amount from buying
commissions.
Other Income
Enter the dollar amount of all other income during the
reporting period.
Total Income
Enter the sum total of lines 801 through 804.
Total Expenses
Enter the dollar amount of all expenses incurred during the
reporting period.
Net Profit or Loss
Subtract line 806 from line 805; enter the different as Net
Profit (+) or Net Loss (-).
CERTIFICATION – SECTION 9
Print Name
Print the name of the owner, officer, partner, or member
responsible for this report. Must be listed in lines 201 - 205.
Signature
The report must be signed by a responsible person, listed in
lines 201-205.
Phone number
Enter the phone number of the person signing the report
Date
Enter the date the report is signed.
Title
Enter the title of the person signing the report.

Expires XX/XX/XXXX

Page 14 of 14