Document
This form is available electronically
ICR 202606-0560-001 · OMB 0560-0238 · Object 169525700.
Document Viewer [docx]
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | This form is available electronically |
| Author | liz.ashton |
| Last Modified By | Writer |
| File Modified | 2026-05-11 |
| File Created | 2026-10-09 |
| Conversion State | complete |
Extracted Text
OMB No. 0560-0238
OMB Expiration Date XX/XX/XXXX
(See Page 3 for Privacy Act and Public Burden Statements.)
FSA-2037 U.S. DEPARTMENT OF AGRICULTURE Position 3
(XX-XX-XX) Farm Service Agency
FARM BUSINESS PLAN WORKSHEET
Balance Sheet
1. NAME
2. Date of Balance Sheet
A – CURRENT ASSETS
B – CURRENT LIABILITIES
1A. Cash and Equivalents
$ Value
2A. Accounts Payable
$ Amount
1B. Marketable Bonds and Securities
1C. Accounts Receivable
2B. Income Taxes Payable
2C. Real Estate Taxes Payable
1D.
Crop Inventory
1E.
Measure
1F.
# Units
1G.
$/Unit
$ Value
Notes Payable Due Within 12 Months
2D. Creditor
2E. Purpose
2F. Interest Rate
2G. Accrued Interest
2H. Payment Amount
2I.
Next Payment Date
2J.
Principal Balance
(1)
1H.
Growing Crops
1I.
# Acres
1J.
Cost/Acre
$ Value
(2)
(3)
1K.
Market Livestock-Poultry
1L.
# Head
1M.
Weight
1N.
$/Unit
$ Value
(4)
2K. Accrued Interest On:
$ Amount
(1) Current Liabilities
(2) Intermediate Liabilities
(3) Long Term Liabilities
1O.
Livestock Products
1P.
Measure
1Q.
# Units
1R.
$/Unit
$ Value
2L. Current Portion of Principal Due On:
(1) Intermediate Liabilities
(2) Long Term Liabilities
1S. Prepaid Expenses and Supplies
2M. Other Current Liabilities
1T. Other Current Assets
1U. TOTAL CURRENT ASSETS
(Items 1A through 1T)
2N. TOTAL CURRENT LIABILITIES
(Items 2A through 2M)
C – INTERMEDIATE ASSETS
E – INTERMEDIATE LIABILITIES
3A. Machinery & Equipment/Farm Vehicles (Entered on Page 4)
5A. Creditor
5B. Purpose
3B.
Breeding Stock
3C.
Raised/
Purch
3D.
# Head
3E.
$/Head
$ Value
5C.
Interest Rate
5D. Accrued Interest
5E. Payment Amount
5F.
Next Payment
Date
5G.
Principal Balance
(1)
(2)
(3)
3F. Notes Receivable
(4)
(5)
3G. Not Readily Marketable Bonds and Securities
(6)
3H. Other Intermediate Assets
(7)
3I. TOTAL INTERMEDIATE ASSETS
(Items 3A through 3H)
5H. TOTAL INTERMEDIATE LIABILITIES
(Item 5G (1 through 7))
D – LONG TERM ASSETS
F – LONG TERM LIABILITIES
4A. Building and Improvements
$ Value
6A. Creditor
6B. Purpose
6C.
Interest Rate
6D. Accrued Interest
6E. Payment Amount
6F.
Next Payment Date
6G.
Principal Balance
(1)
(2)
4B.
Real Estate-Land
4C.
Total Acres
4D.
Crop Acres
4E.
%
Owned
4F. $/Acre
(3)
(4)
(5)
(6)
4G. Other Long Term Assets
$ Value
(7)
4H. TOTAL LONG TERM ASSETS
(Items 4A through 4G)
6H. TOTAL LONG TERM LIABILITIES
(Item 6GA (1 through 7))
4I. TOTAL FARM ASSETS
(From Items 1U, 3I and 4H)
6I. TOTAL FARM LIABILITIES
(From Items 2N, 5H, and 6H)
6J. TOTAL FARM EQUITY
(Item 4I minus Item 6I)
G – PERSONAL ASSETS
H – PERSONAL LIABILITIES
$ Value
8A. Creditor
8B. Purpose
7A. Cash and Equivalents
8C. Interest Rate
8D. Accrued Interest
8E. Payment Amount
8F.
Next Payment
Date
8G. Principal Balance
7B. Stocks, Bonds
(1)
7C. Cash Value Life Insurance
7D. Other Current Assets
(2)
7E. Household Goods
7F. Car, Recreational Vehicle, Etc.
(3)
7G. Other Intermediate Assets
7H. Retirement Accounts
(4)
7I. Non-Farm Business
7J. Non-Farm Real Estate
8H. Other Liabilities
7K. Other Long Term Assets
7L. TOTAL PERSONAL ASSETS
(Items 7A through 7K)
8I. TOTAL PERSONAL LIABILITIES
7M. TOTAL ASSETS (Item 4I and Item 7L)
8J. TOTAL LIABILITIES (Item 6I and Item 8I)
8K. TOTAL EQUITY (Item 7M minus Item 8J)
I - WARNING
I certify that the information provided is true, complete, and correct to the best of my knowledge and is provided in good faith. (Warning: Section 1001 of Title 18, United States Code, provides for criminal penalties to those who provide false statements. If any information is found to be false or incomplete, such finding may be grounds for denial of the requested action.)
9A. SIGNATURE
9B. DATE
10. COMMENTS
Privacy Act Statement: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 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.
Public Burden Statement (Paperwork Reduction Act): 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 0560-0238. The time required to complete this information collection is estimated to average 1.25 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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden by emailing to: [email protected]. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.
J – MACHINERY AND EQUIPMENT
11A.
Qty.
11B.
Description
11C.
Manufacturer
11D.
Size/Type
11E.
Condition
11F.
Year
11G.
Serial Number
11H.
$ Value
11I TOTAL $ VALUE OF (ITEM 1H)
K – FARM VEHICLES
12A.
Qty.
12B.
Description
12C.
Manufacturer
12D.
Size/Type
12E.
Condition
12F.
Year
12G.
Serial Number/VIN
12H.
$ Value
12I. TOTAL $ VALUE OF (12H)
12J. TOTAL $ VALUE OF (ITEMS 11I AND 12I) TRANSFER TO ITEM 3A)
Non-Discrimination Statement: 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, 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 State or local Agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY). 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 https://www.usda.gov/oascr/how-to-file-a-program-discrimination-complaint 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, Mail Stop 9410, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected].
USDA is an equal opportunity provider, employer, and lender.