Instructions For CCC-633WM

 

WOOL AND MOHAIR LOAN QUANTITY CERTIFICATION AND WORKSHEET

 

This form will be used by producers of wool and mohair to certify the type, quantity, and identification of production pledged to secure a CCC marketing assistance loan from FSA.

 

Submit the original of the completed form in hard copy or facsimile to the appropriate USDA servicing office after each producer has signed and dated (items 17A through 17H) and a representative from the storing facility has read the certification statement (Item 18) and has signed (Items 18 through 20B), if applicable, and dated the CCC-633WM.

 

Customers who have established electronic access credentials with USDA may electronically transmit this form to the USDA servicing office, provided that (1) the customer submitting the form is the only person required to sign the transaction, or (2) the customer has an approved Power of Attorney (Form FSA-211) on file with USDA to sign for other customers for the program and type of transaction represented by this form.

 

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.

 

Item 1 is for FSA use only.

 

Applicants complete Items 2 through 5, and 7 through 17H.

 

Fld Name/ Item No.

Instruction

2

Name and Address of Producer

Enter the name and mailing address of the individual producer, entity, partnership, joint venture, estate, or corporation that is requesting a loan on farm-stored wool or mohair.

3

Storage Location

Enter the name and address of the facility where the commodity is stored.  If stored on a farm or with a commissioned agent, enter the address of the farm or storage facility.

4

Crop Year

Enter the crop year in which the wool or mohair was produced.

5

Commodity

Check the appropriate box to identify if the commodity produced was graded wool, non-graded wool, or mohair.


 

Fld Name/ Item No.

Instruction

Item 6 is for FSA use only.

7

Lienholders

List all lienholders including names and addresses if there are any liens on the commodity identified in Item 5. If there are no liens enter "none" and initial.

8

Herd Size

Enter the current herd size.

9

Lot Number

Enter the lot and/or bag number of the loan collateral.

10

Year Shorn

Enter the year the wool or mohair was shorn.

11

Type

Enter the micron and yield which can be obtained from the core test results, if "graded wool" only was selected in Item 5.

12

No. Head Shorn

Enter the number of head shorn.

13

No. Bags

Enter the number of bags.

14

Total Quantity

Enter the total quantity, in pounds, that are being marketed for loan.

15

Grand Total

Enter the total from both Column 14’s.

16

Producer Certification Statement

The certification statement must be read by each producer signing the

CCC-633WM and the question must be answered.

17A - 17H

Required Signature(s)

Each producer who has an interest in the commodity identified in Item 5 shall read, sign and date the CCC-633WM certifying that the information on the form is true, and the certification statement has been read and understood.

 

Please contact the FSA county office before signing and dating this document if you have any questions or concerns.

Item 18 shall be read by a commissioned agent(s) of the storing facility identified in Item 3, if applicable.  Items 19A through 20B shall be signed and dated by a commissioned agent(s) of the storing facility in which the commodity identified in Item 5 is stored.

 

Items 21 through 23B are for FSA use only.

24

Remarks

Enter additional text from other items in this space if necessary.