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Get USDA CCC-860 2014

N (See Page 2 for Definitions.) 1A. County FSA Office Name and Address (Including Zip Code) 1B. Telephone No. (Area Code) 1C. Program Year 2. Applicant’s Name and Address INSTRUCTIONS: Complete Parts A, B and/or C as applicable. Read the information relating to false certification below Part D. Return this form to the address in Item 1 above. INFORMATION: If a legal entity requests to be considered a “socially disadvantaged”, “limited resource”, or “beginning” farmer or ran.

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