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Fill Out Your Ag 0654 Tennessee Form

The Ag 0654 Tennessee form is a semi-annual report required by the Tennessee Department of Agriculture for facilities that manufacture or distribute commercial feed within the state. This form ensures compliance with state regulations and helps track the tonnage of feed sold or distributed. To fulfill your obligations, complete the form by clicking the button below.

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Table of Contents

The Ag 0654 Tennessee form serves as a vital tool for licensed feed facilities operating within the state. This semi-annual report provides the Tennessee Department of Agriculture with essential data regarding the commercial feed manufactured or distributed in Tennessee. Facilities must report their tonnage of commercial feed sold or distributed, ensuring compliance with state regulations. The form requires basic information such as the facility name, ID number, and contact details, along with the total tons sold during the reporting period. Notably, if a facility sells less than 500 tons in a year, no inspection fee is required. However, a fee of ten cents per ton applies to any excess tonnage, with penalties for late submissions. The form also emphasizes the importance of accuracy in reporting, as it directly impacts the fees owed. By submitting this report, feed facilities help maintain the integrity of agricultural practices in Tennessee, ensuring that all commercial feeds meet the necessary safety and quality standards.

Ag 0654 Tennessee Sample

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

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

⇓ Ag 0654 Tennessee PDF Form

Document Details

Fact Name	Fact Description
Governing Law	The AG 0654 form is governed by the Tennessee Commercial Feed Law, T.C.A. § 43-11-101 et seq.
Submission Frequency	This form must be submitted semi-annually, with deadlines on January 31 and July 31.
Inspection Fees	No inspection fee is required if the total reported tonnage for the year is less than 500 tons.
Late Penalties	A penalty of 10% is assessed on reports filed more than 10 days late.
Facility Identification	Each facility must use its current facility ID number to ensure accurate processing of the report and fees.

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