The Ag 0654 Tennessee form is a critical document for those involved in the manufacturing or distribution of commercial feed in the state of Tennessee. Managed by the Tennessee Department of Agriculture Division of Regulatory Services/Ag Inputs & Pesticides, this semi-annual report holds significant importance for both regulatory compliance and operational transparency. Entities that operate licensed feed facilities must submit this report to detail the tonnage of feed manufactured within or distributed into Tennessee. It serves various purposes, including the calculation of inspection fees, which are due for all commercial feeds sold or distributed in excess of 500 tons per year, with specific exemptions provided for smaller operations or where fees have already been covered by previous distributors. The nuanced stipulations for reporting and fee calculation underscore the form's role in maintaining a fair and regulated market. Recognizing the potential penalties for late submissions adds to the weight of responsibility for timely compliance. Additionally, the breadth of product categories listed on the form, ranging from chicken starter to sheep/goat feed supplements, highlights the comprehensive scope of the feed industry under the regulation. With a reporting schedule fixed at the end of January and July each year, the Ag 0654 form epitomizes a crucial nexus of industry regulation, enterprise responsibility, and state oversight in Tennessee's agricultural sector.
| Question | Answer |
|---|---|
| Form Name | Form Ag 0654 Tennessee |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | feedton tn dept of agriculture feed favility license form |
Tennessee Department of Agriculture
Division of Regulatory Services/Ag Inputs & Pesticides
P. O. Box 40627
Nashville, Tennessee
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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 |
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.
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supplement |
PLEASE COPY THIS FORM FOR FUTURE USE Also found on TDA website: http://www.tennessee.gov/agriculture |
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chicken starter ... |
_______01 _______02 |
calf feed |
_______19 |
alfalfa |
_______30 |
fats & oils |
_______39 |
oat products |
________48 |
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complete |
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products |
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chicken broiler ... |
_______03 _______04 |
horse/mule feed.. ______20 |
animal |
_______31 |
drugs |
_______40 |
peanut products.. |
________49 |
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complete |
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products |
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chicken |
_______05 _______06 |
pet feed |
_______21 |
barley |
_______32 |
grain sorghum ... |
_______41 |
rice products |
________50 |
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complete |
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products |
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catfish feed |
_______07 _______08 |
scratch feed |
_______22 |
beet |
_______33 |
lespedeza |
_______42 |
rye products |
________51 |
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complete |
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products |
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products |
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turkey feed |
_______09 _______10 |
mineral feed |
_______23 |
brewery |
_______34 |
linseed/flax |
_______43 |
soybean products. |
________52 |
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supplement |
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products |
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products |
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beef feed |
_______11 _______12 |
liquid feed |
_______24 |
citrus |
_______35 |
marine products ._______44 |
urea/other NPN .. |
________53 |
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supplement |
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products |
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dairy feed |
_______13 _______14 |
dried molasses... |
______25 |
corn |
_______36 |
milk products |
_______45 |
vitamins |
________54 |
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supplement |
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products |
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swine feed |
_______15 _______16 |
drug premixes... |
_______26 |
cottonseed... |
_______37 |
minerals |
_______46 |
wheat products ... |
________55 |
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supplement |
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products |
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sheep/goat feed... |
_______17 _______18 |
vitamin/mineral.._______27 |
distillers |
_______38 |
molasses, liquid.._______47 |
other |
________56 |
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premixes supplement |
products |
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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: _____ |
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________________________ |
______________________________________________________________________________________________________ |
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Total Tons Sold |
Payment Amount Enclosed |
Signature |
Printed Name |
Title |
Date |
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Calculate inspection fees due here: |
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1. |
Total tons sold January through June |
_ ____ |
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4. |
Total tons sold July through December |
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______ |
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2. |
Tons covered by annual license fee |
_500_ |
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5. |
Tonnage unused from line 2 |
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3. |
Subtract line 2 from line 1 |
_____ x 10¢ = ______ |
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(If line 3 is negative, subtract line 1 from line 2; otherwise 0) |
______ |
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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 |
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______ x 10¢ = ______ |
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