Instructions For CCC-686

APPLICATION FOR LOAN OR LOAN DEFICIENCY PAYMENT BY HEIRS

This form is used when a producer is deceased and has an outstanding loan or loans. It is used when any of the following apply: heirs want to obtain or continue a loan, request an LDP, there will be no administrator, or probate of the estate is closed.

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.

Applicants must complete Items 6 through 17.

Items 1-5 are for FSA use only.

Items 6-17

Fld Name / Item No.	Instruction
6 Name of Deceased Person	Enter the name of the deceased person.
7 Date of Death	Enter the date the person died.
8 Death Occurred	Check the appropriate box concerning when the death occurred: “Before Harvest” or “After Harvest”.
9 Persons Inheriting Commodity	Enter name and address of all persons inheriting the commodity whether or not the person is related to the deceased.
10 Relationship To Deceased	Enter the relationship of the persons inheriting the commodity to the deceased.
11 Names of Persons Assuming Farming Units	Enter names of all persons assuming farming unit whether or not the person is related to the deceased.
12 Relationship To Deceased or Capacity	Enter the relationship to the deceased or capacity (i.e., wife, son, daughter, etc.).
13 Name of Minor or Incompetent	Enter the name of any heir that is a minor or incompetent.
14 Nature of Disability	Enter the disability if any.
15 Name and Address	Enter the name and address of the representative of the person in Item 13.
16 Capacity	Enter the capacity. For example: Guardian, Custodian, Conservator, Liquidator, etc.
17 Certifications	Heirs or representative of heirs, who have inherited the commodity and who are requesting a loan or LDP must sign CCC-686. Please read the Certification Statement and sign and date where indicated. Item 17F check “Yes” or “No” to indicate if you or any co-applicant is delinquent on any Federal non tax debt. If “Yes” provide details. 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. Please contact the County FSA Office before signing and dating this document if you have any questions or concerns.
18B Title/Relationship of the individual signing in Repre-sentative Capacity	Enter the title/Relationship (of the individual signing in the Representative Capacity).
18C Date	Enter the date individual signing in the

Fld Name /
Item No.

Instruction

Name of Deceased Person

Enter the name of the deceased person.

Date of Death

Enter the date the person died.

Death Occurred

Check the appropriate box concerning when the death occurred: “Before Harvest” or “After Harvest”.

Persons Inheriting

Commodity

Enter name and address of all persons inheriting the commodity whether or not the person is related to the deceased.

Relationship

To Deceased

Enter the relationship of the persons inheriting the commodity to the deceased.

Names of Persons Assuming Farming Units

Enter names of all persons assuming farming unit whether or not the person is related to the deceased.

Relationship

To Deceased or Capacity

Enter the relationship to the deceased or capacity (i.e., wife, son, daughter, etc.).

Name of Minor or Incompetent

Enter the name of any heir that is a minor or incompetent.

Nature of Disability

Enter the disability if any.

Name and Address

Enter the name and address of the representative of the person in

Item 13.

Capacity

Enter the capacity.

For example: Guardian, Custodian, Conservator, Liquidator, etc.

Certifications

Heirs or representative of heirs, who have inherited the commodity and who are requesting a loan or LDP must sign CCC-686. Please read the Certification Statement and sign and date where indicated.

Item 17F check “Yes” or “No” to indicate if you or any co-applicant is delinquent on any Federal non tax debt. If “Yes” provide details.

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.

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

18B

Title/Relationship of the individual signing in Repre-sentative Capacity

Enter the title/Relationship (of the individual signing in the Representative Capacity).

18C

Date