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The Ag 0654 Tennessee form, issued by the Tennessee Department of Agriculture Division of Regulatory Services/Ag Inputs & Pesticides, serves as a semi-annual report for commercial feed manufactured within or distributed into the state of Tennessee. It is an essential document for facilities holding a TN Commercial Feed Facility License, requiring them to report the tonnage of feed and feed ingredients sold. This report is due at the end of January and July each year. Facilities are obligated to declare the total tons sold, providing detailed information about various feed types, including chicken starter, calf feed, pet feed, and more. The form outlines specific exemptions from the inspection fee, such as reporting under 500 tons per year, fees already paid by previous distributors, or on commercial feed used as an ingredient in another feed product. Additionally, a fee of ten cents ($0.10) per ton is assessed for all feed sold or distributed in Tennessee exceeding 500 tons annually, with a penalty applied for late submissions. This comprehensive reporting tool ensures proper feed management and regulation within the state, highlighting the importance of accountability and compliance in the agricultural industry.

Document Preview Example

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

 

 

 

 

 

 

 

 

 

Document Data

Fact Name Description
Form Purpose This form is used for reporting the tonnage of commercial feed manufactured within or distributed into the state of Tennessee.
Governing Law The form is governed by the regulations set forth by the Tennessee Department of Agriculture, Division of Regulatory Services/Ag Inputs & Pesticides.
Reporting Frequency Facilities must submit this report semi-annually, by the last day of January and July each year.
Inspection Fee Conditions No inspection fee is due for reported tonnage less than 500 tons per year or if the fee has been previously paid by another distributor or on a commercial feed used as an ingredient.
Late Submission Penalty A penalty of 10% is applied to reports filed over 10 days late.

Detailed Guide for Using Ag 0654 Tennessee

When operating within Tennessee's agricultural sector, the Ag 0654 form becomes essential for those dealing with commercial feed. This semi-annual report, pivotal for maintaining compliance with the state's regulatory requirements, tracks the total tonnage of feed manufactured or distributed within or into Tennessee. Let's navigate through the steps to fill out this document correctly, ensuring all requirements are met to avoid any potential penalties.

  1. Start by writing the name of the licensed feed facility at the top of the form where it says “Licensed Feed Facility Name.”
  2. Enter the “Facility ID Number” next to your facility’s name, as this is required for proper tracking and compliance.
  3. Proceed to fill in the “Mailing Address” of your facility, ensuring the city, state, and zip code are accurate.
  4. Include the "Telephone Number" of the facility to facilitate communication, if needed.
  5. If the report is being filed by someone other than the facility contact, fill in the “Reported By” section with their name, mailing address, telephone number, and email address.
  6. Understand the conditions under which no inspection fee is payable, which include reporting less than 500 tons for the year or having the fee covered by another distributor.
  7. Choose the correct period for your report by checking either the “June 30” or “December 31” box to indicate the reporting period’s end date, and fill in the corresponding year.
  8. List the total tonnage of each type of feed sold in the spaces provided for various feed types, using the codes given on the form.
  9. Calculate the total tons sold over the six-month period and record this number in the designated spot.
  10. Fill in the payment amount enclosed, if applicable, after calculating inspection fees due per ton over the allowance covered by your annual license fee.
  11. Sign and print your name in the designated area, also listing your title and the date the report is being filled out.

After successfully completing the Ag 0654 form, it must be submitted by the last day of January or July, depending on the reporting period. Remember, this form helps the Tennessee Department of Agriculture keep track of commercial feed distributions, ensuring all members of the agricultural community play by the rules and contribute to the industry’s transparency and compliance standards. Timely and accurate submission not only aligns with regulatory obligations but also supports the sector in maintaining its integrity.

Important Questions on This Form

FAQ about Ag 0654 Tennessee Form

What is the purpose of the Ag 0654 Tennessee form?

The Ag 0654 form is integral for the Tennessee Department of Agriculture, particularly within the Division of Regulatory Services related to Agricultural Inputs & Pesticides. This semi-annual report is designed for commercial feed manufacturers and distributors in Tennessee, providing essential data on commercial feed production or distribution within the state. Its primary purpose is to ensure the proper payment of inspection fees, which support the state's regulatory efforts to maintain quality and safety standards in animal feed.

Who needs to submit the Ag 0654 form?

Every facility that holds a Tennessee Commercial Feed Facility License must submit the Ag 0654 form. This requirement includes both manufacturers of commercial feeds and entities responsible for distributing these feeds within the state of Tennessee. It is crucial for these facilities to report their feed tonnage semi-annually to remain compliant with state regulations.

When is the Ag 0654 form due?

The submission deadline for the Ag 0654 form occurs semi-annually, on the last day of January and July. Timely submission is essential for the avoidance of penalties. Specifically, a 10% penalty applies to reports and fees filed more than 10 days after these deadlines. Hence, preparing in advance to ensure all necessary information is gathered and the form is completed accurately can save significant trouble.

What information must be provided in the Ag 0654 form?

The Ag 0654 form requires several pieces of critical information, including but not limited to:

  • The licensed feed facility's name and ID number
  • Contact details for the facility, including mailing address, telephone number, and possibly an email address
  • A detailed record of the tonnage of feed and feed ingredients sold or distributed in Tennessee during the reported period
  • Calculation of inspection fees owed, based on the total tonnage in excess of 500 tons annually with a rate of ten cents ($0.10) per ton
  • Details regarding deductions for any fees previously paid for feed used as an ingredient in another commercial feed or paid by a previous distributor

Ensuring accuracy in reporting this information is critical for the calculation of inspection fees and compliance with state regulations.

Are there instances when inspection fees are not due?

Yes, there are specific scenarios where inspection fees may not be due under the guidelines provided in the Ag 0654 form. These include:

  1. When the total annual tonnage reported is less than 500 tons, indicating a smaller scale of operation exempt from the fees.
  2. If the inspection fee has already been paid by a previous distributor, avoiding double payment for the same feed product.
  3. In cases where a commercial feed is used as an ingredient in another commercial feed, and the fee for the initial product has already been paid.

For deductions to be applied accurately, it is imperative to list specific details such as the responsible firm's name, address, the feed product in question, and the total tonnage for which fees have been paid. Providing this information helps avoid unnecessary charges and ensures compliance with fee calculations.

Common mistakes

Filling out the AG 0654 Tennessee form, which is required by the Tennessee Department of Agriculture for reporting commercial feed activities, often involves detail and attention to specific rules. There are common mistakes that can lead to incorrect reporting or compliance issues. Understanding these mistakes can help ensure accurate submissions and avoid potential penalties.

  1. Incorrect Facility ID Number: The facility ID number is crucial for proper report assignment and tracking. A common mistake is using an outdated or incorrect ID number, which can lead to confusion and misallocation of the report. Always double-check that the number used matches the current record with the Tennessee Department of Agriculture.
  2. Failing to Report Zero Tonnage: Even if no inspection fees are owed due to the tonnage being below 500 tons or for any other exemptions, facilities must still report their tonnage. Skipping the report under the assumption that no fees equal no need to report is a mistake. This record-keeping is essential for compliance and monitoring purposes.
  3. Omitting Payment for Late Submission: Reports submitted more than 10 days after the deadline must include a 10% penalty. It's common to overlook this detail, especially when rushing to submit a late report. To avoid further issues, include the requisite penalty if your submission is late.
  4. Incorrect Deduction Claims: The form allows for deductions if fees have been paid by a previous distributor or on a commercial feed used as an ingredient in another product. However, detailed information about the firm responsible, the specific feed, and total tonnage must be listed accurately. Mistakes or omissions in this section can lead to incorrect fee calculations and potential disputes or penalties.

Understanding these common pitfalls and taking care to avoid them can make the process smoother and ensure compliance with the Tennessee Department of Agriculture's requirements. Inaccuracies or omissions can not only lead to financial penalties but also create administrative burdens. Therefore, careful review and accurate, complete reporting are key to successfully navigating the requirements of the AG 0654 form.

Documents used along the form

When a business is involved with the manufacturing or distribution of commercial feed in Tennessee, the AG 0654 form plays a crucial role in compliance and regulatory reporting to the Tennessee Department of Agriculture. However, this form is often part of a larger dossier of documents required for comprehensive regulatory compliance. Each document serves a specific purpose, from detailing the formulation of feed products to ensuring that all safety and labeling standards are met. Understanding these documents can help businesses navigate the regulatory landscape more effectively.

  • Commercial Feed License Application: Before a company can distribute or manufacture feed, they must apply for and obtain a commercial feed license. This document collects basic information about the business and outlines the scope of its operations.
  • Feed Label: Each feed product must have a compliant label that includes essential information such as the product name, intended use, ingredients, and the net weight. Labels ensure that consumers are fully informed about the product they're purchasing.
  • Ingredient Statement: This document lists all the components of a feed product, usually in descending order by weight. It's essential for meeting disclosure requirements and ensuring feed safety and quality.
  • Guaranteed Analysis: Providing a breakdown of the feed's nutritional content, this analysis must comply with state regulations. It helps consumers compare different products and make informed decisions based on the nutritional needs of their animals.
  • Product Formula Sheet: Detailed formulas show the exact composition of a feed product, including each ingredient and its proportion. This is crucial for quality control and ensuring consistent product formulation.
  • Inspection Fee Report/Statement: Besides the AG 0654 form, manufacturers and distributors may need to submit detailed reports of inspection fees due, based on total tonnage sold. This document ensures the accurate calculation and payment of fees.
  • Safety Data Sheets (SDS): For certain feed ingredients, especially those classified as hazardous, safety data sheets provide information on handling, storage, and emergency measures. They are vital for workplace safety and environmental protection.
  • Non-GMO Certification: If applicable, products marketed as non-GMO must have certification documentation to verify the claim. This document is increasingly important to consumers seeking non-GMO options for their animals.
  • Organic Certification: Similar to non-GMO certification, organic products must be certified and accompanied by documentation that proves the feed meets all the requirements for organic designation.

The AG 0654 form is a foundational element of regulatory compliance in the commercial feed industry in Tennessee, but it is far from the only document that businesses need to manage. Together, these forms and documents create a comprehensive system that ensures feed safety, quality, and transparency. By staying up-to-date with regulatory requirements and maintaining thorough records, businesses can contribute to the overall well-being of animals and the satisfaction of their owners.

Similar forms

The Uniform Commercial Code (UCC-1) Financing Statement is notably similar to the AG-0654 Tennessee form, given that both documents are essential for formalizing registrations with state agencies. The UCC-1 form is used to declare a secured party's interest in the debtor's assets, ensuring public notice. Like the AG-0654, which reports commercial feed transactions and calculates dues based on specified criteria, the UCC-1 form involves detailed entries related to transactions or agreements that necessitate precise documentation and compliance with regulatory standards.

Another document bearing similarities to the AG-0654 form is the Environmental Protection Agency (EPA) Pesticide Registration Form (EPA Form 3540-1). This form is used by companies that manufacture or distribute pesticides within the United States. It requires detailed information about the pesticide, including composition and distribution specifics, mirroring the AG-0654's requirement for detailed reporting on feed products. Both forms are critical for ensuring compliance with regulatory standards aimed at protecting public health and the environment.

The Food and Drug Administration (FDA) Facility Registration Form also aligns closely with the structure and purpose of the AG-0654 form. This FDA form mandates that facilities engaged in the manufacturing, processing, packing, or holding of food products for consumption in the U.S. must register with the FDA. Similar to the AG-0654, this registration helps facilitate the monitoring of food safety standards and regulatory compliance, including the tracking of feed and food products within the market.

The Department of Transportation (DOT) Hazardous Materials Registration Statement is another document with parallel functions to the AG-0654 form. Companies transporting hazardous materials are required to file this DOT statement, which ensures proper regulation and safety in the handling and transportation of such materials. Both documents play a crucial role in safeguarding public safety through regulatory compliance and accurate reporting of potentially hazardous commodities, be it commercial feed or hazardous substances.

The Bureau of Alcohol, Tobacco, Firearms, and Explosives (ATF) Federal Firearms License (FFL) Application is somewhat analogous to the AG-0654 form in terms of regulatory compliance and the requirement for detailed record-keeping. Both applications necessitate accurate reporting and record-keeping as part of regulatory compliance measures to monitor and control the distribution of regulated products—whether firearms by the ATF or commercial feed by the Department of Agriculture.

State-level Sales Tax Permit Applications share commonalities with the AG-0654 form in their purpose of regulating compliance within a specific sector. While the Sales Tax Permit Application is necessary for businesses to legally sell goods and collect sales tax within a state, the AG-0654 form serves a similar regulatory compliance function within the commercial feed industry, including financial transactions related to the distribution of feed products.

Internal Revenue Service (IRS) Form 720, the Quarterly Federal Excise Tax Return, is another document with parallels to the AG-0654 form, as both involve the reporting and payment of specific fees or taxes to governmental agencies. Form 720 encompasses a wide range of products and services subject to excise taxes, requiring detailed transaction reporting similar to the mandatory semi-annual reporting of feed tonnage detailed in the AG-0654 form. Both forms facilitate the collection of government revenues tied to regulatory oversight activities.

The Occupational Safety and Health Administration (OSHA) Form 300, which logs work-related injuries and illnesses, shares the overarching theme of compliance and reporting found in the AG-0654 form. Although focused on occupational safety rather than feed distribution, OSHA Form 300 requires detailed record-keeping to ensure workplace safety and health standards, paralleling AG-0654’s role in tracking and ensuring compliance within the commercial feed industry.

Finally, the Securities and Exchange Commission (SEC) Form D, used for notifying the SEC of an exempt offering of securities, parallels the AG-0654 form by necessitating detailed reporting for compliance purposes. Form D filings provide the SEC with necessary information on securities exempt from registration, similar to how the AG-0654 informs the Tennessee Department of Agriculture about commercial feed transactions, facilitating regulatory oversight in their respective domains.

Dos and Don'ts

When filling out the AG 0654 Tennessee form for semi-annual reporting of commercial feed, certain practices should be followed to ensure the process is completed accurately and efficiently. Below are several dos and don'ts to assist in the submission process:

    Do:
  • Verify the licensed feed facility name and facility ID number at the beginning to ensure the form is correctly associated with your facility.
  • Include accurate tonnage of feed sold or distributed, as this will determine the inspection fee due.
  • Report even if no fees are due to ensure compliance with Tennessee Department of Agriculture requirements.
  • Calculate fees based on excess tonnage sold over 500 tons per year to determine if any amount is owed.
  • Double-check the arithmetic for calculating inspection fees to prevent errors.
  • Sign and date the form to certify the accuracy of the information provided.
  • Submit the report and any due fees by the deadline to avoid the 10% penalty charge for late submissions.
    Don't:
  • Leave the facility ID number blank; this is essential for the form to be processed correctly.
  • Underreport tonnage as this can lead to discrepancies and possible penalties.
  • Forget to list deductions for feeds previously covered by an inspection fee paid by another distributor or as an ingredient in another feed.
  • Overlook the signature and date sections, as an unsigned form can result in processing delays.
  • Miss the submission deadline, as late forms incur a penalty.
  • Ignore the requirement to report tonnage, even if no fee is due.
  • Disregard instructions for calculating tonnage deductions and fees, as incorrect calculations can affect your record standing.

Misconceptions

When navigating regulatory documents like the AG 0654 Tennessee form used for reporting the semi-annual sale and distribution of commercial feed, misconceptions can lead to errors in compliance. Below are ten common misconceptions clarified to aid in accurate completion and submission of this vital reporting form.

  • All feeds are subject to the inspection fee: Not all feeds trigger the inspection fee requirement. If the total reported for the year is less than 500 tons, or if the fee has already been paid by a previous distributor or on a commercial feed used as an ingredient in another feed, no fee is due.

  • Reports are only needed when fees are due: Facilities must submit a report for each period, even if they owe no inspection fees, ensuring accountability and accurate record-keeping.

  • The form applies only to feeds manufactured in Tennessee: The form is also required for feeds distributed into the state, not just those manufactured within it, widening the scope of businesses that must comply.

  • Electronic submissions are not permitted: While the form itself can be found on the Tennessee Department of Agriculture (TDA) website, suggesting digital availability, it's essential to confirm the current submission options directly with TDA, as digital submission policies may evolve.

  • Penalties for late submissions are negotiable: A mandatory penalty of 10% is applied to reports filed more than 10 days late, underscoring the importance of timely compliance.

  • Facility ID numbers can be updated or changed at submission: Facilities must use their current facility ID number for report and fee assignments, ensuring accurate tracking and processing.

  • The form is a one-time requirement: Submission of this report is required semi-annually, with deadlines at the end of January and July, making it an ongoing compliance obligation.

  • Only total tons sold are to be reported: In addition to reporting total tons sold, the form requires the calculation of inspection fees due and the reporting of any tonnage for which fees have been prepaid or are not applicable, ensuring accurate financial accounting.

  • Any office employee can sign the form: The signature, printed name, and title section of the form indicates that a responsible party within the facility, who is accountable for the accuracy of the information provided, should sign the form, emphasizing the importance of oversight and accountability.

  • Amendments to submitted reports are not allowed: While the form instructions do not explicitly address amendments, facilities should directly contact TDA for guidance on correcting any errors or omissions, ensuring compliance and accuracy in reporting.

Understanding the intended purpose and requirements of the AG 0654 Tennessee form helps facilities comply with state regulations and contributes to the effective monitoring and management of commercial feed distribution within Tennessee.

Key takeaways

Filling out the AG 0654 form is a vital component of complying with Tennessee’s regulations for commercial feed distribution. This task, while seemingly straightforward, involves recognizing key details to ensure accuracy and compliance. Here are five key takeaways to guide anyone through the process effectively:

  • Understanding the purpose of the AG 0654 form is crucial—it's used by facilities to report the semi-annual tonnage of commercial feed they've manufactured or distributed within or into the state of Tennessee. This not only helps in regulating the industry but also in maintaining the quality and safety of animal feed.
  • It’s important to highlight that the AG 0654 form needs to be submitted to the Tennessee Department of Agriculture, Division of Regulatory Services/Ag Inputs & Pesticides, twice a year, by the end of January and July. Timeliness in submitting this report ensures the facility remains in good standing and avoids potential penalties.
  • The form requires facilities to report the total tons of feed sold. However, a key detail to remember is that no inspection fee is due for the first 500 tons reported annually or for feed that has already had the fee covered by another distributor. This can offer significant savings for facilities that are strategic about their reporting and distribution practices.
  • The calculation of fees is based on a nuanced system, where a fee of ten cents ($0.10) per ton is due on amounts exceeding 500 tons per year. Additionally, a penalty of 10% is attached to reports and fees submitted more than ten days late. Accurate and timely calculations are therefore essential to avoid unnecessary expenses.
  • If the commercial feed reported is used as an ingredient in another commercial feed, those tonnages can be deducted, provided the facility lists the firm responsible for the original fee payment along with specific details. This requires careful record-keeping and organization to ensure all deductions are properly documented and accepted.
  • In essence, the AG 0654 form serves as a crucial tool for the Tennessee Department of Agriculture in monitoring and regulating the distribution and manufacturing of commercial feed within the state. By understanding and accurately completing this form, facilities can better manage their regulatory obligations, contribute to the safety of animal feed, and potentially minimize their operational costs.

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