Fsa 153 Form – Fill Out and Use This PDF

Fsa 153 Form is an essential financial document aiding in allocating funds and tracking resources. This form seeks to give FSA creditors a summary of monthly investment liabilities spread over from their given trust and relationship with the finance firm. It helps delineate the two parties’ investments; categorizing transactions, payments and overall financial contributions for the current month & quarter cycle. The efficient completion of the Fsa 153 allows for clearer tracking of investment activities helping maintain records for taxation purposes. Therefore, this form holds priceless value in ensuring documents aren't overlooked when it comes to individual finances and regulatory taxation protocols.

Fsa 153 Form PDF Details

The Form 153, also known as the "Organization Approval Request" form, is a document used to request approval from the IRS for a new tax-exempt organization. The form must be completed and submitted to the IRS in order to receive an exemption determination letter, which confirms the organization's tax-exempt status. There are several sections on the form that must be filled out completely in order for it to be processed, so it's important to understand all of the requirements before completing it. Filling out this form can seem daunting at first, but with a little preparation it can be easy to do. Let's take a look at what you need to know about requesting approval for a new tax-exempt organization.

Question	Answer
Form Name	Fsa 153 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	d agriculture form, usda fsa 153, fsa agricultural form, fsa153 act

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This form is available electronically.		AMENDED				Form Approved – OMB No. 0560-0097
		AMENDED				Form Approved – OMB No. 0560-0097
FSA-153	U.S. DEPARTMENT OF AGRICULTURE			1. TYPE ACTIVITY (See Instructions on Page 2) (check one)
FSA-153	Farm Service Agency			A. Land	B. Land	C. Land
(10-13-10)	Farm Service Agency			A. Land	B. Land	C. Land
(10-13-10)
				Holding	Acquisition		Disposition
AGRICULTURAL FOREIGN INVESTMENT DISCLOSURE ACT REPORT				D. Land Use Change		E. Land Use Change
Note: Read Instructions on Page 2 Before Filing in Any Data Below. (If Additional Space is				to Agriculture		to Non-Agriculture
Needed, Add information in Item 6, Page 2, or attach an additional sheet.)
	ITEM				ITEM
2. Tract Location and Description			5. Type of Interest Held in the Agricultural Land (Check one)					Check
A. Legal Description or FSA Tract Number			A. Fee Interest (Ownership) Whole
			B. Fee Interest (Ownership)		Partial What Percent

			C. Life Estate
			D. Trust Beneficiary

B. County or Parish		C. Number of Acres	E. Purchase Contract
			F. Other (Check Box and Explain Below:)

D.State

3.Owner or Lessee of Tract (In Item 2A) (See Page 2) A. Name:

				6. How was this Tract Acquired or Transferred?				Check
B. Tax ID No. (Nine Digits)				A. Cash Transaction
C. Legal Address (Street, City, State/Province, Country)				B. Credit or Installment Transaction
				B. Credit or Installment Transaction

				C. Trade
				D. Gift or Inheritance
				E. Foreclosure
				F. Other (Check Box and Explain Below:)

D. Type of Owner (If Item D1 is checked, skip Items D2 and D3.).			Check
1. Individual. (Indicate citizenship of husband and/or wife
	if applicable).			7. Value of Agricultural Land:
	a. Citizenship of individual(s)			A. Purchase Price of Land or if a land		$
				disposition, the original price paid by seller.		$
				disposition, the original price paid by seller.
2.	Government (Country)			B. Non-Purchase, Estimated Value at the Time		$
				B. Non-Purchase, Estimated Value at the Time
				of Acquisition
				of Acquisition

3.	Organization		Check	C. What is the estimated current value or if a land		$
	a. Type			disposition, the selling price of the tract of land?		$
	a. Type			disposition, the selling price of the tract of land?
	1)	Corporation		D. How much of purchase price in Item 7A		$
	2)	Partnership		remains to be paid?		$
	2)	Partnership		remains to be paid?
	3)	Estate		8. Date of Acquisition or Transfer	Month		Day	Year
	4)	Trust		8. Date of Acquisition or Transfer
	4)	Trust		(See Instructions, Item 8, Page 2.)
	5)	Institution		(See Instructions, Item 8, Page 2.)
	5)	Institution
	6)	Association		9. Current Land Use (Usual use of land.			Acres
	7)	Other (Check box and Explain):		for idle land, report as Other Agriculture).			Acres
	7)	Other (Check box and Explain):		for idle land, report as Other Agriculture).
	b. Government or country under whose law the organization is created			A. Crop
				B. Pasture
	c. Principal place of business (For organizations only)			C. Forest or Timber
				D. Other Agriculture
	d. List on separate sheet, the Name, Address and Country of all foreign			E. Non-Agriculture
	persons who individually or in the aggregate hold significant interest or			F. Total Acres (Should equal Item 2C)
	substantial control 1/ in the person owning the land.			F. Total Acres (Should equal Item 2C)
	substantial control 1/ in the person owning the land.
E. Complete only if Item 1C, Land Disposition, is checked.				10. Intended Use as of This Date.				Check or
1.	Name of Person Receiving Tract			Check one or more or enter “NA” if Item 1C or 1E				“NA”
				above is checked.

2.Address (Street, City, State/Province, Country)

A. No change.

B. Other Agriculture

C. Non-Agriculture

11. Relationship of Owner to Producer. Check one or more items if applicable. Enter “NA” if Item 1C or 1E is checked.

3.	Citizenship: USA	Foreign	Unknown
4. Representative of Foreign Person (Completing form, if applicable)					A. Producer is:
A. Name					1.	Owner
					2.	Manager
B. Address (Street, City, State/Province, Country)					3.	Tenant or sharecropper (Item 11B must be completed.)
					B. Rental agreement is: (Not applicable if Item 1C or 1E above is
					checked.)

					1.	A crop share
C. Telephone No. (Area Code):					2.	Cash or fixed rent
					12. The Producer on This Tract is:
D. Relationship of Representative to Foreign Person				Check	12. The Producer on This Tract is:
D. Relationship of Representative to Foreign Person				Check	Check one or more. If not applicable for Item 11A, then
1.	Attorney				Check one or more. If not applicable for Item 11A, then
1.	Attorney				enter “NA”. (Not applicable if Item 1C or 1E above is checked.)
2.	Manager
2.	Manager
3.	Agent				A. The same person as when the tract was acquired.
4.	Other (Explain on Item 6, Page 2)				B. A new person.

13.CERTIFICATION: I certify that the information entered in this report is complete and correct. I understand that falsification of reporting is subject to a civil penalty not to exceed 25% of the fair market value of the interest held in the tract of land.

14A. SIGNATURE (Owner or Legally Authorized Representative)

14B. TITLE

14C. DATE (MM-DD-YYYY)

1/ Significant interest or substantial control as defined in 7 CFR Part 781.2(k)

YES NO

FSA-153 (10-13-10) PAGE 2

NOTE: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a – as amended). The authority for requesting the information identified on this form is 7 CFR Part 781 and the Agricultural Foreign Investment Disclosure Act of 1978 (Pub. L. 95-460). The information will be used to ensure that a foreign person who acquires, disposes of, or holds an interest in United States agricultural land discloses such transactions and holdings to the Secretary of Agriculture and to determine the effects of such transactions and holdings on family farms and rural communities. The information collected on this form may be disclosed to other Federal, State, Local government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in applicable Routine Uses identified in the System of Records Notice for USDA/FSA-2, Farm Records File (Automated). Providing the requested information is mandatory. Failure to furnish the requested information or falsification of reporting will result in a determination of non-compliance with the program which is subject to a civil penalty not to exceed 25 percent of the fair market value, as determined by the Farm Service Agency on the date of the assessment of such penalty, of the foreign person’s interest in the agricultural land with respect to which such violation occurred.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0097. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The provisions of appropriate criminal and civil fraud, privacy, and other statutes may be applicable to the information provided. RETURN THIS COMPLETED FORM TO

YOUR COUNTY FSA OFFICE.

DETERMINATION OF “FOREIGN PERSON” STATUS

DEFINITION: “Person” means any individual, corporation, company, association, firm, partnership, society, joint stock company, trust, estate, or any other legal entity.

You are an “individual/foreign person” under the provisions of Pub. L. 95-460 and must complete the front side of this form (FSA-153) if your answer is “NO” to all the statements in Items 1, 2 and 3 below:

1.I AM a citizen of the United States.

2.I AM a citizen of the Northern Mariana Islands or the Trust Territories of the Pacific Islands.

3.I AM lawfully admitted to the United States for permanent residence, or paroled into the United States, under the Immigration and Nationality Act.

You are a “foreign person, organization or government,” under the provisions of Pub. L. 95-460 and must complete the front side of this form (FSA-153) if your answer is “YES” to any of the statements in Items 4a, 4b and 5 below:

4.I AM a “person” other than an individual or government, which is created or organized under the laws of:

a.A foreign government of which has its principal place of business located outside the United States.

b.Any State of the United States, and in which significant interest or substantial control 1/ is held directly or indirectly by any foreign individual, government, or person.

5.I AM a foreign government.

GENERAL INSTRUCTIONS

Complete this form for each tract of land. Report as a tract all acreages under the same ownership in each county or parish acquired or transferred on the same date. Land in different counties or parishes and land acquired or transferred on different dates must be reported as separate tracts.

Return the original and two (2) copies to the County Farm Service Agency (FSA) Office where the tract of land is located. Retain a copy for your records.

After the original disclosure on FSA-153 on the tract(s) of land owned by the same person within a county or parish, each subsequent change of ownership or use must be reported by filing another FSA-153.

ITEMS 1 AND 8 BELOW ARE TO BE USED AS INSTRUCTIONS ONLY.

THESE INSTRUCTIONS ARE TO BE USED FOR INFORMATION AS YOU COMPLETE ITEMS 1 AND 8 ON PAGE 1.

ITEM 1. ONLY ONE BOX MAY BE CHECKED

If the tract of land to be listed under Item 2 on the front side of this document was:

-Owned on February 1, 1979, check A. Land Holding Reporting Date: This document is required to be completed and returned by August 1, 1979.

If the tract of land to be listed under Item 2 on the front page of this document was, on or after February 2, 1979:

-Acquired, check B. Land Acquisition

-Disposed of, check C. Land Disposition

-	Changed from non-agricultural to agricultural use, check	D. Land Use Change to Agriculture
-	Changed from agricultural to non-agricultural, use check	E. Land Use Change to Non-Agriculture

NOTE: REPORT DATE. If activity B, C, D or E is checked in Item 1 above, then return the completed FSA-153 within ninety (90) days from the date of the transaction.

ITEM 8. The date entered would be as follows for the activity checked in Item 1 above:

Box A or B – Date acquired.

Box C – Date disposed of.

Box D or E – Date land use changed.

6.Additional Information (Use additional sheets if more space is needed).

1/ Significant interest or substantial control as defined in 7 CFR Part 781.2(k)

The U.S. Department of Agriculture (USDA) prohibits discrimination in all of its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, political beliefs, genetic information, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Assistant Secretary for Civil Rights, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, DC 20250-9410, or call toll-free at (866) 632-9992 (English) or (800) 877-8339 (TDD) or (866) 377-8642 (English Federal-relay) or (800) 845-6136 (Spanish Federal-relay). USDA is an equal opportunity provider and employer.

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fsa153 act completion process outlined (step 1)

2. Now that the previous part is completed, it's time to put in the necessary details in D Type of Owner If Item D is, Check, Individual Indicate citizenship, if applicable a Citizenship of, Government Country, Organization, a Type, Corporation Partnership Estate, b Government or country under, c Principal place of business For, d List on separate sheet the Name, persons who individually or in the, E Complete only if Item C Land, Name of Person Receiving Tract, and Address Street City StateProvince allowing you to progress to the third step.

3. This 3rd segment should also be pretty simple, B Address Street City, C Telephone No Area Code, D Relationship of Representative, Check, Attorney Manager Agent Other, Owner Manager Tenant or, B Rental agreement is Not, checked, A crop share, Cash or fixed rent, The Producer on This Tract is, Check one or more If not, A The same person as when the, CERTIFICATION I certify that the, and a civil penalty not to exceed of - all of these blanks will have to be filled in here.

4. It's time to begin working on this fourth portion! Here you'll get all these DEFINITION, Person means any individual, You are an individualforeign, YES, I AM a citizen of the Northern, I AM lawfully admitted to the, and Nationality Act, You are a foreign person, YES, a A foreign government of which, b Any State of the United States, foreign individual government or, I AM a foreign government, Complete this form for each tract, and GENERAL INSTRUCTIONS fields to fill in.

5. Lastly, this final section is what you have to complete before submitting the form. The blanks at this point include the following: Changed from nonagricultural to, Changed from agricultural to, NOTE REPORT DATE If activity B C D, the date of the transaction, ITEM The date entered would be as, Box A or B Date acquired Box C, Additional Information Use, and Significant interest or.

When it comes to NOTE REPORT DATE If activity B C D and Significant interest or, make certain you review things in this section. These are the most significant fields in the page.

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Fsa 153 Form – Fill Out and Use This PDF

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