This form is available electronically. Form Approved - OMB No. 0560-0236
OMB expiration date: 11/30/2022
FSA-2040 U.S. DEPARTMENT OF AGRICULTURE Position 1 (11-23-16) Farm Service Agency
AGREEMENT for Use Of Proceeds and Security
See page 5 for Privacy Act and Paperwork Burden Statements |
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1. Account Name
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This Agreement is between the Farm Service Agency (FSA) and the undersigned.
I understand that in addition to this Agreement, FSA must comply with its governing statutes and regulations. |
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On (a) |
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, I signed a Farm Business Plan (FBP) or FSA-2301 “Request for Youth Loan” covering |
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the (b) |
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production cycle(s). I worked together with FSA to project the planned income and |
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expenses of my farming operation in the FBP. I am in agreement that the plan accurately reflects the planned income and expenses of |
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my operation including the projection of (c) $ |
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for owner’s withdrawal/family living expenses and my plan |
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to make the following FSA scheduled payments from the following sources. |
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(d) FLP Loan Number |
(e) Due date (MM-DD-YYYY) |
(f) Amount |
(g) Source of Proceeds |
(h) Amount of Proceeds to be Released Prior to Payment of FLP Loan |
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In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
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 Agency 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 may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide 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: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. USDA is an equal opportunity provider, employer, and lender. |
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FSA-2040 (11-23-16) Page 2 of 5
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2.
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Do I Have Written Consent To Sell? Yes. By signing the FBP and this agreement, FSA and I have agreed on the projected income and expenses of the operation, and the source of income to pay FLP installments. If actual income and expenses are in accordance with what we projected, I may sell commodities and use the proceeds to pay planned expenses and payments as identified in the FBP.
If the actual income and/or expenses are not in accordance with what we originally projected, FSA and I must discuss the changes and make any needed changes to the FBP and/or this agreement.
I may request and report these changes to the FBP by telephone, letter, or visit to the FSA office. A trip to the office is not always necessary. However, if my requested or reported changes would result in a major change in my operation, FSA may request that I attend a conference. At that conference, FSA and I will develop a new FBP.
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What if FSA and I Do Not Agree? If FSA and I disagree on how to complete or make changes on the FBP or this Agreement, FSA must send me a letter which describes the items on which we do not agree. The letter must explain why we do not agree. The letter must also tell me how I may appeal FSA’s decision.
Until the appeal is decided, FSA must release any other proceeds on which FSA and I have agreed.
When my appeal is decided, FSA may ask me to sign a revised FBP and/or a revised Agreement reflecting the decision on the appeal.
If I do not sign, FSA will give me a copy of the farm operating plan and the revised agreement. FSA will consider the revised Agreement to be binding. If I violate this Agreement, FSA will take the actions described below in the Item 9, entitled, "What Happens if I Violate This Agreement?"
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Initial / Date
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FSA-2040 (11-23-16) Page 3 of 5
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FSA-2040 (11-23-16) Page 4 of 5
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Who Are the Potential Purchasers of My Farm Products? This is a list of purchasers who often buy farm products from me. I have included grain elevators, auction barns, and others who I expect might buy from me. |
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A. Farm Product |
B. Potential Purchaser |
C. Purchaser's Address |
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FSA realizes that I do not always know in advance who will buy my products. If I cannot identify specific potential purchasers, I have described below how the farm products will be sold; for example, at a roadside stand, by advertising in the newspaper, or to neighbors. |
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D. Farm Product |
E. Method of Sale |
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Initial / Date
FSA-2040 (11-23-16) Page 5 of 5 |
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Can I sell to Purchasers Not Listed on This Form? I understand that I may sell collateral to purchasers other than those listed on this form. If I do this, then I must immediately notify you of what has been sold and the name and business address of the purchaser. I do not need your prior approval, but I understand FSA’s name must be on the check unless all FSA payments for the period covered by this agreement have been paid. |
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What Records Must I keep? I must keep records of how I actually dispose of collateral and how I use the proceeds. I must provide these records to you on request. |
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What Happens if I Violate This Agreement? If I sell, exchange, or dispose of collateral for less than its present market value, or use the money in a way not listed in this Agreement or the FBP without your permission, I will have violated this loan Agreement and your security interest in the collateral will not be released. You will ask me to pay you an amount equal to the greater of the present market value or the amount I received for the collateral involved. I understand that if I pay as requested by you or provide enough information to allow you to approve the sale and use of proceeds; this will cure my violation if it is a first offense. I understand that if I do not so cure a first offense, or if I commit a second offense, you may bring legal action against me. I realize that you may start legal procedures to sell all of my other collateral and refer my case for possible criminal action against me. I understand that if I do not pay as requested, FSA may also request that the purchaser of the collateral pay FSA. |
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What Happens If My Loan Accounts are Accelerated? If I receive an Acceleration Notice from FSA, this Agreement automatically ends and FSA will not afterwards release any proceeds from the disposition of collateral. |
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11. |
SIGNATURES |
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This signature is to acknowledge that I (we) understand this Agreement and will abide by it. |
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11A. SIGNATURE |
11B. TITLE |
11C. DATE (MM-DD-YYYY) |
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12A. FSA AGENCY OFFICIAL’S SIGNATURE |
12B. FSA AGENCY OFFICIAL’S TITLE
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12C. DATE (MM-DD-YYYY)
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NOTE: |
The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a - as amended). The authority for requesting the information identified on this form is the Consolidated Farm and Rural Development Act, as amended (7 U.S.C. 1921 et. seq.). The information will be used to determine eligibility and feasibility for loans and loan guarantees, and servicing of loans and loan guarantees. The information collected on this form may be disclosed to other Federal, State, and local government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in the applicable Routine Uses identified in the System of Records Notice for USDA/FSA-14, Applicant/Borrower. Providing the requested information is voluntary. However, failure to furnish the requested information may result in a denial for loans and loan guarantees, and servicing of loans and loan guarantees. The provisions of criminal and civil fraud, privacy, and other statutes may be applicable to the information provided.
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 0560-0236. The time required to complete this information collection is estimated to average 20 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. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE. |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | This form is available electronically |
Author | sharilyn.hashimoto |
File Modified | 0000-00-00 |
File Created | 2023-08-28 |