FLNB Local Form 12-9

CHAPTER 12 CASE
SUMMARY OF OPERATIONS – FAMILY FARMER

(This report must be filed with the Chapter 12 Trustee
seven (7) days before the first Meeting of Creditors)

Name of Debtor(s): 																							
Case No.: 									

I.	Number of Acres

Owned:   			

Leased (list by parcel)	Amount or % of Rent Received by Debtor	

		

II.	Livestock and Poultry  

Kind of Livestock and Poultry	Number	

		

III.	Results of Last Crop Season

A.  Crop Grown: 

Number Acres Crop Planted (List by crop)	Yield
 Per Acre	Yield 
Amount Sold	Total 
Sales Price	Quantity 
Sold or Sealed	Amount Lien 
on Store Crop	

						

	B.	Livestock and Poultry Sold Last Year:

Livestock (List by kind)	Number	Total Price	

			

C. 	Total Income Last Year from Products Sold (i.e., milk, eggs, wool, hides, etc. List by kind.): $			

Have you made an assignment of proceeds? (Yes/No) 				  If yes, to whom?

IV.	Current or Proposed Farming Season

A.	Crops

Crop	No. Acres	Estimated*
Yield	Estimated** 
Price per Unit	Total Proceeds	

					

Total Proceeds – all crops:  $							

*Assuming normal moisture and growing conditions
** State your estimate of market price per unit or government support (loan) price if you are eligible for government support program

B.	Estimated Income from Livestock and Poultry Operation 

Livestock (list by kind)	Number 
to be Sold	Estimated 
Total Price	

			

Total Livestock and Poultry Sales Price:	$							

C.	Total Estimated Crop, Livestock, and Poultry Income:  					$							

V.	Current or Proposed Crop Season – Estimated Expenses

A.	Operating Expenses

Expense	Amount 	
Fuel		
Seed		
Feed		
Herbicides, Pesticides, or Other Chemicals		
Equipment Rental		
Electric & Phone Bills		
Repairs		
Crop Insurance		
Other Insurance		
Real Estate Taxes		
Cash Rent on Leased Land		
Combining and/or Drying Expense		
Processing Costs		
Hired Labor		
Other:		

Total Estimated Operating Expenses:  $							

If you have an operating loan for the current or proposed crop season, state amount: $						

Name and address of lender: 																			

Security given or pledged: 																				

B.	Payments on Secured Debt

Cash Rents (if not included in Part A, above):					$							

Crop Share Rents, Dollar Value:									$							
	# Bushes/pounds: 					

Real Estate Mortgage and Contract for Deed (purchase
agreement) payments:											$							

	To whom:								Amount:

															

Annual Payment Due on Equipment Purchase Contracts			$							

	To whom:								Amount:

															

Payments on Loans Secured by Equipment, Crops, or Livestock	$							

	To whom:								Amount:

															

Total Payments on Secured Debt								$							

C.	Total Operating Expenses and Payments on Secured Debt				$							

VI.	Net Estimated Operating Profit or Loss

Total Receipts from Item IV(C) less Total Expenses and Payments 
From Item V(C)																$							

A.	Estimated Household and Family Cash Living 	$						
	Expenses (subtract from net profit or add to 
	net loss)

B.	Estimated state, local, and Federal Income 		$						
	Taxes on Net Profit

C.	Total of A and B															$							

D.	Disposable Income from Farming (subtract C from 							$								Amount entered on line V II)

E.	Income from other than Farming											$							

F.	Total Disposable Income													$