441-8 Assignment of Proceeds from Sale of Products

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This form is available electronically.
U.S. DEPARTMENT OF AGRICULTURE
FSA-441-8
Farm Service Agency
(12-15-04)

Form Approved - OMB No. 0560-0162
1A. County FSA Office Name and Address (Including Zip Code)

ASSIGNMENT OF PROCEEDS FROM THE
SALE OF PRODUCTS
1B. County FSA Telephone Number (Including Area Code)
(See Page 2 for Privacy Act and Public Burden Statements.)

PART A - SELLER AGREEMENT
3A. Purchaser's Name and Address (Including Zip Code)

2A. Seller's Name and Address (Including Zip Code)

2B. Seller's Telephone Number (Including Area Code)

3B. Purchaser's Telephone Number (Including Area Code)

2C. Seller's County of Residence

3C. Kind of Product Purchased

4. Effective Date of Assignment (MM-DD-YYYY)

5. In consideration of a loan made by the United States of America acting through the Farm Service Agency (FSA), or its successor agency, the Seller
assigns and transfers to FSA the following percentages or amounts of the purchase price due or which may become due to the Seller from the Purchaser
for the above-named product(s) sold or which may be sold to, by, or through Purchaser: (Check applicable box:)

(a)(1)

percent payable (a)(2)
(Monthly, Bimonthly or Other)

(b)(1) $

payable (b)(2)

(Monthly, Bimonthly or Other)

payable (c)(2)

All proceeds from sale in excess of (c)(1) $

(Monthly, Bimonthly or Other)

until the FSA releases or suspends this assignment in writing, giving notice of that action to Purchaser. This assignment supersedes any previous
assignment to FSA of income due to the Seller from the above-named Purchaser.

6. Authorizing Statement:
By signing below in Item 6A, the seller directs and authorizes the purchaser to make and deliver payments.
6A. Signature of Seller

6B. Date (MM-DD-YYYY)

PART B - ACCEPTANCE BY PURCHASER
7. The undersigned (company or association, by and through its duly authorized officer) consents to and accepts the above assignment and agrees
to remit to FSA the sums of money provided in the assignment, when due and payable under it. This assignment will be given priority over any
subsequent assignments granted to other lenders. Payments will be identified by the name and address of seller or as otherwise agreed. If
payment is made by check, the check will be payable and delivered as instructed below: (Check applicable box:)
(a) To the order of the Farm Service Agency (see Item 1A above.)
(b) Jointly to the order of the seller and the Farm Service Agency (see Item 1A above.)
(c) To the order of: (Name and Address of Bank)

8A. Signature of Purchaser or Duly Authorized Officer

8B. Title of Purchaser or Duly Authorized Officer

8C. Date (MM-DD-YYYY)

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability,
political beliefs, sexual orientation, and marital or family status. (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 complaint of
discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964
(voice or TDD). USDA is an equal opportunity provider and employer.

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FSA-441-8 (12-15-04) Page 2
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 (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.
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
0560-0162. The time required to complete this information collection is estimated to average 10 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.

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