Farm Income Worksheet
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32014 FARM INCOME
PLEASE ROUND TO THE NEAREST DOLLAR.
-
Employer ID#, if any:
Products Raised:
Family/Single
Spouse
Did you make any payments in
Health Insurance Premiums paid in 2014
2014 that would require a 1099?
Yes
No
Medicare Part B Premiums (from 1099-SSA)
Long Term Care Premiums paid in 2014
If yes, did you or will you file
Cancer & Heart Premiums paid in 2014
all required form 1099's?
Yes
No
Total Medical Insurance Premiums for 2014:
SALE OF PURCHASED LIVESTOCK, PURCHASED GRAIN, AND SEALED GRAIN
(report sealed grain here if CCC loans are reported on the income basis)
Sale Price
Tax Basis
Profit/(Loss)
Bu of Corn
Bu of Soybeans
Bu of __________
Purchased Feeder Cattle
Purchased Feeder Hogs
Profit on Sale of Purchased Livestock, Grain, & Sealed Grain:
SALE OF RAISED LIVESTOCK, GRAIN, ETC.
(Report Breeding Livestock Sales on Page 3)
Total
Taxable
Cattle #_____head
Patronage Dividends
FSA Payments
(Fats & Feeders only)
(Form 1099-G)
Swine
CRP Payments
(reduce FSA payments received)
CCC Loans
(Income basis only)
(Fats & Feeders only)
Sheep/Goats
CCC Loans Forfeited in 2014
Crop Insurance Rec. 2014
(Fats & Feeders only)
Corn
Election to defer to 2014?
(If deferring complete this section)
Dairy (Milk)
Crops Damaged
Date of Payment
Hay Straw
Cause of Damage
Date Received
Other Grains
Date of Occurrence
Amount Received
Soybeans
Crop Ins Deferred from 2013
Wheat
Machine/Custom Hire
Other Income:
Federal Gas Refund
State Gas Refund
Total Raised
Rents:
Buildings
Products:
Corn Stalks
Land/Pasture
Inventory Carryover to 2014
Cattle
#
$
#
$
#
$
Total Other Farm Income:
Total Farm Income:
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