This form is available electronically. Form Approved –OMB No. 0560-0238
(See Page 2 for Privacy Act and Public Burden Statements.)
FSA-2038 U.S. DEPARTMENT OF AGRICULTURE Position 3
(08-19- 14) F arm S er vic e A genc y
FARM BUSINESS PLAN WORKSHEET
Projected/Actual Income and Expense
1. NAME
2. For Production Cycle Beginning:
Projected
20 Thru: 20
Actual
A - INCOME
1. Cr op Production and Sal es:
1A. Description
Production
1F.
Farm Use
Purchases Sales
1B.
Acres
1C.
Yield
1D.
% Share
1E.
# Units
1G.
# Units
1H.
$/Unit
1I.
Total $
1J.
# Units
1K.
$/Unit
1L.
Total $
2. Livesto ck an d Po ultry Production and S ales:
2A. Description
2B.
Purch/Raised
2C.
# Units
Purchases
2G.
Death Loss
Sales
P R
2D.
Weight
2E.
$/Unit
2F.
Total $
2H.
# Units
2I.
Weight
2J.
$/Unit
2K.
Total $
3. Dairy L ivest ock Production and S al es:
3A. Description
3B.
Purch/Raised
3C.
# Head
Purchases
3G.
Death Loss
Sales
P R
3D.
Weight
3E.
$/Unit
3F.
Total $
3H.
# Units
3I.
Weight
3J.
$/Unit
3K.
Total $
4. Milk Sales:
4A. Description
4B.
# Head
4C.
Production/Head/Year
4D.
Total Production
4E.
Price
4F.
Sales $
5. Livestock Product Sales:
5A. Description
5B.
Production
5C.
Measure
Sales
5D.
Units
5E.
$/Unit
5F.
Total $
FSA-2038 (08-19-14) Page 2 of 2
A - INCOME (Continued)
6. Ag Program Payments $ Amount 8. Custom Hire Income $ Amount
7. Crop Insurance Proceeds $ Amount 9. Other Income $ Amount
10. Total Income (Items 1 through 9)
B - EXPENSES
11. Car and Truck
$ Amount
23. Rent – Land/Animals
$ Amount
12. Chemicals
24. Repairs and Maintenance
13. Conservation
25. Seeds and Plants
14. Custom Hire
26. Supplies
15. Feed Supplement
27. Taxes – Real Estate
16. Feed, Grain and Roughage
28. Utilities
17. Fertilizers and Lime
29. Veterinary/Breeding/Medicine
18. Freight and Trucking
30. Other Expenses
19. Gas/Fuel/Oil
31. Other - Irrigation
20. Insurance
21. Labor Hired
22. Rent – Machinery/Equipment/Vehicles
32. Interest
33. Total Expenses (Items 11 through 32)
C – NON-OPERATING
34. Owner Withdrawal
(Total Family Living Expenses
-
Farm Debt Payments)
36. Non-Farm Income
35. Income Taxes
37. Non-Farm Expense
D - CAPITAL
38. Capital Sales
40. Capital Expenditures
39. Capital Contributions
41. Capital Withdrawals
E - 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.)
42A. SIGNATURE
42B. DATE
NOTE:
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 informa tion 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 0560-0238. 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. RETURN THIS COMPLETED FORM TO
YOUR COUNTY FSA OFFICE.
The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the basis of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable,
political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or
funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) Persons with disabilities, who wish to file a program complaint, write to the address below or if you require alternative means of communication for
program information (e.g., Braille, large print, audiotape, etc.) please contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). Individuals who are deaf, hard of hearing, or have speech disabilities and wish to file either an EEO or program
complaint, please contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish).
If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to
request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter by mail to U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W.,
Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected]. USDA is an equal opportunity provider and employer.