7 CFR 1941, Operating Loan Policies, Procedures and Authorizations and Closings

Instructions for FSA-441-25

ASSIGNMENT OF PROCEEDS FROM THE SALE OF DAIRY PRODUCTS AND RELEASE OF SECURITY INTEREST.

This form is used to authorize FSA to take an assignment on the Seller/Borrower's proceeds from the sale of dairy products.

Submit the original of the completed form in hard copy to the USDA servicing office. DO NOT FAX. Retain copies for your records.

Customers who have established electronic access credentials with USDA may electronically transmit this form to the USDA servicing office, provided that the customer submitting the form is the only person required to sign the transaction.

Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

Seller/Borrower must complete Items 2 through 7B.

Items 1A and 1B completed by FSA.

Items 2 through 7B completed by Seller/Borrower.

Field Name/ Item No.	Instruction
2A Seller/ Borrower's Name and Address	Enter the name and address of seller/borrower including Zip Code.
2B Seller/ Borrower’s Telephone Number	Enter the seller/borrower's telephone number including Area Code.
3A Purchaser's Name and Address	Enter the name and address of purchaser including Zip Code.
3B Patron Account Number	Enter the seller/borrower's Patron Account Number as assigned by the purchaser.
3C Purchaser's Telephone Number	Enter the telephone number of purchaser including Area Code.
4 County of Residence of Seller/ Borrower	Enter the seller/borrower's county of residence.
5 Effective Date of Assignment	Enter the effective date of this assignment (MM-DD-YYYY). This is the date that the assignment will begin.
6(a)(1) Percent of Purchase Price	Enter a checkmark in the checkbox and the percent of the purchase price payable, if known, otherwise leave blank
6(a)(2) Payment Schedule	Enter the payment schedule, monthly, bi-monthly or other.
6(b)(1) Purchase Price	Enter a checkmark in the checkbox and the portion of the purchase price payable, if known, otherwise leave blank.
6(b)(2) Payment Schedule	Enter the payment schedule, monthly, bi-monthly or other.
6(c)(1) Amount of Purchase Price	Enter a checkmark in the checkbox and the dollar amount of proceeds from sale in excess payable, if known, otherwise leave blank.
6(c)(2) Payment Schedule	Enter the payment schedule, monthly, bi-monthly or other.
6(d) Special Instructions	Enter special instructions or explanations, if applicable.
7A Seller/ Borrower's Signature	Enter the seller/borrower's signature.
7B Date	Enter the date (MM-DD-YYYY) the seller/borrower signed this form.

Items 8 through 9C Completed by Purchaser.

Field Name/ Item No.	Instruction
8(a) To FSA	Enter a checkmark in the checkbox if the payment is payable to the order of FSA.
8(b) Jointly to Seller, Buyer, and FSA	Enter a checkmark in the checkbox if the payment is payable jointly or the check will be sent to FSA and the borrower/seller.
8(c) To Bank	Enter a checkmark in the checkbox if the check is made payable to a bank and enter the bank's name and address including Zip code.
9A Signature of Duly Authorized Officer	Enter the signature of the Duly Authorized Officer for the purchaser.
9B Title	Enter the title of Duly Authorized Officer for the purchaser.
9C Date	Enter the date (MM-DD-YYYY) the purchaser signed this form.
Items 10(a) through 10(c) completed by FSA. Items 11A through 11F completed by Purchaser.
11A Read the information in Item 11A	Read the information in Item 11A in order to complete codes 1 through 4 in Item 11F.
11B Purchaser's Name	Enter the name of the purchaser.
11C Purchaser's Address	Enter the address of the purchaser.
11D Amount of Deduction	Enter the dollar amount of the deduction.
11E Effective date	Enter the effective date (MM-DD-YYYY) when the purchaser accepted the prior assignment or claim.
11F Deduction Priority Codes	Enter the deduction priority code in Item 11F. To determine which code to enter in Item11F, use one of the codes from Item 11A.