T his for m is avai lab le el ectr oni cally. F or m Appr oved –OMB N o. 0560- 0238
(See Page 3 for Privacy Act and Public Burden Statements.)
FSA-2037 U.S. DE PART M ENT OF AGRIC ULT URE P osit ion 3
(11-04-10) Farm Service Agency
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
1D. Crop Inventory
1E.
Measure
1F.
# Units
1G.
$/Unit
$ Value
Notes Payable Due Within 12 Months
2D. Creditor 2E. Purpose
2F.
Interest
Rate
2G. Accrued
Interest
2H. Payment
Amount
2I. Next Payment
Date
2J. Principal
Balance
(1)
1H. Growing Crops
1I.
# Acres
1J.
Cost/Acre
$ Value
(2)
(3)
1K. Market Livestock-Poultry
1L.
# Head
1M.
Weight
1N.
$/Unit
$ Value
(4)
2K. Accrued Interest On: $ Amount
(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) 2N. TOTAL CURRENT LIABILITIES (Items 2A through 2M)
FSA-2037 (11-04-10) P age 2 of 4
C –INTERMEDIATE ASSETS E –INTERMEDIATE LIABILITIES
3A. Machinery & Equipment/Farm Vehicles (Entered on Page 4) 5A. Creditor 5B. Purpose
3B.
Breeding Stock
3C.
Raised/Purch
3D.
# Head
3E.
$/Head
$ Value
5C.
Interest
Rate
5D. Accrued
Interest
5E. Payment
Amount
5F. Next Payment
Date
5G. Principal
Balance
(1)
(2)
(3)
3F. Notes Receivable
(4)
(5)
3G. Not Readily Marketable Bonds and Securities
(6)
3H. Other Intermediate Assets
(7)
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 6B. Purpose
6C.
Interest
Rate
6D. Accrued
Interest
6E. Payment
Amount
6F. Next Payment
Date
6G. Principal
Balance
(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)
FSA-2037 (11-04-10) P age 3 of 4
G –PERSONAL ASSETS H –PERSONAL LIABILITIES
$ Value 8A. Creditor 8B. Purpose
7A. Cash and Equivalents
8C.
Interest
Rate
8D. Accrued
Interest
8E. Payment
Amount
8F. Next Payment
Date
8G. Principal
Balance
7B. Stocks, Bonds
(1)
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. Non -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 fa
ith. (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 inco
mplete, 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) 720-
2600 (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) 377-
8642 (English Federal-relay) or (800) 845-6136 (Spanish Federal-relay). USDA is an equal opportunity provider and employer.
FSA-2037 (11-04-10) P age 4 of 4
J –MACHINERY AND EQUIPM ENT
11A.
Qty.
11B.
Description
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
12H.
$ Value
12I. TOTAL $ VALUE OF (12H)
12J. TOTAL $ VALUE OF (ITEMS 11I AND 12I) TRANSFER TO ITEM 3A)
