Farm Fact Sheet 2012
Name:PURCHASED Items Sold: Amount Cost or Other
Received Basis
LIVESTOCK: / Cattle / $ / $Cattle Held for Breeding 24 months or more / $ / $
Calves / $ / $
Horses / $ / $
Sheep / $ / $
Hogs / $ / $
Hogs Held for Breeding 12 months or more / $ / $
______
RAISED Items Sold:
LIVESTOCK: / Cattle / $Cattle Held for Breeding 24 months or more / $
Calves / $
Horses / $
Sheep / $
Hogs / $
Hogs Held for Breeding 12 months or more / $
POULTRY / $ / VEGETABLES / $
DAIRY PRODUCTS / $ / HAY / $
EGGS / $ / STRAW / $
WOOL / $ / FRUITS & NUTS / $
CORN / $
SOYBEANS / $
OTHER GRAIN / $
______
Farm Rental INCOME / $ / Federal Gasoline Tax REFUND received in 2012 / $Machine Work / $ / State Gasoline Tax REFUND / $
Patronage Dividends / $ / Gallons of GAS Used for NON-Highway Use (Need original invoices) / gallons
Agricultural Program Payment / $ / Other: / $
Other: / $ / Other: / $
List equipment purchased or sold:
PURCHASED: Date SOLD: Date Date Amt.
Item Purchased Cost $’s Item Purchased Cost $’s Sold Rec’d $’s
FARM EXPENSES:
(Do not include personal or living expenses not attributable to production of farm income, such as taxes, insurance, repairs, etc. on your dwelling.)
Car/Truck (Total):
Odometer Reading Beginning : / Ending :Total Miles : / Business Miles: Jan. thru Dec.. 2012 :
Car/Truck Expenses :
TOTAL / % Used for Farm / FOR OFFICE USE
Farm Total / Other Schedule
Chemicals
Conservation Expenses
Custom Hire (machine work)
Feed Purchased
Fertilizers, Lime
Freight Trucking
Gasoline, Fuel, Oil
Insurance (other than health)
Medical Insurance: Employees
Employer
Interest: (a) Mtg. Paid to bank, etc.
(b) Other
Labor Hired
Pension & Profit Sharing
Rent or Lease: (a) Vehicles, machinery & equipment
(b) Other (land, animals, etc.)
Repairs, Maintenance
Seeds, Plants Purchased
Storage, Warehousing
Supplies Purchased
Taxes (Real Estate & Payroll)
Utilities (Gas, Electric, Phone)
Veterinary, Breeding & Medicine
Other Expenses (Specify):
Tax preparation
Farm Journals
Horse shoeing
Advertising
Trash
License Plates
Travel
Office in Home (if applicable):
Square Foot of Office : / Square Foot of Home :Note: Totals are for home only
Utilities for Year : / Home Repairs & Maintenance for Year :
Insurance for Year : / Water Softener Expenses for Year :
Real Estate Taxes on Home : / Other :
Did you “materially participate” in the operation of this business this year? Yes No