CCC0633EZ

Instructions For CCC-633 EZ

Loan Deficiency Payment (LDP) Agreement and Request

This form is used by producers who want to receive a loan deficiency payment. Page 1 of this form must be filed prior to loss of beneficial interest in an eligible commodity. It must be filed before harvest, ginning, shearing, or slaughter if the producer will lose title, control, and risk of loss (beneficial interest) at the time of harvest, shearing, slaughter or delivery. The producer, who would be otherwise eligible for a marketing assistance loan (MAL), must complete the form. One CCC-633 EZ - Page 1, is filed per producer (individual, corporation, partnership, trust, etc.) per crop year. Multiple payment requests can be filed by using Page 2, Page 3, or Page 4 of the CCC-633 EZ, as applicable

The producer shall submit the original of the completed form in hard copy, facsimile, or eForms, 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 the customer submitting the form is the only person required to sign the transaction. Customers, who have established electronic access credentials (eAuthentication Level 2 account) and wish to use the eLDP process, must first either electronically transmit or submit by hard copy or facsimile, a completed CCC-633 EZ - Page 1 to their USDA servicing office. Upon receipt of the CCC-633 EZ - Page 1, the receiving County Office can update the eLDP customer profile to enable the producer to apply for eLDP’s. If you would like to establish online access credentials (eAuthentication Level 2) with USDA, visit us online at: http://www.eauth.egov.usda.gov/#L2 and follow instructions, or visit your local USDA service center for assistance.

Producers must complete Items 1 through 7, Items 13 through 17, Items 19 through 23, Items 25 through 27, Items 33 through 38, Item 39, if applicable, Items 40 through 42, if applicable, and Items 43 through 45. Producers of wool, mohair, and unshorn pelts must complete Items 57 through 62, Items 64 through 69, if applicable, Items 72 through 77, if applicable, and Items 79 through 81.

CCC-633 EZ, Page 1 – Loan Deficiency Payment (LDP) Agreement and Request

Items 1-5

Item No./ Field Name	Instruction
1 Name and Address of Producer	Enter the name and address of the producer. The name of the producer may be an individual, joint operation or entity.
2 Telephone Number	Enter the telephone/cell number including area code of the producer in Item 1.
3 ID Number	Enter the last 4 digits of the Social Security number or tax ID number of the producer or entity in Item 1.
4 Crop Year	Enter the crop year for the commodities covered by the LDP agreement.
5 State(s) and County(s)	Enter the State(s) (if necessary) and county(s), where the producer named in Item 1 has an interest in eligible commodities for the applicable crop year. This form covers interests in all eligible LDP commodities of the producer listed in Item 1. The county office that first receives Page 1 shall forward it to other county offices as applicable by fax or mail.

Item No./

Field Name

Instruction

Name and Address of Producer

Enter the name and address of the producer.

The name of the producer may be an individual, joint operation or entity.

Telephone

Number

Enter the telephone/cell number including area code of the producer in Item 1.

ID Number

Enter the last 4 digits of the Social Security number or tax ID number of the producer or entity in Item 1.

Crop Year

Enter the crop year for the commodities covered by the LDP agreement.

State(s) and

County(s)

Enter the State(s) (if necessary) and county(s), where the producer named in Item 1 has an interest in eligible commodities for the applicable crop year.

This form covers interests in all eligible LDP commodities of the producer listed in Item 1. The county office that first receives Page 1 shall forward it to other county offices as applicable by fax or mail.

PART A – TERMS AND CONDITIONS

Item No./

Field Name

Instruction

Terms and Conditions

All producers requesting LDP shall review and understand the terms and conditions of this agreement.

If this form is submitted by electronic transmission, your transmission is certification you have read and understand the Terms and Conditions.

PART B – METHODS OF PAYMENT REQUEST

Methods of Payment Request

All producers requesting LDP shall review and understand the methods by which a payment request may be initiated under this agreement.

If this form is submitted by electronic transmission, your transmission is certification you have read and understand the Methods of Payment Request.

PART C – PRODUCER SIGNATURE AND CERTIFICATION

Items 6 and 7

Item No./ Field Name	Instruction
6 and 7 Producer Signature and Certification	After reading the certification statement, the producer needs to sign and date in Items 6 and 7. The signature(s) indicate the producer has reviewed and agrees to the conditions listed. There will be one form per individual, joint operation or entity. Multiple signature lines are provided for cases where multiple signatures are required to act for an operation or entity. If additional signature lines are needed, the producer shall use CCC-633 EZ – Page 5 – Continuation – Part C. Note: eAuthentication presently does not allow for multiple signatures to be submitted on the same transmission. If multiple signatures are required, the applicant may wish to print the applicable page and deliver to the county office in person, by mail, or by FAX. The approval date will be the date all required signatures are in the county office. If mailing or faxing this form, print the form and manually enter your signature. If you have established credentials with USDA to submit forms electronically, your transmission is certification you have reviewed and agree to the conditions listed. Presently, eForms can support only one signature per submission. If additional signatures are needed for an entity, the form can be printed, the required signatures obtained and submitted in the normal manner.

Item No./

Field Name

Instruction

6 and 7

Producer Signature and Certification

After reading the certification statement, the producer needs to sign and date in Items 6 and 7. The signature(s) indicate the producer has reviewed and agrees to the conditions listed. There will be one form per individual, joint operation or entity. Multiple signature lines are provided for cases where multiple signatures are required to act for an operation or entity. If additional signature lines are needed, the producer shall use CCC-633 EZ – Page 5 – Continuation – Part C. Note: eAuthentication presently does not allow for multiple signatures to be submitted on the same transmission. If multiple signatures are required, the applicant may wish to print the applicable page and deliver to the county office in person, by mail, or by FAX. The approval date will be the date all required signatures are in the county office.

If mailing or faxing this form, print the form and manually enter your signature. If you have established credentials with USDA to submit forms electronically, your transmission is certification you have reviewed and agree to the conditions listed. Presently, eForms can support only one signature per submission. If additional signatures are needed for an entity, the form can be printed, the required signatures obtained and submitted in the normal manner.

PART D – CCC AGREEMENT

Items 8 – 12 are for FSA use only.

CCC-633 EZ, Page 2 - LDP Agreement and Request

PART E – REQUEST FOR LDP

CCC-633 EZ - Request for LDP – Page 2, must accompany all requests for payment, except for cotton, wool, mohair, and unshorn pelts. If additional information is needed by the County Office to determine eligible producer, net quantity and payment rate, the request will not be paid until evidence is provided.

Items 13-19

Item No./ Field Name	Instruction
13A Contact Name and Address of Producer	Enter the name and address of the producer requesting benefits. This should be the same information recorded in Item 1 of the CCC-633 EZ, Page 1.
13B Telephone/Cell Number	Enter the telephone/cell number including area code of the producer in Item 13A.
14 ID Number	Enter the last 4-digits of the Social Security number or tax ID umber of the producer (individual, operation or entity) listed in Item 13 of the CCC-633 EZ, Page 2 – Request for LDP.
15 Crop Year	Enter the crop year for which LDP is requested.
16 State and County where Farm Records are Maintained	Enter the State and county where the farm records are maintained. This is where the CCC-633 EZ, Page 2 is to be submitted for payment.
17 Debt Statement	Check either “YES” or “NO”. If the applicant answers “YES”, then the applicant uses Item 32, on this page to explain the amount owed, the Federal agency owed, and terms of any repayment agreement.

Item No./

Field Name

Instruction

13A

Contact Name and Address of Producer

Enter the name and address of the producer requesting benefits.

This should be the same information recorded in Item 1 of the CCC-633 EZ, Page 1.

13B

Telephone/Cell Number

Enter the telephone/cell number including area code of the producer in Item 13A.

ID Number

Enter the last 4-digits of the Social Security number or tax ID umber of the producer (individual, operation or entity) listed in Item 13 of the CCC-633 EZ, Page 2 – Request for LDP.

Crop Year

Enter the crop year for which LDP is requested.

State and County where Farm Records are Maintained

Enter the State and county where the farm records are maintained. This is where the CCC-633 EZ, Page 2 is to be submitted for payment.

Debt Statement

Check either “YES” or “NO”. If the applicant answers “YES”, then the applicant uses Item 32, on this page to explain the amount owed, the Federal agency owed, and terms of any repayment agreement.

Item 18 is for FSA use only.

Item 19

Item No./ Field Name	Instruction
19 Commodity, Class, Variety, Type	Enter the commodity for which LDP is requested along with the class, variety, or type, as applicable. For sunflowers, ENTER “oil” or “other” as applicable. Note: If the commodity requested is wheat and the class is mixed, then producers must indicate the predominate class of wheat.

Item No./

Field Name

Instruction

Commodity, Class, Variety, Type

Enter the commodity for which LDP is requested along with the class, variety, or type, as applicable.

For sunflowers, ENTER “oil” or “other” as applicable.

Note: If the commodity requested is wheat and the class is mixed, then producers must indicate the predominate class of wheat.

Items 20-23

Item No./ Field Name	Instruction
20 Net Quantity Requested and Unit of Measure	Enter the net quantity requested for this payment, as applicable. When evidence is provided that shows multiple dates of sale (e.g.-production is immediately sold upon delivery) it is acceptable to enter the total net quantity that includes multiple LDP rates. For commodities harvested as other than grain, the quantity may be certified as tons, acres harvested, bushels, pounds or hundredweight (cwt), as applicable.
21 Source of Quantity	Check Item 21A (Certified), Item 21B (Measurement Service), or Item 21C (Production Evidence), that corresponds with the source of the quantity in Item 20 as follows: · Certified - if quantity is based on producer certification · Measurement Service – if quantity will be based on FSA measurement service · Production Evidence– if quantity is based on an attached load summary or settlement sheet. If no acceptable production and/or sales evidence is provided at the time of payment request, then check Item 21A for “Certified”. Certified quantities are subject to spot-check and CCC may require production evidence to support the certification. If measurement service is requested to determine quantity, then check Item 21B “Measurement Service”. The servicing County Office will initiate a measurement service at the location described in Item 22. By requesting measurement service, the applicant agrees the quantity determined by measurement service will be the maximum quantity eligible for LDP and the request for payment is irrevocable. If this request for payment is accompanied by production and/or sales evidence, then check Item 21C “Production Evidence”. When acceptable production and/or sales evidence is provided at the time of payment request, no additional documentation will be required.
22 Stored Location	Enter the State (if necessary) and county, where the quantity in Item 20 is stored. In addition, enter the location within the same county where the commodity is stored. For example, bin number, legal description, and/or land description. Enter the warehouse name if commodity is warehouse-stored. At a minimum, the location MUST include the county where the grain is stored. If beneficial interest has been lost, the County FSA office that administers the records for the acreage where the quantity was produced will be considered the “county” for determining the effective LDP rate. A separate LDP request must be completed for quantities stored in a different county.
23A & B Effective Date	Enter the date of this request or when beneficial interest was lost. If a request has multiple dates (such as date of feeding or sale) and production evidence or schedule/ledger is provided that shows when beneficial interest is lost, this block can be left blank. Item 23A – Enter the date of the LDP request or date the beneficial interest was lost. Item 23B – Date of delivery. The CCC-633 EZ, Pages 1 and 2 must be completed at the same time if this option is selected and this box must be check (√) to received the LDP rate in effect on the date of delivery.

Item No./

Field Name

Instruction

Net Quantity Requested and Unit of Measure

Enter the net quantity requested for this payment, as applicable. When evidence is provided that shows multiple dates of sale (e.g.-production is immediately sold upon delivery) it is acceptable to enter the total net quantity that includes multiple LDP rates.

For commodities harvested as other than grain, the quantity may be certified as tons, acres harvested, bushels, pounds or hundredweight (cwt), as applicable.

Source of Quantity

Check Item 21A (Certified), Item 21B (Measurement Service), or Item 21C (Production Evidence), that corresponds with the source of the quantity in Item 20 as follows:

· Certified - if quantity is based on producer certification

· Measurement Service – if quantity will be based on FSA

measurement service

· Production Evidence– if quantity is based on an attached load

summary or settlement sheet.

If no acceptable production and/or sales evidence is provided at the time of payment request, then check Item 21A for “Certified”. Certified quantities are subject to spot-check and CCC may require production evidence to support the certification.

If measurement service is requested to determine quantity, then check Item 21B “Measurement Service”. The servicing County Office will initiate a measurement service at the location described in Item 22. By requesting measurement service, the applicant agrees the quantity determined by measurement service will be the maximum quantity eligible for LDP and the request for payment is irrevocable.

If this request for payment is accompanied by production and/or sales evidence, then check Item 21C “Production Evidence”. When acceptable production and/or sales evidence is provided at the time of payment request, no additional documentation will be required.

Stored Location

Enter the State (if necessary) and county, where the quantity in Item 20 is stored. In addition, enter the location within the same county where the commodity is stored.

For example, bin number, legal description, and/or land description. Enter the warehouse name if commodity is warehouse-stored.

At a minimum, the location MUST include the county where the grain is stored. If beneficial interest has been lost, the County FSA office that administers the records for the acreage where the quantity was produced will be considered the “county” for determining the effective LDP rate.

A separate LDP request must be completed for quantities stored in a different county.

23A & B

Effective Date

Enter the date of this request or when beneficial interest was lost. If a request has multiple dates (such as date of feeding or sale) and production evidence or schedule/ledger is provided that shows when beneficial interest is lost, this block can be left blank.

Item 23A – Enter the date of the LDP request or date the beneficial interest was lost.

Item 23B – Date of delivery. The CCC-633 EZ, Pages 1 and 2 must be completed at the same time if this option is selected and this box must be check (√) to received the LDP rate in effect on the date of delivery.

Item 24 is for FSA use only. FSA will enter the LDP rate in effect as it determines when beneficial interest was lost or when an acceptable application is submitted.

PART F – PRODUCER CERTIFICATION

Item 25-27

Item No./

Field Name

Instruction

Signature

of Producer

Enter the producer’s signature at the time of completion. This indicates the applicant’s request to receive an LDP payment based on the applicable quantity and effective LDP rate.

If beneficial interest has not been lost, the effective LDP rate will be based upon the time and date the request for payment is received in the County FSA Office.

% Share

Enter the share of the quantity in Item 20 for the LDP requested.

Date

Enter the date the producer signed at the time of completion.

PART G – CCC APPROVAL

Items 28-31 is for FSA use only.

Item 32

Item No./

Field Name

Instruction

Additional Information

Enter additional information that would be beneficial in determining eligibility for LDP, indicate so in this area.

CCC-633 EZ, Page 3 – Request for Cotton LDP

PART H – REQUEST FOR COTTON LDP

CCC-633 EZ, Page 3 – Request for Cotton LDP, must accompany all requests for payment.

Items 33-39

Item No./ Field name	Instruction
33 Contact Name and Address of Producer	Enter the producer’s name and address. This shall be the same information recorded in Item 1 of the CCC-633 EZ, Page 1.
34 ID Number	Enter the last 4-digits of the Social Security number or tax ID number of the applicant (individual, operation or entity) listed in Item 33 of the CCC-633 EZ, Page 2, Request for Cotton LDP.
35 Telephone/ Cell Number	Enter the producer’s telephone/cell number including area code of the applicant in Item 33.
36 Crop Year	Enter the crop year for which LDP is requested.
37 Debt Statement	Check either “YES” or “NO”. If the applicant answers “YES”, then the applicant uses Item 56, on this page to explain the amount owed, the Federal agency owed, and terms of any repayment agreement.
38 Type of Application	Enters applicant’s initials in only one of the four boxes to indicate the type of LDP being requested. If more than one type of LDP is being requested for upland cotton, a separate Page 3 of CCC-633 EZ must be completed for each type.
39 Gin-Direct Information	If “Gin-direct” is selected, applicant must complete this item. Applicant may request LDP’s for one or more farms. For each individual farm for which an LDP is requested for some or all production, the applicant must enter the farm number and, in the box adjacent to the farm number, must enter either “All” to indicate that the LDP is requested for all bales, or must enter the exact number of bales from the farm to which the LDP request applies.

PART I – MODULE IDENTIFICATION OF SEED COTTON –Completed for Module Lock-In LDP Request

Items 40-42

Item No./ Field name	Instruction
40 Module Identification of Seed Cotton	If the LDP type requested is “Irrevocable Module Lock-in”, enter the code number of the gin that will provide a list of bales produced from the modules listed in Part H, Item 38. Part I is not completed if the type of LDP requested is other than “Irrevocable Module Lock-in.”
41 Module Location at Farm or Gin	Enter the module location at the farm or gin.
42 Gins Module/ Trailer Number	Enter the gin-supplied module (storage unit) numbers to which the AWP lock-in and the LDP application applies. Use reverse side to list additional numbers if more space is needed. If faxing, or submitting through eForms list on a separate sheet.

PART J – PRODUCER CERTIFICATION

Items 43-45

Item No./

Field Name

Instruction

43 – 45

Producer Certification

Each producer having a share in the production for which this application is submitted must enter in:

Item 43 - their signature in Item 43,

Item 44 - their percent share of the quantity and

Item 45 - the date of signature.

If additional signatures are required, use CCC-633 EZ, Continuation, Page 4, Part J.

PART K – INFORMATION FOR LDP REQUEST

Items 46-49 is for FSA use only.

PART L – CCC APPROVAL

Items 50-55 is for FSA use only.

Item 56

Item No./

Field Name

Instruction

Enter additional information that would be beneficial in determining eligibility for LDP, indicate so in this area.

PART M – REQUEST FOR WOOL, MOHAIR, OR UNSHORN PELT LDP

CCC-633 EZ, Page 4 – Request for Wool, Mohair, or Unshorn Pelt LDP, must accompany all requests for payment for these commodities.

Items 57-62

Item No./ Field name	Instruction
57 Contact Name and Address of Producer	Enter the producer’s name and address. This shall be the same information recorded in Item 1 of the CCC-633 EZ, Page 1.
58 ID Number	Enter the last 4-digits of the Social Security number or tax ID number of the applicant (individual, operation or entity) listed in Item 57 of the CCC-633 EZ, Page 4, Request for Wool, Mohair, or Unshorn Pelt LDP.
59 Telephone/ Cell Number	Enter the producer’s telephone or cell number including area code of the applicant in Item 57.
60 Crop Year	Enter the crop year for which LDP is requested.
61 Debt Statement	Check either “YES” or “NO”. If the applicant answers “YES”, then the applicant uses Item 87, on this page to explain the amount owed, the Federal agency owed, and terms of any repayment agreement.
62 State and County where Farm Records are Maintained	Enter the State and county where the farm records are maintained. This is where the CCC-633 EZ, Page 4 is to be submitted for payment.

PART N – COMPLETED FOR WOOL OR MOHAIR

Item 63 is for FSA use only.

Item 64

Item No./ Field Name	Instruction
64 Commodity	Check either “Mohair” or “Wool” to indicate the applicable commodity for which this LDP is requested.
65 Type	If “wool” is selected in Item 64, check either “Graded” or “Ungraded” to indicate the applicable type of wool. Note: If “graded” is selected, enter the micron and yield from the core test results in item 87.
66 Net Quantity (lbs)	Enter the net quantity requested for this payment in pounds. When evidence is provided that shows multiple dates of sale (e.g. production is immediately sold upon delivery) it is acceptable to enter the total net quantity that includes multiple LDP rates.
67 Source of Quantity	Check Item 67A “Certified“, Item 67B “Production Evidence“, or Item 67C “Quantity in Excess of the Certified Quantity“, that corresponds with the source for the quantity in Item 66 as follows: · Certified – if quantity is based on producer certification · Production Evidence – if quantity is based on an attached invoice, weight receipt, or settlement sheet · Quantity in Excess of Certified Quantity – if quantity is based on a request for an additional LDP disbursement on a quantity in excess of previously submitted request (CCC-633 EZ, Page 4) for a certified quantity after delivery of the wool or mohair when beneficial interest is lost. If no acceptable production and/or sales evidence are provided at the time of payment request, check Item 67A, “Certified”. Certified quantities are subject to spot-check and CCC may require production evidence to support the certification. If this request for payment is accompanied by production and/or sales evidence, check Item 67B, “Production Evidence”. When acceptable production and/or sales evidence are provided at the time of payment request, no additional documentation will be required. If this request is for payment on an additional quantity in excess of a certified quantity previously requested for the same crop year, for which production and/or sales evidence was provided after the request for the certified quantity was submitted and beneficial interest was lost, check Item 67C, “Quantity in Excess of Certified Quantity”. Acceptable documentation in the form of a net weight receipt or settlement sheet from the sale or delivery of the wool and mohair must be provided to support the additional quantity in excess of the certified quantity.
68 Stored Location	Enter the state (if necessary) and county, where the quantity in Item 66 is stored. In addition, enter the location within the same county where the commodity is stored. For example, legal description and/or land description. Enter the warehouse name of commodity is warehouse-stored or stored by a commissioned agent. At a minimum, the location MUST include the county where the wool or mohair is stored. If beneficial interest has been lost, the County FSA office that administers the records for where the quantity was produced will be considered the “county” for determining the effective LDP rate. A separate LDP request must be completed for quantities stored in a different county.
69 Effective Date of LDP Rate	Enter the date of this request or when beneficial interest was lost. If a request has multiple dates, such as sale, delivery, or slaughter, and production evidence or schedule/ledger is provided that shows when beneficial interest is lost, this block can be left blank.

Item No./

Field Name

Instruction

Commodity

Check either “Mohair” or “Wool” to indicate the applicable commodity for which this LDP is requested.

Type

If “wool” is selected in Item 64, check either “Graded” or “Ungraded” to indicate the applicable type of wool.

Note: If “graded” is selected, enter the micron and yield from the core test results in item 87.

Net Quantity

(lbs)

Enter the net quantity requested for this payment in pounds.

When evidence is provided that shows multiple dates of sale (e.g. production is immediately sold upon delivery) it is acceptable to enter the total net quantity that includes multiple LDP rates.

Source of Quantity

Check Item 67A “Certified“, Item 67B “Production Evidence“, or Item 67C “Quantity in Excess of the Certified Quantity“, that corresponds with the source for the quantity in Item 66 as follows:

· Certified – if quantity is based on producer certification

· Production Evidence – if quantity is based on an attached invoice, weight receipt, or settlement sheet

· Quantity in Excess of Certified Quantity – if quantity is based on a request for an additional LDP disbursement on a quantity in excess of previously submitted request (CCC-633 EZ, Page 4) for a certified quantity after delivery of the wool or mohair when beneficial interest is lost.

If no acceptable production and/or sales evidence are provided at the time of payment request, check Item 67A, “Certified”. Certified quantities are subject to spot-check and CCC may require production evidence to support the certification.

If this request for payment is accompanied by production and/or sales evidence, check Item 67B, “Production Evidence”. When acceptable production and/or sales evidence are provided at the time of payment request, no additional documentation will be required.

If this request is for payment on an additional quantity in excess of a certified quantity previously requested for the same crop year, for which production and/or sales evidence was provided after the request for the certified quantity was submitted and beneficial interest was lost, check Item 67C, “Quantity in Excess of Certified Quantity”. Acceptable documentation in the form of a net weight receipt or settlement sheet from the sale or delivery of the wool and mohair must be provided to support the additional quantity in excess of the certified quantity.

Stored Location

Enter the state (if necessary) and county, where the quantity in Item 66 is stored. In addition, enter the location within the same county where the commodity is stored.

For example, legal description and/or land description. Enter the warehouse name of commodity is warehouse-stored or stored by a commissioned agent.

At a minimum, the location MUST include the county where the wool or mohair is stored. If beneficial interest has been lost, the County FSA office that administers the records for where the quantity was produced will be considered the “county” for determining the effective LDP rate.

A separate LDP request must be completed for quantities stored in a different county.

Effective Date of LDP Rate

Enter the date of this request or when beneficial interest was lost. If a request has multiple dates, such as sale, delivery, or slaughter, and production evidence or schedule/ledger is provided that shows when beneficial interest is lost, this block can be left blank.

Item 70 is for FSA use only.

PART O – COMPLETED FOR UNSHORN LAMB PELTS

Item 71 is for FSA use only.

Items 72-77

Item No./ Field Name	Instruction
72 Number of Unshorn Lamb Pelts Requested	Enter the number of unshorn pelts for this LDP request. When evidence is provided that shows multiple dates of sale (e.g. production is immediately sold upon delivery) it is acceptable to enter the total number of unshorn lamb pelts that includes multiple LDP rates.
73 Use	Check Item 73A “Immediate Slaughter“, Item 73B “Slaughter for Personal Use“, Item 73C “Preserved and Stored“, or Item 73D (Sold as Feeders to Lamb Buyer), that corresponds with the intended use of the unshorn pelts in Item 72 as follows: · Immediate Slaughter – if quantity is delivered for slaughter within a 10 calendar day period after delivery · Slaughter for Personal Use – if quantity will be slaughtered for personal use, such as, clothing, shelter, rugs, etc. · Preserved and Stored – if quantity is being preserved, maintained, and stored for future marketing or processing · Sold as Feeders to Lamb Buyer – if the quantity is being sold as feeder lambs to a feeder lamb buyer the quantity of unshorn pelts is ineligible.
74 Stored Location	Enter the State (if necessary) and county, where the number of unshorn lamb pelts in Item 72 is stored. In addition, enter the location within the same county where the commodity is stored. For example, barn/shed location, legal description and/or land description. Enter the warehouse name if commodity is warehouse-stored or stored by a commissioned agent. At a minimum, the location MUST include the county where the unshorn lamb pelts are stored. If beneficial interest has been lost, the County FSA office that administers the records for where the quantity was produced will be considered the “county” for determining the effective LDP rate. A separate LDP request must be completed for quantities stored in a different county.
75 Source of Quantity	Check Item 75A “Certified“ or Item 75B “Production Evidence”, that corresponds with the source of the number of unshorn pelts in Item 72 as follows: · Certified – if quantity is based on producer certification · Production Evidence – if quantity is based on an attached invoice or settlement sheet If no acceptable production and/or sales evidence are provided at the time of payment request, check Item 75A for “certified”. Certified quantities are subject to spot-check and CCC may require production evidence to support the certification. If this request for payment is accompanied by production and/or sales evidence, check Item 75B. When acceptable production and/or sales evidence are provided at the time of payment request, no additional documentation will be required. Note: The number of pelts can be certified if the unshorn lambs were slaughtered for personal use. All other quantities of pelts can be certified, or based on production evidence.
76 Current Herd/Flock Size	Enter the number of head of unshorn live animals in the current herd or lamb flock.
77 Effective Date of LDP Rate	Enter the date of this request or when beneficial interest was lost. If a request has multiple dates (such as, sale, delivery, or slaughter) and production evidence or schedule/ledger is provided that shows when beneficial interest is lost, this block can be left blank.

Item No./

Field Name

Instruction

Number of Unshorn Lamb Pelts Requested

Enter the number of unshorn pelts for this LDP request. When evidence is provided that shows multiple dates of sale (e.g. production is immediately sold upon delivery) it is acceptable to enter the total number of unshorn lamb pelts that includes multiple LDP rates.

Use

Check Item 73A “Immediate Slaughter“, Item 73B “Slaughter for Personal Use“, Item 73C “Preserved and Stored“, or Item 73D (Sold as Feeders to Lamb Buyer), that corresponds with the intended use of the unshorn pelts in Item 72 as follows:

· Immediate Slaughter – if quantity is delivered for slaughter within a 10 calendar day period after delivery

· Slaughter for Personal Use – if quantity will be slaughtered for personal use, such as, clothing, shelter, rugs, etc.

· Preserved and Stored – if quantity is being preserved, maintained, and stored for future marketing or processing

· Sold as Feeders to Lamb Buyer – if the quantity is being sold as feeder lambs to a feeder lamb buyer the quantity of unshorn pelts is ineligible.

Stored Location

Enter the State (if necessary) and county, where the number of unshorn lamb pelts in Item 72 is stored. In addition, enter the location within the same county where the commodity is stored.

For example, barn/shed location, legal description and/or land description. Enter the warehouse name if commodity is warehouse-stored or stored by a commissioned agent.

At a minimum, the location MUST include the county where the unshorn lamb pelts are stored. If beneficial interest has been lost, the County FSA office that administers the records for where the quantity was produced will be considered the “county” for determining the effective LDP rate.

A separate LDP request must be completed for quantities stored in a different county.

Source of Quantity

Check Item 75A “Certified“ or Item 75B “Production Evidence”, that corresponds with the source of the number of unshorn pelts in Item 72 as follows:

· Certified – if quantity is based on producer certification

· Production Evidence – if quantity is based on an attached invoice or settlement sheet

If no acceptable production and/or sales evidence are provided at the time of payment request, check Item 75A for “certified”. Certified quantities are subject to spot-check and CCC may require production evidence to support the certification.

If this request for payment is accompanied by production and/or sales evidence, check Item 75B. When acceptable production and/or sales evidence are provided at the time of payment request, no additional documentation will be required.

Note: The number of pelts can be certified if the unshorn lambs were slaughtered for personal use. All other quantities of pelts can be certified, or based on production evidence.

Current Herd/Flock Size

Enter the number of head of unshorn live animals in the current herd or lamb flock.

Effective Date of LDP Rate

Enter the date of this request or when beneficial interest was lost. If a request has multiple dates (such as, sale, delivery, or slaughter) and production evidence or schedule/ledger is provided that shows when beneficial interest is lost, this block can be left blank.

Item 78 is for FSA use only.

PART P – PRODUCER CERTIFICATION

Item 79-81

Item No./

Field Name

Instruction

Signature

of Producer

Enter the producer’s signature at the time of completion. This indicates the applicant’s request to receive an LDP payment based on the applicable quantity and effective LDP rate.

If beneficial interest has not been lost, the effective LDP rate will be based upon the time and date the request for payment is received in the County FSA Office.

% Share

Enter the share of the quantity in Item 66 or Item 72, as applicable, for the LDP requested.

Date

Enter the date the producer signed at the time of completion.

Items 82-86 is for CCC use only.

Item 87

Item No./

Field Name

Instruction

Additional Information

Enter additional information that would be beneficial in determining eligibility for LDP, indicate so in this area.

CCC-633 EZ Continuation, Page 5

CCC-633 EZ Continuation, Page 5 is a continuation sheet for additional signatures, if required.

Under the form heading, enter the page number (1, 2, 3, or 4) that this specific form is to be attached.

PART C – PRODUCER CERTIFICATION

If this is a continuation page for CCC-633 EZ, Page 1, check the box in front of PART C.

6 and 7

Signature and Date

After reading the certification statement of CCC-633 EZ, Page 1, Part C, the additional producers on this agreement need to sign and date.

PART F – PRODUCER CERTIFICATION

If this is a continuation page for CCC-633 EZ, Page 2, check the box in front of PART F.

25 - 27

Signature, Shares and Date

To certify the Request for LDP, CCC-633 EZ, Page 2, Part F, the additional producers on this agreement must sign, enter the shares, and date.

PART J – PRODUCER CERTIFICATION

If this is a continuation page for CCC-633 EZ, Page 3, check the box in front of PART J.

43 - 45

Signature, Shares and Date

To certify the Request for Cotton LDP, CCC-633 EZ, Page 3, Part J, the additional producers on this agreement must sign, enter the shares, and date.

PART P – PRODUCER CERTIFICATION

If this is a continuation page for CCC-633 EZ, Page 4, check the box in front of PART P.

79 - 81

Signature, Shares and Date

To certify the Request for Wool, Mohair, or Unshorn Pelt LDP, CCC-633 EZ, Page 4, Part P, the additional producers on this agreement must sign, enter the shares, and date.