Blank Ag 0654 Tennessee Template

Blank Ag 0654 Tennessee Template

The Ag 0654 Tennessee form is a semi-annual report required by the Tennessee Department of Agriculture for facilities that manufacture or distribute commercial feed within the state. This form ensures compliance with state regulations and helps track the tonnage of feed sold. Timely submission is crucial to avoid penalties and maintain good standing with regulatory authorities.

Modify Ag 0654 Tennessee

The Ag 0654 form is an essential document for any commercial feed facility operating in Tennessee. This semi-annual report is mandated by the Tennessee Department of Agriculture and serves multiple purposes. First, it ensures that all licensed feed facilities accurately report the tonnage of commercial feed they manufacture or distribute within the state. Each facility must submit this report by the last day of January and July, detailing their total feed sales for the previous six months. While there is no inspection fee for facilities reporting less than 500 tons annually, those exceeding this threshold must pay a fee of ten cents per ton. Additionally, late submissions incur a penalty of 10% if filed more than ten days past the deadline. The form also requires specific information, including the facility name, ID number, and contact details, ensuring that the Department can correctly process the report and any associated fees. Understanding the requirements and deadlines associated with the Ag 0654 form is crucial for compliance and avoiding unnecessary penalties.

Dos and Don'ts

When filling out the Ag 0654 Tennessee form, there are several important guidelines to follow. Here’s a list of things to do and avoid:

  • Do ensure that you include the facility ID number, as it is required for proper processing.
  • Do report the total tons sold accurately, even if you owe no inspection fees.
  • Do submit the report by the last day of January or July to avoid late penalties.
  • Do calculate your inspection fees carefully and remit the correct amount if applicable.
  • Don't forget to sign the form before submission; an unsigned form may be rejected.
  • Don't leave out the mailing address and contact information; these details are crucial for communication.

Similar forms

The Ag 0654 Tennessee form is similar to the USDA's Feed Registration Form. Both documents serve the purpose of tracking the distribution and manufacturing of commercial feed within their respective jurisdictions. The USDA form requires information about the facility, types of feed produced, and the total tonnage sold, much like the Ag 0654. Each form ensures compliance with regulatory standards and helps maintain the safety and quality of animal feed. Both forms also emphasize the importance of accurate reporting, including deadlines for submission, to avoid penalties.

Another document that shares similarities with the Ag 0654 is the State Commercial Feed License Application. This application is essential for any facility looking to operate within the state. Like the Ag 0654, it requires details about the facility, including its name, address, and types of feed produced. Both documents are part of the regulatory framework that ensures all commercial feed adheres to safety standards. The application process, much like the reporting process in the Ag 0654, is designed to promote accountability and transparency in the feed industry.

When considering the important documents related to the sale and transfer of ownership, a Trailer Bill of Sale form in California exemplifies a vital legal document that ensures clarity in transactions, similar to various regulatory forms such as the Ag 0654. This form serves to outline critical details required by both the buyer and seller, safeguarding their interests. For further information, you can refer to legalformspdf.com, where additional guidance on the proper use of this form can be found.

The Animal Feed Ingredient Declaration is yet another document that parallels the Ag 0654. This declaration focuses on the specific ingredients used in the production of animal feed. Similar to the Ag 0654, it requires detailed reporting of ingredient types and quantities. Both documents aim to provide transparency in the feed supply chain, ensuring that consumers and regulators have access to vital information regarding what is included in animal feed. This transparency is crucial for maintaining safety standards and consumer trust.

Lastly, the State Pesticide Applicator License Renewal Form is comparable to the Ag 0654 in that it requires periodic reporting and renewal. While the focus of the pesticide form is on the application of pesticides rather than feed, both documents involve regulatory compliance and the necessity of accurate reporting. Each form has specific deadlines and requirements that must be adhered to, reinforcing the importance of maintaining up-to-date records. The renewal process, like the semi-annual reporting of the Ag 0654, underscores the ongoing responsibility of facilities to operate within the law and uphold industry standards.

Ag 0654 Tennessee: Usage Guidelines

Filling out the Ag 0654 form is essential for licensed feed facilities in Tennessee. This semi-annual report must be submitted to ensure compliance with state regulations regarding commercial feed. The following steps will guide you through the process of completing the form accurately.

  1. Begin by entering the Licensed Feed Facility Name and the Facility ID Number in the designated fields at the top of the form.
  2. Provide the Mailing Address, City/State/Zip, and Telephone Number for the facility.
  3. If the person reporting is different from the facility name, fill in the Reported By section with the appropriate details.
  4. Complete the Mailing Address, Telephone Number, and Email for the reporting individual, if applicable.
  5. Indicate the total tonnage sold during the reporting period by checking the box for either June 30 or December 31 and entering the year.
  6. Calculate the total tons sold for the six-month period and enter that number in the Total Tons Sold field.
  7. Determine the Payment Amount Enclosed by calculating any inspection fees due, based on the total tons sold over 500 tons.
  8. Sign the form, providing your Printed Name, Title, and Date of submission.
  9. Make sure to keep a copy of the form for your records.

Once completed, submit the form to the Tennessee Department of Agriculture at the address provided. Ensure that it is sent by the due date to avoid any penalties. Remember, even if no fees are due, you must report your tonnage. Compliance is key to maintaining your facility's license.

Common mistakes

Filling out the Ag 0654 Tennessee form can be straightforward, but mistakes can lead to complications. One common error is failing to include the Facility ID Number. This number is essential for proper processing and ensures that your report is linked to the correct facility. Without it, your submission may be delayed or rejected.

Another frequent mistake is not reporting the total tons sold accurately. It's important to provide precise figures for both the January to June and July to December periods. Underreporting can lead to penalties, while overreporting may cause unnecessary fees. Always double-check your calculations before submitting.

Some individuals neglect to check the box indicating the reporting period. Whether you are reporting for June 30 or December 31, this detail is crucial. Failing to mark this can create confusion and may result in your report being processed incorrectly.

Additionally, many people forget to include a signature. The form requires a signature to validate the information provided. Without it, the report may not be considered official, which could lead to further issues down the line.

Another mistake is not providing complete contact information. It’s vital to include a mailing address, telephone number, and email. This information allows the Department of Agriculture to reach you if there are any questions or issues regarding your report.

Some individuals also overlook the requirement to report tonnage even if no inspection fees are due. This is a critical aspect of the reporting process. Not reporting tonnage can result in penalties and complicate future submissions.

It is also important to remember the deadlines. The reports are due on the last day of January and July. Late submissions incur a penalty, so mark your calendar and plan ahead to avoid these fees.

Lastly, be cautious when calculating inspection fees. Errors in these calculations can lead to overpayment or underpayment. Always verify your math and ensure that you are using the correct figures from the report to avoid complications.

Form Attributes

Fact Name Details
Governing Law The AG 0654 form is governed by Tennessee Code Annotated, Title 43, Chapter 1, which relates to agriculture and the regulation of commercial feed.
Purpose This form is used for the semi-annual reporting of commercial feed manufactured or distributed in Tennessee.
Submission Deadlines Reports are due on the last day of January and July each year.
Inspection Fee No inspection fee is required if the total reported for the year is less than 500 tons.
Fee Calculation A fee of $0.10 per ton is due for all commercial feeds sold or distributed in excess of 500 tons per year.
Late Penalty Reports filed more than 10 days late incur a 10% penalty on the inspection fees.
Facility ID Requirement Each facility must use its current facility ID number to ensure proper assignment of reports and fees.
Reporting Requirements Facilities must report tonnage even if no inspection fees are owed.
Additional Information The form includes a list of various types of feed products that must be reported.
Form Availability The AG 0654 form can be found on the Tennessee Department of Agriculture website.

Ag 0654 Tennessee Example

Tennessee Department of Agriculture

Division of Regulatory Services/Ag Inputs & Pesticides

P. O. Box 40627

Nashville, Tennessee 37204-0627

Semi-annual Report of Commercial Feed Manufactured Within or Distributed Into the State of Tennessee

_______________________________________________________________________________

Licensed Feed Facility NameFacility ID Number (required)

_______________________________________________________________________________

Mailing AddressCity/State/ZipTelephone Number

_______________________________________________________________________________

Reported By (if different than facility name/address above) Mailing Address Telephone Number

Email

No inspection fee shall be paid if:

-Total reported for the year is <500 tons.

-Fee has been paid for by a previous distributor.

-Fee has been paid on a commercial feed used as an ingredient in a commercial feed.

-If deducting for fees paid, list the firm responsible, their address, the feed, and total tonnage on the back of this form, or on an attachment.

Submission of this report is required for each facility that holds a TN Commercial Feed Facility License and is due on the last day of January and July. A fee of ten cents ($0.10) per ton is due for all commercial feeds sold / distributed in this state IN EXCESS of 500 tons per year. A penalty of 10% must be applied to reports filed over 10 days late. You must report tonnage even if you owe no inspection fees. Please use your current facility ID number to help ensure proper assignment of report and fees.

 

complete

supplement

PLEASE COPY THIS FORM FOR FUTURE USE Also found on TDA website: http://www.tennessee.gov/agriculture

 

 

 

 

 

 

 

 

 

chicken starter ...

_______01 _______02

calf feed

_______19

alfalfa

_______30

fats & oils

_______39

oat products

________48

 

 

 

complete

 

products

 

 

 

 

 

chicken broiler ...

_______03 _______04

horse/mule feed.. ______20

animal

_______31

drugs

_______40

peanut products..

________49

 

 

 

complete

 

products

 

 

 

 

 

chicken

_______05 _______06

pet feed

_______21

barley

_______32

grain sorghum ...

_______41

rice products

________50

layer-breeder

 

 

complete

 

products

 

 

 

 

 

catfish feed

_______07 _______08

scratch feed

_______22

beet

_______33

lespedeza

_______42

rye products

________51

 

 

 

complete

 

products

 

products

 

 

 

turkey feed

_______09 _______10

mineral feed

_______23

brewery

_______34

linseed/flax

_______43

soybean products.

________52

 

 

 

supplement

 

products

 

products

 

 

 

beef feed

_______11 _______12

liquid feed

_______24

citrus

_______35

marine products ._______44

urea/other NPN ..

________53

 

 

 

supplement

 

products

 

 

 

 

 

dairy feed

_______13 _______14

dried molasses...

______25

corn

_______36

milk products

_______45

vitamins

________54

 

 

 

supplement

 

products

 

 

 

 

 

swine feed

_______15 _______16

drug premixes...

_______26

cottonseed...

_______37

minerals

_______46

wheat products ...

________55

 

 

 

supplement

 

products

 

 

 

 

 

sheep/goat feed...

_______17 _______18

vitamin/mineral.._______27

distillers

_______38

molasses, liquid.._______47

other

________56

 

 

 

premixes supplement

products

 

 

 

 

 

This is a true record of the tonnage of feed and feed ingredients sold by the facility listed, for the six months ending ___June 30, or ___December 31, (check only one), year of: _____

_____________

________________________

______________________________________________________________________________________________________

Total Tons Sold

Payment Amount Enclosed

Signature

Printed Name

Title

Date

Calculate inspection fees due here:

 

 

 

 

 

 

 

 

1.

Total tons sold January through June

_ ____

 

4.

Total tons sold July through December

 

______

 

 

 

 

 

 

 

 

 

 

2.

Tons covered by annual license fee

_500_

 

5.

Tonnage unused from line 2

 

 

3.

Subtract line 2 from line 1

_____ x 10¢ = ______

 

(If line 3 is negative, subtract line 1 from line 2; otherwise 0)

______

If line 3 or 6 is negative, no inspection fees are due for that period. If positive, multiply line 3 or 6 by 10¢ and remit.

6.

Subtract line 5 from line 4

 

______ x 10¢ = ______

Form AG-0654