FSA-2042ins

Farm Loan Programs - Direct Loan Making

FSA-2042ins

OMB: 0560-0237

Document [doc]
Download: doc | pdf

Instructions for FSA-2042

CONSENT TO PAYMENT OF PROCEEDS FROM SALE OF PRODUCTS

This form is used in Uniform Commercial Code States to obtain an agreement as to the amount of proceeds from sale of farm products to be paid to FSA. Use this form when FSA has a perfected lien.

Submit the original of the completed form in hard copy or facsimile to the appropriate USDA servicing office. Customers who have established electronic access credentials with USDA may electronically transmit this form to the USDA servicing office, provided that the customer submitting the form is the only person required to sign the transaction.


Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

Seller must complete Parts A and B. Purchaser must complete Part C. Part D is completed by FSA.


Part A

All Items are completed by the seller.


Fld Name /
Item No.

Instruction

1

Name and Address of Seller

Enter the seller’s name and address.

2

Name and Address of Purchaser

Enter purchaser’s name and address.

3

Seller’s Telephone Number

Enter the seller’s telephone number.

4

Purchaser’s Telephone Number

Enter the purchaser’s telephone number.


Fld Name /
Item No.

Instruction

5

Effective Date of Consent

Enter the effective date of this consent.

6

Products Purchased

Enter the kind of products to be purchased.


Part B

All Items are completed by the seller.


Fld Name /
Item No.

Instruction

1(a)

Percent of Purchase Price

Enter a checkmark in the checkbox and enter the percent of the purchase price payable, figured to the nearest dollar.

1(b)

Payment Schedule

Enter the payment schedule as monthly, bimonthly, or other.

1(c)

Amount of Purchase Price

Enter a checkmark in the checkbox and enter the dollar amount of the purchase price or the full purchase price if less than that amount.

1(d)

Payment Schedule

Enter the payment schedule as monthly, bimonthly, or other.

1(e)

Excess Proceeds

Enter a checkmark in the checkbox and enter the dollar amount of the excess proceeds from the sale.

1(f)

Payment Schedule

Enter the payment schedule as monthly, bimonthly, or other.

2

Authorization

Please read.

3(a)

Signature

Enter the seller’s signature.

If faxing or mailing the form, print the form and manually enter your signature. This form is approved for electronic transmission. If you have established credentials with USDA to submit forms electronically, use the buttons provided on the form for transmitting the form to the USDA servicing office. Electronic submission may only be completed if you are the only person required to sign this form.

3(b)

Date

Enter date seller signed the form.


Part C


All Items are completed by purchaser.


Fld Name /
Item No.

Instruction

1(a)

Payment to FSA

Enter a checkmark in the checkbox for payments to be made to the order of the Farm Service Agency.

1(b)

Joint Payment

Enter a checkmark in the checkbox for payments to be made jointly to the order of the seller and the Farm Service Agency.

1(c)

Payment to other

Enter a checkmark in the checkbox for payments made to the order of other creditor and include name, address, and zip code.

2

Name of Purchaser

Enter the name of the purchaser’s duly authorized officer.

3

Title

Enter the title of the purchaser’s duly authorized officer.

4

Signature

Enter the signature of the purchaser’s duly authorized officer.


If faxing or mailing the form, print the form and manually enter your signature. This form is approved for electronic transmission. If you have established credentials with USDA to submit forms electronically, use the buttons provided on the form for transmitting the form to the USDA servicing office. Electronic submission may only be completed if you are the only person required to sign this form.

5

Date

Enter the date the purchaser’s duly authorized officer signed the form.


Part D is for FSA use only

File Typeapplication/msword
File TitleInstructions For FSA-441-18
Authorcquayle
Last Modified ByCathy.Quayle
File Modified2007-05-02
File Created2006-10-25

© 2024 OMB.report | Privacy Policy