Instructions For CCC-666
FARM
STORED LOAN QUANTITY CERTI
This form is used to
certify the quantity of farm-stored commodities pledged for a marketing
assistance loan from FSA.
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.
Producers must complete Items 2
through 6, Items 8 through 15, and Item 18.
Item 1 is for FSA use only.
Items 2-6
|
Fld Name / |
Instruction |
|
2 Name and Address of Producer |
Enter the name of the individual producer, entity, partnership, joint venture, trust, estate, or corporation that is requesting a loan on farm- stored commodities. |
|
3 Location of Farm Where Stored |
Enter the address where the commodity is stored. |
|
4 Crop Year |
Enter the crop year in which the commodity was produced. |
|
5 Commodity |
Enter the commodity being pledged for this loan. |
|
Fld Name / |
Instruction |
|
6 |
If applicable, enter type of loan collateral. · Indicate if corn is cracked, rolled, or crimped. · HM = High Moisture ( applicable to high moisture barley, shelled corn and Grain sorghum loans) · ATHM = Acid treated high moisture (applicable to acid treated high moisture shelled corn and grain sorghum loans) |
Item
7 is for FSA use only.
Items 8-15
|
Fld Name / |
Instruction |
|
8 Lienholders |
Enter lien holders name and address if there are any liens on the commodity. If there are no liens against the commodity enter the word "none" and initial. |
|
9 Farm Numbers Where Produced |
Enter the farm number where the commodity was grown. Contact FSA if you don’t know the farm number. |
|
10 Other Payees |
If you wish another person to receive part of the payment for this loan, enter the name of the person, and amount to be paid, and the ID number for payment. The ID number will be either a social security number or a federal tax ID number. |
|
11 Seal |
Enter the seal numbers assigned by FSA for each storage structure containing loan collateral. Producer-assigned bin numbers may be used instead of FSA-assigned seal numbers. These numbers must match the assigned bin numbers on the CCC-683 "Commodity Loan Seal". |
|
12 Bin Identifica-tion |
Enter description of structure and location. Example: Round steel bin next to barn. |
|
13 Class, Variety, or Type |
Enter the class, variety, or type as applicable. (Ex: grain, hay, silage, etc.) For sunflowers, enter "Oil" for varieties of oil sunflower seeds that will be crushed for oil purposes. Enter "other" for varieties of confectionery sunflower seed. |
|
Fld Name / |
Instruction |
|
14 Basis for Producer’s Quantity Determina-tion |
Enter basis for your quantity determination, such as measurements, scale tickets, etc. FSA must be satisfied that the producer’s basis for quantity determined is acceptable FSA will not accept manufacturer’s rated capacity of the structure as a determination of certified quantity. |
|
15 Quantity in Bin |
Enter the certification of quantity in the structure, as determined from entries in Item 14. |
Items
16 and 17 are for FSA use only.
Item
18
|
Fld Name / |
Instruction |
|
18 Producer’s Certification |
Please read the Producer’s Certification statement and answer the question, then sign and date where indicated. Please contact
the 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. |
Items
19 – 22 are for FSA use only.