FSA-2038 Farm Business Plan - Income and Expense

Form Approved - OMB No. 0560-XXX

This form is available electronically.
U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency

FSA-2038
(Proposal 3)

Position 3

FARM BUSINESS PLAN WORKSHEET
Projected/Actual Income and Expense
(See Page 2 for Privacy Act and Public Burden Statements.)
1. Name

2. For Production Cycle Beginning:
20

Thru:

Purchases
1H.
$/Unit

1I.
Total $

Projected
20

Actual

A - INCOME
1. Crop Sales:
1A. Description

Production
1C.
1D.
Yield
% Share

1B.
Acres

1E.
# Units

1F.
Farm Use

1G.
# Units

1J.
# Units

Sales
1K.
$/Unit

1L.
Total $

2. Livestock and Poultry Sales:
2A. Description

2B.
Purch/Raised

P

2C.
# Units

R

2D.
Weight

Purchases
2E.
$/Unit

2F.
Total $

3D.
Weight

Purchases
3E.
$/Unit

3F.
Total $

4B.
# Head

4C.
Production/Head/Year

2G.
Death Loss

Sales
2H.
# Units

2I.
Weight

3H.
# Units

3I.
Weight

2J.
$/Unit

2K.
Total $

3J.
$/Unit

3K.
Total $

3. Dairy Livestock Sales:
3A. Description

3B.
Purch/Raised

P

R

3C.
# Head

3G.
Death Loss

Sales

4. Milk Sales:
4A. Description

4D.
Total Production

4E
Price

4F.
Sales $

Sales
5E.
$/Unit

5F.
Total $

5. Livestock Product Sales:
5A. Description

5B.
Production

5C.
Measure

5D.
# Units

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its program and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial
status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any public assistance program. (Not all prohibited
bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information ( Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at
(202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW., Washington, DC 20250-9410, or call (800) 795-3272
(voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

FSA-2038 (Proposal 3)

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
$ Amount

$ Amount

11. Car and Truck

23. Rent - Land/Animals

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 Expenses
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
and Non-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 statements are made in accordance with the Privacy Act of 1974 (5 USC 552a): the Farm Service Agency (FSA) is authorized by the Consolidated 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 United 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, 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
Social Security Number or Federal Tax Identification number, may result in a delay in the processing of an application or its rejection.
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-XXX. 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.