Throughout this Application, you will be asked to include documentation to support your Application.
- The instructions use the word must where documentation is strictly required; this means you must supply the requested supporting
documents. - The instructions use the word may where documentation would be helpful to assessing your Application. This means that your
Application would be stronger if you provide documentation.
Assigned/Assumed Debt
If this Application for financial assistance involves assigned or assumed debt, you may provide
documentation demonstrating the assignment or the assumption of that debt from the original borrower to
yourself, such as:
- Copy of loan or mortgage assignment or assumption
- Other
STEP 6: Losses from
Discrimination for Applicants Who Have Operated a Farm or Ranch
To document loss of agricultural land that you owned, you may provide any documentation you have of the
loss of land, including how much land was lost, such as:
- Foreclosure notice or order
- Proof of sale if land was sold
To document the number of farm/ranch acres you owned and the number of acres you lost, you may
submit one of:
- Deed
- Lease
- Property tax document reflecting the size of the farm or ranch
- A document previously presented to a federal or state agency reflecting size of the farm or ranch
- Loan or other farm program document reflecting size of the farm or ranch
- Business plan reflecting size of the farm or ranch
To document that your house was used as collateral for the loan, you may provide:
- Loan documentation that indicates that the house was included in loan approval
- Deed (showing the lien)
- USDA Security Instrument
To document that your house was lost, you may provide:
- Paperwork of sale of land
- Quit Deed
- Loan Servicing Letters
- Foreclosure Notice
To document any offsets, garnishments, or deficiency judgments imposed on you as a result of
default or foreclosure on your farm loan, you may provide documentation if you have it:
- Treasury Offset Leter
- Deficiency judgments
To document any other economic losses, you must provide:
- Your calculations of the amount of the loss, specifying components of the loss with dates and amounts
Additionally, your Application may be stronger if you also provide available documentation to
support those calculations, for example
- Tax documents that show pre-loss revenue and profits
- Receipts
- Business plans
STEP 7 Prior Claims, Complaints, and Appeals
If you received money or other relief from Pigford 1, In Re Black Farmers Discrimination Litigation (BFDL or
Pigford 2), Keepseagle, Hispanic and Women Farmers and Ranchers Claims Resolution Process (HWFRCP) or
Love or Garcia, or from any other lawsuit, administrative claim, or appeal, you may provide such
documentation of that money or other relief, such as:
- Court or administrative documents. (e.g. lawsuit complaint, court order, judgment or decision)
- Notifications of awards
The program administrators have a full list of awards made under Pigford 1, In Re Black Farmers
Discrimination Litigation (BFDL or Pigford 2), Keepseagle, Hispanic and Women Farmers and Ranchers
Claims Resolution Process (HWFRCP) or Love or Garcia, so you do not need to ask USDA for this
documentation, to provide it here.
STEP 8 Additional Information (OPTIONAL) Response Template
Make a copy of the Supplemental Additional Information Response Template as many times as you need to
provide additional details in support of your Application. Please indicate the corresponding Step, Part,
Instance and/or Question number if the additional details provided below continue a response to a prior
question in this Application
- Supplemental Additional Information Response Template
- Additional Supporting Documentation Not Already Identified Within This Application
STEP 9 Taxpayers Information Requests
In order to receive financial assistance, you must provide one of the following documents. You will not be
issued any financial assistance payment, even if your Application is approved, if you do not include one of
these documents.
- Provide the W-9 (or W-8) form for the individual applicant identified in STEP 1 of this form. Please do not provide the tax form for any other people or entities involved in ownership of the property or in the loan.
- U.S. Citizens, U.S. Resident Aliens and U.S. Entities must submit a completed IRS Form W-9.
- Non-U.S. Citizens, Non-U.S. Resident Aliens must submit the appropriate completed IRS Form W-8BEN, W-8ECI, or Other W-8, as applicable
- IRS Form W-9
- IRS Form W-8BEN
- IRS Form W-8ECI
- Other IRS Form W-8
.