
Name of District Director/Area Conservationist for Spot Check 13D. Title 13E. Date MM-DD-YYYY AD-2047 10-24-13 NOTE Page 2 of 3 The following statement is made in accordance with the Privacy Act of 1974 5 USC 552a - as amended. This form is available electronically. Form Approved OMB No. 0560-0265 U.S. DEPARTMENT OF AGRICULTURE Farm Service Agency Rural Development Natural Resources Conservation Service AD-2047 10-24-13 CUSTOMER DATA WORKSHEET REQUEST FOR SCIMS RECORD CHANGE FOR INTERNAL USE ONLY See Page 2 for Privacy Act and Paperwork Reduction Act Statements PART A CUSTOMER INFORMATION 1A. Customer s Full Legal Name or Business Name 1B. Customer or Business Address Including Zip Code 1C. Home Telephone Number Area Code 1D. Business Telephone Number Area Code 2. SSN or Tax ID Number 9 Digits 3. E-Mail Address 4A. Does the customer want to receive mail by USPS 1E* Other Telephone Number Area Code e-mails via GovDelivery Sensitive Producer or Farm Specific related emails YES NO 5. Prod....
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How to fill out the USDA AD-2047 online
The USDA AD-2047 form is essential for documenting updates to business partner records within USDA agencies. This guide provides a clear and concise method for filling out the form online, ensuring users can easily navigate each section.
Follow the steps to complete the USDA AD-2047 form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin with Part A, where you will need to enter your customer information. Start with the customer's full name or business name and address, including the zip code.
- Proceed to enter contact information. Fill in the home telephone number, business telephone number, and mobile telephone number where applicable.
- Specify the customer business type, choosing one that best fits your situation, such as individual, corporation, LLC, estate, or trust.
- Provide your Taxpayer Identification Number (TIN), which could be your Social Security Number (SSN) or Employer Identification Number (EIN), depending on your business type.
- If the customer is a minor, you will need to include the birthdate in the designated field.
- Fill out the residency status for individuals; select the applicable option: U.S. resident, resident alien, or not a U.S. citizen or resident alien.
- If you are a foreign entity, please provide the originating country.
- Enter your email address and indicate whether you wish to receive sensitive farm-specific emails.
- Complete the demographic information section. Note that providing this information is voluntary and can be skipped if previously provided.
- Indicate whether the producer is a customer of any of the listed USDA agencies by checking the appropriate boxes.
- Answer whether the customer is a multi-county producer, and if so, list the relevant states or counties.
- State the reason for requesting the update, selecting from options such as new producer, address change, or life event.
- In Part B, provide the agency that received the request and the initials of the employee who processed it.
- Document how the request for change was received, choosing from options like office visit, telephone, or fax.
- Conclude by entering any remarks, including the signature and date of the employee updating the business partner information.
- After completing the form, you can save changes, download, print, or share the completed form.
Complete your USDA AD-2047 form online today and ensure your records are up-to-date.
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