1/06 LOCAL FORM #9 CHAPTER 12 CASE SUMMARY OF OPERATIONS - FAMILY FARMER (This report must be filed with the Chapter 12 Trustee five (5) days before the First Meeting of Creditors) NAME OF DEBTOR: ____________________________________________ CASE NO. ____________________________ I. Owned: NUMBER OF ACRES: ____________ Amount or % of Rent Received by Debtor ________________________________ ________________________________ ________________________________ Leased (list by parcel) _____________________________________ _____________________________________ _____________________________________ II. LIVESTOCK AND POULTRY Number of (list by kind) 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 American LegalNet, Inc. www.USCourtForms.com 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: ESTIMATED** PRICE PER UNIT CROP NO. OF ACRES ESTIMATED* YIELD TOTAL PROCEEDS (list by kind) 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 and Poultry (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: American LegalNet, Inc. www.USCourtForms.com EXPENSES 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 AMOUNT $ $ If you have an operating loan for the current or proposed crop season, state amount $ and name and address of lender and security given or pledged B. Payments on Secured Debt. Cash rents (if not included in Part A above): $ Crop Share Rents - State # of bushels/pounds and dollar value: $ Real Estate Mortgage and Contract for Deed (purchase agreement) payments: American LegalNet, Inc. www.USCourtForms.com To whom: Amount Total Amount $ Annual Payment due on Equipment Purchase Contracts: To whom: Amount Total Amount $ Payments on Loans Secured by Equipment, Crops or Livestock: To whom: Amount Total 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 & Payments from Item V(C)) A. Estimated Household and Family Cash Living Expenses (subtract from net profit or add to net loss) $ Estimated state, local and Federal Income Taxes on Net Profit Total of A and B Disposable Income from Farming (Subtract C from amount entered on line at VII) Income from other than Farming Total Disposable Income $ B. $ $ C. D. $ $ $ E. F. American LegalNet, Inc. www.USCourtForms.com