Instructions For CCC-697

REQUEST TO LOCK IN A MARKET LOAN REPAYMENT RATE

This form is used by producers who have a CCC loan and would like to lock in their repayment rate. The contact producer whose name is at the top of the loan document must complete it.

Submit the original of the completed form in hard copy or facsimile to the appropriate USDA servicing office.

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.

When you complete this form, it helps to have a copy of your loan document and the latest repayment receipt on hand.

Producers must complete items 3 through 6, 8 through 10, and Parts A (as indicated), B, and C.

Items 1 and 2 are for FSA use only.

Items 3-6

Fld Name / Item No.	Instruction
3 Crop Year	Enter the crop year for the grain that is under loan.
4 Loan Number	Enter the loan number.
5 Commodity	Enter the commodity that is under loan.
6 Maturity Date	Enter the maturity date of the loan.

Item 7 is for FSA use only.

Items 8-10

Fld Name / Item No.	Instruction
8 Outstanding Loan Quantity	Enter the bushels currently remaining under this loan.
9 Name, Address, and Telephone Number of Contact Producer	Enter the name, address, and telephone number, including area code, of the contact producer. (This is the name at the top of the loan document.)
10 Name, Address, and Telephone Number of County FSA Office	This information is on the lower right hand corner of the loan document. If left blank, FSA will complete this item.

Part A - Producer Request, (1) repayment rate and (2) date of approval are for FSA use only.

Parts A (3), B, and C

Fld Name / Item No.	Instruction
Part A (3) bu., cwt., lbs.	Enter the number of bushels that you want to lock in. If you have already locked in bushels from this loan, they cannot be locked in again.
Part B Producer Agreement	After reading each term and condition, the contact producer needs to initial the corresponding box. If this form is approved for electronic transmission and you have established credentials with USDA to submit forms electronically, your transmission is certification that you have read and understand the Terms and Conditions. The contact producer is also responsible for ensuring that ALL producers, whose signature is on this form, are aware of the terms and conditions.
Part C Producer Signature	All producers, whose signatures are on the loan, must: 1. sign this form 2. provide their Social Security Number (Producer’s ID Number) 3. date the form. If spouse's signature is on the loan, it also needs to be on this form. If more than 2 signatures are required, use Part E for additional signatures. If you are mailing or faxing this form, print the form and manually enter your signature. If this form is approved for electronic transmission and you have established credentials with USDA to submit forms electronically, use the buttons provided on the form for transmitting the form to the USDA servicing office.

Fld Name /
Item No.

Instruction

Part A

(3) bu., cwt., lbs.

Enter the number of bushels that you want to lock in.

If you have already locked in bushels from this loan, they cannot be locked in again.

Part B

Producer Agreement

After reading each term and condition, the contact producer needs to initial the corresponding box. If this form is approved for electronic transmission and you have established credentials with USDA to submit forms electronically, your transmission is certification that you have read and understand the Terms and Conditions.

The contact producer is also responsible for ensuring that ALL producers, whose signature is on this form, are aware of the terms and conditions.

Part C

Producer Signature

All producers, whose signatures are on the loan, must:

1. sign this form

2. provide their Social Security Number (Producer’s ID Number)

3. date the form.

If spouse's signature is on the loan, it also needs to be on this form. If more than 2 signatures are required, use Part E for additional signatures.

If you are mailing or faxing this form, print the form and manually enter your signature. If this form is approved for electronic transmission and you have established credentials with USDA to submit forms electronically, use the buttons provided on the form for transmitting the form to the USDA servicing office.

Part D is for FSA use only.

Part E

Fld Name / Item No.	Instruction
Part E Producer Signature (Continued)	Use this when more than 2 signatures are needed.

Fld Name /
Item No.

Instruction

Part E

Producer Signature (Continued)

Use this when more than 2 signatures are needed.