Form FSA-2037 Farrm Business Plan - Balance Sheet

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For m Appr oved –OMB N o. 0560- 0238
(See Page 3 for Privacy Act and Public Burden Statements.)
U.S. DE PARTM ENT OF AGRIC ULTURE
Position 3
Farm Service Agency

This for m is available electr onically.

FSA-2037
(11-04-10)

FARM BUSINESS PLAN WORKSHEET
Balance Sheet
1. NAME

2. Date of Balance Sheet

A –CURRENT ASSETS

B –CURRENT LIABILITIES

1A. Cash and Equivalents

$ Value

2A. Accounts Payable

$ Amount

1B. Marketable Bonds and Securities

1C. Accounts Receivable

2B. Income Taxes Payable

2C. Real Estate Taxes Payable
1E.
Measure

1D. Crop Inventory

1F.
# Units

1G.
$/Unit

$ Value

Notes Payable Due Within 12 Months
2D. Creditor
2F.
Interest
Rate

2E. Purpose
2G. Accured
Interest

2H. Payment
Amount

2I. Next Payment
Date

2J. Principal
Balance

(1)
1I.
# Acres

1H. Growing Crops

1J.
Cost/Acre

$ Value
(2)

(3)

1K. Market Livestock-Poultry

1L.
# Head

1M.
Weight

1N.
$/Unit

$ Value

(4)

2K. Accrued Interest On:
(1) Current Liabilities
(2) Intermediate Liabilities
(3) Long Term Liabilities
1O. Livestock Products

1P.
Measure

1Q.
# Units

1R.
$/Unit

$ Value

2L. Current Portion of Principal Due On:
(1) Intermediate Liabilities
(2) Long Term Liabilities

1S. Prepaid Expenses and Supplies

2M. Other Current Liabilities

1T. Other Current Assets

1U. TOTAL CURRENT ASSETS (Items 1A through 1T)

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2N. TOTAL CURRENT LIABILITIES (Items 2A through 2M)

$ Amount

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FSA-2037 (11-04-10)
C –INTERMEDIATE ASSETS

Page 2 of 4

E –INTERMEDIATE LIABILITIES

3A. Machinery & Equipment/Farm Vehicles (Entered on Page 4)
3B.
Breeding Stock

3C.
Raised/Purch

3D.
# Head

3E.
$/Head

5A. Creditor
5C.
Interest
Rate

$ Value

5B. Purpose
5D. Accrued
Interest

5E. Payment
Amount

5F. Next Payment
Date

5G. Principal
Balance

(1)

(2)

(3)

(4)

3F. Notes Receivable

(5)
3G. Not Readily Marketable Bonds and Securities
(6)

(7)

3H. Other Intermediate Assets

3I. TOTAL INTERMEDIATE ASSETS (Items 3A through 3H)

5H. TOTAL INTERMEDIATE LIABILITIES (Item 5G (1 through 7))

D –LONG TERM ASSETS

F –LONG TERM LIABILITIES

4A. Building and Improvements

$ Value

6A. Creditor
6C.
Interest
Rate

6B. Purpose
6D. Accrued
Interest

6E. Payment
Amount

6F. Next Payment
Date

(1)

(2)
4B. Real
Estate-Land

4C. Total
Acres

4D. Crop
Acres

4E.
%Owned

4F. $/Acre

(3)

(4)

(5)

(6)

4G. Other Long Term Assets

$ Value

(7)

4H. TOTAL LONG TERM ASSETS (Items 4A through 4G)

6H. TOTAL LONG TERM LIABILITIES (Item 6GA (1 through 7))

4I. TOTAL FARM ASSETS (From Items 1U, 3I and 4H)

6I. TOTAL FARM LIABILITIES (From Items 2N, 5H, and 6H)
6J. TOTAL FARM EQUITY (Item 4I minus Item 6I)

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6G. Principal
Balance

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FSA-2037 (11-04-10)
G –PERSONAL ASSETS

Page 3 of 4

H –PERSONAL LIABILITIES
$ Value

8A. Creditor
8C.
Interest
Rate

7A. Cash and Equivalents

8B. Purpose
8D. Accrued
Interest

8E. Payment
Amount

8F. Next Payment
Date

8G. Principal
Balance

(1)

7B. Stocks, Bonds
7C. Cash Value Life Insurance
7D. Other Current Assets

(2)

7E. Household Goods
7F. Car, Recreational Vehicle, Etc.

(3)

7G. Other Intermediate Assets
7H. Retirement Accounts

(4)

7I. Non-Farm Business
7J. Nom-Farm Real Estate

8H. Other Liabilities

7K. Other Long Term Assets
7L. TOTAL PERSONAL ASSETS (Items 7A through 7K)

8I. TOTAL PERSONAL LIABILITIES

7M. TOTAL ASSETS (Item 4I and Item 7L)

8J. TOTAL LIABILITIES (Item 6I and Item 8I)
8K. TOTAL EQUITY (Item 7M minus Item 8J)

I - 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.)
9A. SIGNATURE

9B. DATE

10. COMMENTS

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 information 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 in all of its programs 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, political beliefs, genetic information, 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) 7202600 (voice and TDD). To file a complaint of discrimination, write to USDA, Assistant Secretary for Civil Rights, Office of the Assistant Secretary for Civil Rights,
1400 Independence Avenue, S.W., Stop 9410, Washington, DC 20250-9410, or call toll-free at (866) 632-9992 (English) or (800) 877-8339 (TDD) or (866) 3778642 (English Federal-relay) or (800) 845-6136 (Spanish Federal-relay). USDA is an equal opportunity provider and employer.

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FSA-2037 (11-04-10)
J –MACHINERY AND EQUIPM ENT
11A.
Qty.

11B.
Description

Page 4 of 4
11C.
Manufacturer

11D.
Size/Type

11E.
Condition

11F.
Year

11G.
Serial Number

11H.
$ Value

11I TOTAL $ VALUE OF (ITEM 1H)

K –FARM VEHICLES
12A.
Qty.

12B.
Description

12C.
Manufacturer

12D.
Size/Type

12E.
Condition

12F.
Year

12G.
Serial Number/VIN

12I. TOTAL $ VALUE OF (12H)
12J. TOTAL $ VALUE OF (ITEMS 11I AND 12I) TRANSFER TO ITEM 3A)

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12H.
$ Value