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In the world of agricultural management and regulation, ensuring the quality and safety of commercial feed is crucial for the wellbeing of countless animals and the efficiency of the agriculture sector. This is where the AG 0654 Tennessee form plays a pivotal role. Issued by the Tennessee Department of Agriculture Division of Regulatory Services/Ag Inputs & Pesticides, this essential document serves as a semi-annual report for facilities that manufacture or distribute commercial feed within or into the state of Tennessee. Facilities holding a TN Commercial Feed Facility License are required to diligently fill out and submit this form by the last days of January and July each year. It meticulously records the tonnage of feed and the accompanying inspection fees due, exempting reports under 500 tons or where fees have been previously covered. Moreover, the form facilitates accurate tracking of distributed feed types, ranging from chicken starter to supplements for sheep or goats, ensuring transparency and regulatory compliance. Additionally, it includes provisions for reporting additional details such as deductions for fees already paid and penalties for late submissions, underscoring the importance of timely compliance in the state's agricultural regulatory framework.

Example - Ag 0654 Tennessee Form

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

 

 

 

 

 

 

 

 

 

Form Breakdown

Fact Name Description
Form Number AG 0654
Issuing Department Tennessee Department of Agriculture Division of Regulatory Services/Ag Inputs & Pesticides
Purpose Semi-annual Report of Commercial Feed Manufactured Within or Distributed Into the State of Tennessee
Submission Period Due on the last day of January and July each year
Fee Exemption Conditions No inspection fee shall be paid if annual tonnage is less than 500 tons, fees have been paid by a previous distributor, or the feed has been used as an ingredient and the fee paid
Inspection Fee A fee of ten cents ($0.10) per ton is due for all commercial feeds sold/distributed in the state in excess of 500 tons per year.
Late Submission Penalty A penalty of 10% must be applied to reports filed over 10 days late.
Governing Law Tennessee State Law as it relates to the commercial distribution and manufacturing of feed products

Detailed Instructions for Filling Out Ag 0654 Tennessee

Filling out the AG 0654 Tennessee form is a straightforward process that requires attention to detail to ensure accurate reporting and payment calculation for commercial feed manufactured within or distributed into the state of Tennessee. This semi-annual report is crucial for facilities holding a TN Commercial Feed Facility License. It helps in maintaining compliance with state regulations regarding the distribution and manufacturing of commercial feed. Providing accurate information is essential for the Tennessee Department of Agriculture to monitor and regulate commercial feed effectively, ensuring the safety and quality of feed within the state.

  1. Begin by identifying the licensed feed facility name at the top of the form and enter the Facility ID Number, which is required.
  2. Fill in the mailing address of the licensed facility, including the city, state, zip code, and telephone number.
  3. If the report is being filled out by a person other than the one associated with the facility name and address, enter the reporter's name, mailing address, telephone number, and email address in the section labeled "Reported By."
  4. Review the section that explains when no inspection fee is required and ensure understanding. This includes situations where the total yearly reported tonnage is less than 500 tons, fees have been previously paid by a distributor, or for commercial feed used as an ingredient in another commercial feed.
  5. On the form, indicate whether the report is for the period ending June 30 or December 31 by checking the appropriate box and fill in the year.
  6. List all types of feed and feed ingredients sold by the facility within the six-month period, using the categories provided on the form. Ensure each category's corresponding tonnage is accurately entered next to its description.
  7. Calculate the total tons sold during the six-month period and record this number in the designated space at the end of the form.
  8. Calculate the inspection fees due, if any, by following the instructions provided on the form. This includes entering the total tons sold from January through June and July through December, adjusting for the tons covered by the annual license fee, and any unused tonnage from the license fee to determine the inspection fee owed.
  9. If a penalty applies due to late submission (over 10 days late), ensure to calculate the additional 10% penalty based on the inspection fees due.
  10. After calculating the fees, write the payment amount enclosed in the space provided.
  11. Sign the form, print your name, title, and enter the date.
  12. Before submitting, double-check the entire form to ensure all information is accurate and complete. Ensure the correct fee payment is enclosed, if applicable.
  13. Submit the form to the address listed at the top of the form, the Tennessee Department of Agriculture Division of Regulatory Services/Ag Inputs & Pesticides, by the last day of January or July, as applicable.

Completing the AG 0654 Tennessee form accurately and submitting it on time helps in compliance with state regulations and contributes to the effective monitoring and management of commercial feed in Tennessee. It is recommended to keep a copy of the submitted form and any correspondence for record-keeping purposes.

More About Ag 0654 Tennessee

What is the AG 0654 Tennessee form used for?

This form is utilized for reporting semi-annual tonnage of commercial feed manufactured within or distributed into the state of Tennessee. It's a required submission for facilities holding a TN Commercial Feed Facility License to report feed tonnage sold, and, when applicable, to calculate and pay inspection fees.

Who needs to submit the AG 0654 form?

Any facility licensed under the Tennessee Department of Agriculture for commercial feed operations that manufactures or distributes feed within or into Tennessee is required to submit this form. This includes entities involved in the production, importation, or distribution of feed products in the state.

When is the AG 0654 form due?

Submission deadlines are on the last day of January and July each year. Facilities must report their feed tonnage for the two semi-annual periods ending June 30 and December 31st, respectively.

Are there any circumstances under which inspection fees are not due?

Yes, inspection fees are waived in several instances:

  • If the total annual reported tonnage is less than 500 tons.
  • If the fee has already been paid by a previous distributor for the same feed.
  • If the feed has been paid for as an ingredient in another commercial feed product.
  • Fees already paid must be documented with the responsible firm's details and the related feed and tonnage information provided either on the back of the form or as an attachment.

How are inspection fees calculated?

Inspection fees are calculated at a rate of ten cents ($0.10) per ton for all commercial feeds sold or distributed in Tennessee in excess of 500 tons per year. The form provides a section for computing fees due, taking into account any tonnage covered by the annual license fee or any exemptions.

What penalties exist for late submission of the AG 0654 form?

A penalty of 10% is applied to late reports, specifically those filed more than 10 days after the due date. It's crucial to submit the form on time to avoid these additional charges.

Where can one find the AG 0654 form?

The form is available on the Tennessee Department of Agriculture's website. Licensees are encouraged to download the form from the site, ensure it is accurately filled out, and submit it by the prescribed deadlines. Licensees are advised to keep a copy of the form for future reference and reporting needs.

Common mistakes

Filling out the AG-0654 Tennessee form, crucial for reporting the semi-annual commercial feed sales and distribution, is a straightforward yet essential process. However, errors can occur, undermining the report's accuracy and potentially leading to penalties. Understanding the common mistakes can ensure the form is completed correctly, aiding compliance with the Tennessee Department of Agriculture's requirements.

One primary mistake is incorrect or incomplete facility identification. The form necessitates the inclusion of a Facility ID Number, which is imperative for ensuring that the report is correctly associated with the right facility. Neglecting to provide this ID or providing an incorrect number can lead to misassignment of reports and fees, risking non-compliance ramifications.

Another frequent error lies in the failure to accurately report tonnage and calculate fees. The form requires detailed reporting on the tonnage of commercial feed sold or distributed within Tennessee. Furthermore, facilities are responsible for calculating owed fees based on the tonnage exceeding 500 tons annually. Misreporting tonnage or miscalculating the dues not only affects the financial accuracy but also may attract a 10% penalty on reports filed over 10 days late.

Moreover, many overlook the stipulations for fee deductions. The form allows deductions for feeds previously accounted for by another distributor or when feed is used as an ingredient in other commercial feeds. However, documenting these deductions requires listing the responsible firm, their address, and the specifics of the feed and tonnage on the form or an attachment. Neglecting to adequately document these deductions can result in overpayment or confusion during the review of the report.

Lastly, the submission deadline and signature verification are crucial final steps that are often mishandled. The report is due on the last day of January and July, with a mandatory signature, printed name, title, and date to verify the submitted information's authenticity. Late submissions or missing verification details may invalidate the report or lead to late fees, complicating compliance efforts.

By paying close attention to these common pitfalls and ensuring accurate and complete form submission, facilities can maintain compliance and avoid unnecessary penalties or processing delays.

Documents used along the form

Filing the AG 0654 form for the Tennessee Department of Agriculture is a crucial step for facilities dealing with commercial feed within or distributed into the state of Tennessee. However, this process often requires additional documentation to ensure compliance and smooth operations. Knowing what these documents are and their purpose can significantly aid individuals and businesses in navigating the regulatory landscape efficiently.

  • Application for Registration of Commercial Feed: Before a facility begins manufacturing or distributing feed, an initial registration application must be completed. This document collects detailed information about the facility and the types of feed it intends to produce or distribute.
  • Commercial Feed License Renewal Form: Existing facilities must renew their commercial feed license annually. This form reaffirms the facility's operational status and any changes in the types of feed manufactured or distributed.
  • Tonnage Reporting Form: Separate from the semi-annual report (AG 0654 form), this form may be required for specific reporting periods or types of feeds. It helps the state track feed production and distribution volumes accurately.
  • Feed Ingredient Statement: For each feed product, an ingredient statement must be provided. This document lists all ingredients in the feed, ensuring transparency and compliance with state and federal regulations.
  • Guaranteed Analysis Statement: This accompanies the feed ingredient statement and provides detailed information on the nutritional content of the feed, including minimum percentages of crude protein, fat, fiber, and other nutrients.
  • Manufacturer's Affidavit: A document certifying that the feed complies with all state and federal regulations concerning its manufacture and distribution. It is a declaration of compliance from the manufacturer.
  • Inspection Fees Payment Form: If applicable, this document accompanies the AG 0654 form to facilitate the payment of inspection fees over 500 tons. It details the payment amount and method for the reported period.

Together with the AG 0654 form, these documents form a comprehensive suite that ensures the responsible and regulatory-compliant production and distribution of commercial feed in Tennessee. Proper completion and timely submission of these documents not only fulfill legal obligations but also promote the integrity and safety of the commercial feed industry within the state.

Similar forms

The Ag 0654 Tennessee form serves as a semi-annual report for commercial feed manufactured within or distributed into the state of Tennessee. Its purpose is akin to the Uniform Commercial Code (UCC) Financing Statement prominent across the United States. While the UCC statement is used mainly to declare a security interest in a debtor's personal property, both documents play a critical role in regulatory compliance, ensuring entities report their activities as per state laws. They ensure transparency and traceability within their respective sectors, aiding in regulatory oversight and consumer protection.

Similarly, the Environmental Protection Agency (EPA) forms for reporting chemical use share objectives with the Ag 0654 form. These EPA forms, such as the Toxic Release Inventory form, require companies to report on the handling and release of specific toxic chemicals. Both forms aim to monitor and manage the impact of business operations on public health and the environment, ensuring that entities comply with federal and state regulations designed to protect the public and the ecological balance.

The Occupational Safety and Health Administration (OSHA)'s Form 300A, which businesses use to summarize job-related injuries and illnesses, also parallels the Ag 0654 form in its intent to safeguard well-being through reporting. While focused on workplace safety rather than agricultural feed, both documents facilitate governmental oversight by mandating the recording and reporting of relevant activities or incidents, thus contributing to preventive measures and policy-making.

IRS Form 940, which employers use to report annual Federal Unemployment Tax Act (FUTA) tax, shares a commonality with the Ag 0654 form through its function in fiscal and regulatory compliance. Both forms are essential for ensuring entities fulfill their statutory duties—Ag 0654 in the context of agricultural feed oversight and Form 940 in unemployment tax compliance. This adherence to regulation supports the broader economic and social ecosystems in which these entities operate.

The Department of Transportation's (DOT) Hours of Service (HOS) Logs, required for tracking the hours truck drivers spend on and off duty, similarly emphasize compliance through record-keeping. While the focus is on transportation safety, both the HOS logs and the Ag 0654 form underscore the importance of maintaining detailed records to comply with legal requirements, albeit in different sectors. These documents help authorities ensure public safety and fair trade practices.

FDA's Food Facility Registration form, which food facilities must submit to operate legally, shares the Ag 0654 form's emphasis on public health and safety. By requiring detailed reports from entities, both forms help regulatory agencies monitor industry practices, ensuring that products are safe for consumption or use and comply with health standards designed to protect consumers.

The Alcohol and Tobacco Tax and Trade Bureau (TTB) excise tax return form, necessary for reporting and paying taxes on the production and distribution of alcohol and tobacco products, serves a similar purpose as the Ag 0654 form by enforcing regulatory and tax compliance. Both forms play a pivotal role in ensuring that products entering the market meet legal and safety standards, thus protecting consumer interests and contributing to public health and safety.

The Securities and Exchange Commission (SEC) Form D, required for companies and funds to report exempt offerings of securities, also shares a compliance-oriented goal with the Ag 0654 form. Though the SEC's form deals with financial compliance and the Ag 0654 with agricultural feed surveillance, both documents facilitate government oversight by requiring entities to report significant operations, aiding in the detection and prevention of fraud.

The Hazardous Waste Manifest, a form used by generators, transporters, and handlers of hazardous waste to track its movement, mirrors the Ag 0654 form in its role in environmental protection. By mandating the documentation of hazardous waste, similar to the way the Ag 0654 requires reporting on feed distribution, both forms help ensure the safe and responsible management of potentially harmful materials, thus safeguarding public health and the environment.

The Fish and Wildlife Service's (FWS) Form 3-177, required for declaring shipments of wildlife, parallels the Ag 0654 form in the way it aids in the regulation and monitoring of trade. By requiring detailed reports of wildlife imports and exports, the FWS form, like the Ag 0654, helps ensure that such activities are conducted in accordance with legal and ethical standards, promoting conservation and preventing illegal trade.

Dos and Don'ts

When completing the AG 0654 form for the Tennessee Department of Agriculture Division of Regulatory Services/Ag Inputs & Pesticides, it's important to follow key guidelines to ensure accuracy and compliance with state requirements. Here are seven critical do's and don'ts:

  • Do ensure that the facility ID number is included and correct. This unique identifier is crucial for ensuring that your report is properly processed and assigned.
  • Do report the total tonnage of feed and feed ingredients sold by your facility accurately for the six months ending either June 30 or December 31.
  • Do calculate the inspection fees due accurately. If you've sold more than 500 tons in the period, multiply the excess tonnage by 10 cents per ton.
  • Do remember to deduct the tonnage covered by the annual license fee and any fees previously paid on commercial feed used as an ingredient.
  • Don't neglect to report tonnage even if no inspection fees are due. It's mandatory to report the tonnage for compliance purposes.
  • Don't submit the report late. Submitting more than 10 days after the due date will incur a 10% penalty on inspection fees due.
  • Don't forget to check the box indicating the six-month period being reported and to fill out all required sections, including the signature, printed name, title, and date at the bottom of the form.

Adhering to these guidelines not only helps in fulfilling your legal obligations but also in maintaining the integrity of the commercial feed supply in Tennessee. For any additional information or clarification, the Tennessee Department of Agriculture's website offers resources or you can directly contact their office.

Misconceptions

There are several misconceptions about the Ag 0654 Tennessee form, the Semi-annual Report of Commercial Feed Manufactured Within or Distributed Into the State of Tennessee, which can lead to confusion and errors in reporting. Understanding these misconceptions is vital for accurately completing and submitting the form.

  • It's only for manufacturers within Tennessee: The form is required not only for feed manufactured within Tennessee but also for feed distributed into the state, regardless of the location of the manufacturing facility.

  • It's an annual report: Despite its comprehensive nature, the report is semi-annual, with submissions due on the last day of January and July each year, covering feed sold during the previous six months.

  • Small quantities don’t need to be reported: All commercial feeds sold or distributed in the state must be reported, regardless of quantity. However, no inspection fee is due for total sales under 500 tons per year.

  • Inspection fees are flat or variable: The inspection fee is actually a fixed rate of ten cents ($0.10) per ton for feed sold in excess of 500 tons annually. This rate does not vary and is clearly outlined in the form instructions.

  • Late penalties are negotiable: A late penalty of 10% is mandatory for reports filed over 10 days late. This penalty is not subject to negotiation or discretion.

  • All feeds are treated the same: The form distinguishes between different types of feed and feed ingredients, requiring separate listing and identification based on specified categories. This ensures detailed tracking and monitoring of all feed types.

  • Fees paid on ingredients exempt only those ingredients: If a fee has been paid on a commercial feed used as an ingredient in another commercial feed, it is exempt from further fees. This is to avoid double charging within the supply chain.

  • Any firm can deduct fees for ingredients: When deducting fees paid for ingredients, the form requires the listing of the specific firm responsible for the original fee payment, their address, the feed, and total tonnage. This information must be provided accurately to validate the deduction.

Correcting these misconceptions helps ensure that the semi-annual reporting is accurate and compliant with Tennessee Department of Agriculture regulations. It is essential for all licensed feed facilities to understand these requirements to avoid errors and penalties.

Key takeaways

Filling out the AG-0654 form is a mandatory process for every licensed feed facility operating within Tennessee or distributing feed into the state. Framed by the Tennessee Department of Agriculture Division of Regulatory Services/Ag Inputs & Pesticides, this semi-annual report plays a crucial role in maintaining the standards of commercial feed management and distribution. To ensure compliance and the smooth handling of this process, here are six key takeaways:

  • Identify and use the facility’s current ID number. This ensures the proper assignment of the report and any associated fees, helping to avoid administrative errors or delays.
  • Complete reports are due at the end of January and July each year. Timeliness in filing these reports ensures compliance with state regulations and avoids potential penalties.
  • No inspection fee is required for facilities reporting less than 500 tons per year, when a fee has already been paid by a previous distributor, or when the feed reported is used as an ingredient in another commercial feed. This exemption helps reduce the financial burden on smaller operations and avoids double-charging for the same feed.
  • There's a nominal fee of ten cents ($0.10) per ton for commercial feeds sold or distributed in Tennessee in excess of 500 tons per year. Understanding and anticipating these costs are essential for budget planning and financial management.
  • A penalty of 10% is applied to reports submitted more than 10 days late. Staying ahead of reporting deadlines can save money and prevent unnecessary penalties.
  • Even if no fees are owed due to exemptions or pre-payments, reporting of tonnage is still required. This consistency in reporting ensures transparency and accurate tracking of feed distribution throughout the state.

This systematic approach to reporting and fee assessment reflects the state's commitment to rigorous oversight of commercial feed quality and distribution. By adhering to these guidelines, facilities can contribute to the health and well-being of Tennessee's vast agricultural sector.

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