1
Recording
State
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Enter the producer’s
recording state.
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2
Program
Year
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The program year is 2020.
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3
Recording
County
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Enter the producer’s
recording county.
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4
Application
Number
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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.
All applicants must
submit CCC-941. Applicants with an average adjusted gross
income (AGI) of more than $900,000 for the 2016, 2017 and 2018
tax years may submit CCC-942 to certify that at least 75 percent
of the applicant’s AGI is derived from farming, ranching,
or forestry-related activities. Applicants who exceed the AGI
limitation and do not submit CCC-942 will not be eligible for
payment.
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Part B – Producer Information
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5
Producer’s
Name, Address (City, State, and Zip Code), and Phone Number
(Including Area Code)
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Enter the producer’s
name, address, including ZIP code, and phone number, including
area code.
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Part C – Dairy Production
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6
Unit
of Measure
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Displays the unit of
measure for dairy production as pounds (LBS).
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7
Total
Production (April 1, 2020 – August 31, 2020)
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Enter the total
production from April 1, 2020 to August 31, 2020, in pounds
(LBS).
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8.
COC
Adjusted Total Production (April 1, 2020 – August 31,
2020)
(COC
USE ONLY)
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COC may enter the
adjusted total production from April 1, 2020 to August 31, 2020,
if applicable.
Note:
An entry is only required when COC determines the total
production is different than what is certified to by the
producer in Item 7.
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9
Estimated
Total Production
(Sept.
1, 2020 – Dec. 31, 2020)
(COC
USE ONLY)
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System will display a
calculated estimated total production for September 1, 2020
through December 31, 2020.
Note:
The calculation will be Item 7 divided by 153 (number
of days between April 1,2020, and August 31, 2020),
then multiplying the resulting figure by 122 (number
of days between Sept. 1, 2020, and Dec. 31, 2020.). When
Item 10A is completed, the figure of 122 (days) will be
adjusted, if applicable.
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10A
If
you are no longer producing milk, what is the latest date milk
was produced?
(MM/DD/YYYY)
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Enter the last date milk
was produced for those producers applying that are no longer
producing milk.
Note:
If you cease producing milk before December 31, 2020, you are
required to notify the FSA County office of the date you either
stopped producing milk, or stopped commercially marketing milk
in the case of a seasonal dairy.
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10B
COC
Adjusted Last Date Milk was Produced
(COC
USE ONLY)
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COC may enter the
adjusted last date milk was marketed, 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.
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Part D – Egg/Broiler Production
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11
Commodity
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Displays the eligible
commodities.
The
eligible commodities for Part D are:
Broilers
Dried
Eggs
Frozen
Eggs
Liquid
Eggs
Shell
Eggs
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12
Unit
of Measure
|
Displays the applicable
unit of measure for the commodities entered in Item 11.
The
applicable unit of measure for the eligible commodities in Part
D are:
Broilers – Head
Dried Eggs – Pounds
(LBS)
Frozen Eggs –
Pounds (LBS)
Liquid Eggs –
Pounds (LBS)
Shell Eggs – Dozen
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13
2019
Total Production
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Enter the 2019 total
production nationally for the commodities entered in Item 11, if
applicable.
Note:
If farming began after 12/31/2019, then must provide 2020
production.
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14
COC
Adjusted 2019 Total Production
(COC
USE ONLY)
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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 13.
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Part E – Livestock Inventory (Excluding Breeding
Stock)
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15
Livestock
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Displays the eligible
livestock for Part E.
The
eligible livestock are:
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16
Inventory
(Excluding Breeding Stock) (Highest
on a Date Between April 16, 2020 – August 31, 2020)
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Enter the highest owned
inventory (excluding breeding stock) on a date between April 16,
2020 and August 31, 2020, for the livestock entered in Item 15,
if applicable.
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17
COC
Adjusted
Inventory
(Excluding Breeding Stock) (Highest
on a Date Between April 16, 2020 – August 31, 2020)
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COC will enter the
adjusted highest owned inventory (excluding breeding stock) on a
date between April 16, 2020 and August 31, 2020, if applicable.
Note: An
entry is only required when COC determines the highest owned
inventory (excluding breeding stock) on a date between April 16,
2020 and August 31, 2020, is different than what is certified to
by the producer in Item 16.
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Part F – Sales Commodities
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18
Commodity
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Displays the eligible
sales commodities.
The
eligible sales commodities are:
Aquaculture
Crops
(excluding Part G crops)
Nursery/Floriculture
Crops
Miscellaneous
Other
Livestock (Excluding Breeding Stock)
Note:
Other livestock means any of the following livestock: animals
commercially raised for food, fur, fiber, or feathers, including
alpacas, bison, buffalo, beefalo, deer, ducks, elk, emus, geese,
goats, guinea pigs, llamas, mink, ostrich, pheasants, quail,
rabbits, reindeer, and turkeys.
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19
2018
or 2019 Total Commodity Sales
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Enter the total dollar value of either 2018 or 2019 sales and
all of either 2018 or 2019 crop year crop insurance indemnities,
NAP, and WHIP + payments received for the commodity(s) in item
18.
Note: If farming began after 12/31/2019, producer must
provide 2020 sales (not including crop insurance indemnities,
NAP, or WHIP+ Payments)
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20
COC
Adjusted 2018 or 2019 Total Commodity Sales
(COC
USE ONLY)
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COC will enter the adjusted dollar value of either 2018 or 2019
total commodity(s) sales, including all of either 2018 or 2019
crop year crop insurance indemnities, NAP, and WHIP+ payments
received, if applicable.
Note: An entry is only required when COC determines the
dollar value of 2019 total commodity(s) sales is different than
what is certified to by the producer in Item 19.
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Part G – Acreage-Based Crops
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21
Commodity
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System will display
eligible commodities based on the 2020 FSA-578(s) on file,
nationally for the producer.
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22
Total
2020 Reported Acres
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System will display the
total 2020 reported acres or determined acres, if available, on
the 2020 FSA-578(s) on file, nationally for the producer, for
the commodities displayed in item 21.
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23
COC
Adjusted Total 2020 Reported Acres
(COC
USE ONLY)
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COC will enter adjusted
total 2020 reported acres, if applicable.
Note:
An entry is only required when COC determines the acres to be
unreasonable or inaccurate.
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24
Weighted
Insurance Approved Yield
(COC
USE ONLY)
|
System will display the
producer’s Weighted Insurance Approved Yield from RMA for
the commodities displayed in item 21, if applicable.
Note:
If no Weighted Insurance Approved Yield is available, then item
26 will be populated.
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25
COC
Adjusted Weighted Insurance Approved Yield
(COC
USE ONLY)
|
COC will enter Adjusted
Weighted Insurance Approved Yield, if applicable.
Note:
An entry is only required when COC determines the Weighted
Insurance Approved Yield is different than the result in item
24.
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26
85%
of Weighted County Yield
(COC
USE ONLY)
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System will display 85%
of the Weighted County Yield for the commodity displayed in item
21, if applicable.
Note:
Will only display if item 24 is not available.
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Part H – Contract Producer Revenue
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27
Commodity
|
If a contract producer,
enter the eligible commodities grown pursuant to a grower
contract.
The
eligible contract producer commodities are:
Chickens
Chicken
Eggs
Turkeys
Hogs/Pigs
Other
Poultry
Other Poultry
Eggs
|
28
2018
or 2019 Revenue
|
Enter the higher of the total dollar value of eligible revenue
received either January 1, 2018, through December 27, 2018 or
January 1, 2019, through December 27, 2019, for the commodity
entered in item 27.
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29
2020
Revenue
|
Enter the total dollar value of eligible revenue received
January 1, 2020, through December 27, 2020, for the commodity
entered in item 27.
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30
COC
Adjusted 2018 or 2019 Revenue
(COC
USE ONLY)
|
COC will enter the total dollar value of eligible revenue
received either January 1, 2018, through December 27, 2018, or
January 1, 2019, through December 27, 2019, if applicable.
Note: An entry is only required when COC determines the
total dollar value of eligible revenue for 2018 or 2019 is
different than the result in item 28.
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31
COC
Adjusted 2020 Revenue
(COC
USE ONLY)
|
COC will enter the total dollar value of eligible revenue
received January 1, 2020, through December 27, 2020, if
applicable.
Note: An entry is only required when COC determines the
total dollar value of eligible revenue for 2020 is different
than the result in item 29.
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Part I – Increased Payment Limitation for
Corporations, Limited Liability
Companies, Limited
Partnerships, Trusts and Estates
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32
A-C
Members
|
Enter the member, partner
stockholder, beneficiary, or heir 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, LP’s
Trusts or Estates.
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Part J – Producer Certification
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33A
Signature
(By)
|
Producer applying for
CFAP 2 benefits must sign.
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33B
Title/Relationship
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 in a representative
capacity, this field should be left blank.
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33C
Date
(MM/DD/YYYY)
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Enter the date the
AD-3117 is signed in Item 33A.
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Part K – COC Determination – COC USE ONLY
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34
Payment
Part
(COC
USE ONLY)
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Displays the payment
parts – CARE/CAA and CCC.
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35
COC
or Designee Signature
(COC
USE ONLY)
|
COC or their
representative will sign.
Note: COC
must complete for both payment parts, if applicable in Item 34.
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36
Date
(MM/DD/YYY)
(COC
USE ONLY)
|
Enter the date COC or
their representative signs the AD-3117.
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37
Determination
(COC
USE ONLY)
|
COC or their
representative will check (ü)
either “Approved” or “Disapproved” for
both payment parts in Item 34.
Important: AD-3117
will be approved or disapproved after applicable COC adjustment
fields are completed.
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