U.S. USDA Form usda-fsa-432-1
This File Includes:
Farm and Home Plan
(FSA-431-2, Pages 1-4)
and
Farm Family Record Book
(FSA-432-1, Pages 1-17)
Position 3
This form is available electronically. FSA 431-2
FORM APPROVED - OMB NO. 0560-0154
U.S. DEPARTMENT OF AGRICULTURE 1. NAME
Farm Service Agency
(12-16-02)
2. Social Security or Tax I D NO.
3. Telephone Number (Including area code)
FARM AND HOME PLAN
(See Page 3 for nondiscrimination statement and Page 4 for public burden statement)
5. PERIOD COVERED
BY PLAN
From
4. Ages of Persons
in Household
4A. Applicant
4B. Spouse
6. DATE OF BALANCE SHEET
Thru
4C. Sons
7. ACRES
OWNED
4D. Daughters
TOTAL
4E. Others
CROP
PART A - BALANCE SHEET
$ VALUE
1. CURRENT FARM ASSETS
$ AMOUNT
3. CURRENT FARM LIABILITIES
Farm Accounts and Notes Payable
(Include Principal and Interest)
1A. Cash on hand:
($
)
1B. Checking:
($
)
3A.
3B.
3C.
3D.
1C. Savings:
($
)
Creditor
Payment
Due
Date
Interest
Rate
Monthly or
Annual
Installment
1D. Total Cash (Total of Items 1A, 1B and 1C)
1E. Time Certificates
($
)
1F. Other
($
)
1G. Other Investments (Total of Item 1E plus Item 1F)
1H. Accounts and Notes to be Received (Receivables)
1I. Crops and Feed
1J. Units
1M.
No.
1L. Livestock to be Sold
1K. Price Per Unit
1N.
Unit
Weight
1O. Price Per Unit
3E. CCC Loan: Type
(
)
3F. CCC Loan: Qty
(
)
3G. CCC Loan: Due Date
(
)
3H. CCC Loan: Total Amount
Current Portion of Principal Due on:
3I. Intermediate Liabilities
3J. Long Term Liabilities
Accrued Interest on:
3K. Intermediate Liabilities
1P. Growing Crops
1Q. Acres
1R. Cost/Acre
3L. Long Term Liabilities
Accrued Taxes on:
3M. Real Estate, Personal Property and Assessments
3N. Income Tax and Social Security
1S. Supplies and Prepaid Expenses
3O. Accrued Rent/Lease Payments
1T. Leases
3P Other (judgments, liens, etc.)
1U. Other
3Q. TOTAL CURRENT FARM LIABILITIES
1V. TOTAL CURRENT FARM ASSETS
4. INTERMEDIATE FARM LIABILITIES (portion due beyond 12 months)
2. INTERMEDIATE FARM ASSETS
2A. Accounts and Notes to be Received beyond 12 months (Receivables)
2C. No.
2B. Breeding Livestock
2D. Price Per Unit
4A.
4B.
4C.
4D.
Creditor
Payment
Due
Date
Interest
Rate
Amount
Delinquent
2E. Machinery, Equipment and Vehicles
2F. Co-op Stock
($
)
2I. Farmer-Owned Reserve: Type
(
)
2J. Farmer-Owned Reserve: Qty.
(
)
4F. Farmer-Owned Reserve
2K. Farmer-Owned Reserve: Price/Unit (
)
4G. Other
2G. Life Insurance Face Amount
2H. Cash Value, Life Insurance
4E. Loans Secured by Life
Insurance Policy(s)
2L. Farmer-Owned Reserve: (Total Value) (Item 2J times Item 2K)
2M. Other
2N. TOTAL INTERMEDIATE FARM ASSETS
4H. TOTAL INTERMEDIATE FARM LIABILITIES
NOTE: The following statements are made in accordance with the Privacy Act of 1974 (5 USC 552a): the Farm Service Agency (FSA) is authorized by the Consolidation Farm and Rural Development Act, as
amended (7 USC 1921 et seq.), or other Acts, and the regulations promulgated thereunder, to solicit the information requested on its application forms. The information requested is necessary for FSA
to determine eligibility for credit or other financial assistance, service your loan, and conduct statistical analyses, Supplied information may be furnished to other Department of Agriculture agencies,
the Internal Revenue Service, the Department of Justice or other law enforcement agencies, the Department of Defense, the Department of Housing and Urban Development, the Department of Labor,
the Unites States Postal Service, or other Federal State, or local agencies as required or permitted by law. In addition, information may be referred to interested parties under the Freedom of
Information Act (FOIA), to financial consultants, advisors, lending institutions, packagers, agents, and private or commercial credit sources, to collection or servicing contractors, to credit reporting
agencies, to private attorneys under contract with FSA or the Department of Justice, to business firms in the trade area that buy chattel or crops or sell them for commission, to Members of Congress or
Congressional staff members, or to courts or adjudicative bodies. Disclosure of the information requested is voluntary. However, failure to disclose certain items of information requested, including
your Social Security Number or federal tax Identification number, may result in a delay in the processing of an application or its rejection.