Instructions For CCC-36
ASSIGNMENT OF PAYMENT
Producers use this form to assign payments under various Commodity Credit Corporation (CCC) or Farm Service Agency (FSA) programs. Farm loans, commodity loans, farm storage facility loans, and purchase agreement proceeds are not eligible for assignments.
Submit the original of the completed form in hard copy to the administrative FSA office where the assignment of payment will be made. DO NOT FAX. Retain copies for assignors and the assignee.
Producers and the assignee must complete Items 1 through 14 at the time this form is filed with FSA and Item 16 upon revocation of the assignment.
Parts A, B and C, Items 1–14, and Item 18.
Field Name / |
Instruction |
Part A |
General Information |
1 State |
Enter the State in which the payment is assigned will be generated. |
2 County |
Enter the county in which the payment is assigned will be generated. NOTE: The original CCC-36 form, properly executed, must be on file in the county office administratively responsible for the farm or operation for the specific program involved. |
3 Producer (Assignor)'s Name and Address |
Enter the name and address (including Zip Code) of the producer (assignor) making the assignment. |
4 Assignor’s Tax Identification Number |
Enter the producer’s (assignor's) social security number or tax identification number. |
5 Assignee's Name and Address |
Enter the name and address (including Zip Code) of the person, business, institution, etc. receiving the payment. (The person receiving the payment is the assignee.) |
6 Assignee’s Tax Identification No. |
Enter assignee’s tax ID, either enter the social security number when the assignee is an individual or enter the employer tax ID when the assignee is a company or a financial institution. NOTES:
|
Part B |
Applicable Program(s) |
7 Program |
Select the applicable program as displayed or enter an applicable multi-year program name:
|
8 Program Year or Payment Year |
Enter the "from" and "to" years of the applicable program year or payment year, next to the program name that the benefits are being assigned. |
9 Assigned Amount of Each Applicable Year |
Enter the year and estimated amount of payment that benefits are to be assigned to the applicable program listed under Item 7. |
10 Program Name |
Enter the names of any other program(s) not listed under Item 7. |
11 Program Year or Payment Year |
Enter the year of the applicable program year or payment year of the assigned program name entered. |
12 Assigned Amount |
Enter the estimated amount of payment that benefits are to be assigned. |
Part C |
Representation of Assignor and Assignee The producer and assignee shall read the certification statement carefully. NOTE: By signing both parties acknowledge and agree to the terms and conditions set forth in Part C. |
13 Producer’s (Assignor's) Signature and Date |
Ensure that the producer's (assignor's) signature and date are completed. |
14 Assignee’s Signature and Date |
Ensure that the assignee's signature and date are completed. |
Part D- Item 15
Field Name / |
Instruction |
Part D |
Revocation of Assignment The assignee must complete Part D to revoke an existing Assignment of Payment. |
15 Assignee's Signature and Date |
Ensure that the assignee's signature and date to revoke the existing assignment are completed. |
Items 16-17 are for FSA use only.
Page 2, Special Provisions and Item 18
Field Name / |
Instruction |
Page 2, Special Provisions |
Assignor and assignee must read the Special Provisions Relating to Assignments, Item 18 and Privacy Act and Public Burden Statements on Page 2 of Form CCC-36. |
18 County Office Name and Address and Telephone Number |
If CCC-36 is mailed or delivered by a carrier to the administrative FSA county office, the assignee shall make sure the FSA county office name and address with zip code and the telephone number are entered. |
Additional Information
Item |
Instruction |
Assignee |
An assignee is a person or entity to which the assignment of a payment is made. |
Assignment |
An assignment is the transfer of the right to receive a cash payment from a producer (assignor) who is participating in FSA or CCC farm programs to an assignee.
|
Assignor |
An assignor is any person (the producer) who:
|
File Type | application/msword |
File Title | Instructions For CCC-36 |
Author | Maryann.ball |
Last Modified By | Maryann.ball |
File Modified | 2009-06-16 |
File Created | 2009-06-16 |