Form Ag 0654 Tennessee PDF Details

Form Ag 0654 Tennessee is a document used to report the agricultural production value of crops and livestock in Tennessee. The form must be completed by the due date specified on the form, and can be filed online or by mail. The information reported on Form Ag 0654 is used to calculate state and county agricultural taxes. Reporting all income and expenses incurred during the production of agricultural products is critical to ensure an accurate assessment of taxes. For more information on how to complete Form Ag 0654, please visit our website. Thank you for your continued support of our agricultural industry!

QuestionAnswer
Form NameForm Ag 0654 Tennessee
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfeedton tn dept of agriculture feed favility license form

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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