Emergency Farm Fund Application

Emergency Farm Fund Application

For damages and losses from the 2023 Freezes and Flooding
Welcome Farm and Food Businesses!

Please complete the form below to the best of your ability.

If you have questions, need help completing the application or if you have additional documentation or testimony you consider relevant and that is not requested in the form, do not hesitate to contact the EFF coordinator, Stephen Taranto, at stephen@buylocalfood.org or (413) 665-7100, ext. 17.

Un formulario de solicitud en español estará disponible pronto, vuelva a consultar.
Is this a single or widespread event application?
Applicant Information

Please complete all the required (*) fields below and all others to the best of your ability. Fully completed forms are not a requirement, give us what you can and we will ask for additional information as needed.
Name of Applicant*

First NameLast Name
Role in farm and/or food business
Mailing Address*
Town*
State*
Zip Code*
Phone Number*
Email*
Business Information
Business Name*
Business Address (if different than mailing address)
Business Town
Business State
Business Zip Code
Business Phone Number
Business Email
Type of Business*

Sole ProprietorPartnershipCorporationS-CorpOther
Legal name(s) of borrowers if loan is offered/accepted. This could be your farm business or you as an individual.*
Business Overview
Please provide a basic description of your business, including a brief history, ownership and management, products, and markets. (recommended 300 words or less)*
What were your gross annual sales in 2022?*
Are you a limited resource farmer?*

YesNo
*Check yes if, for both 2020 and 2021, your gross farm sales were no more than $221,200 AND your total household income was less than $34,441 for Berkshire County, $33,105 for Franklin County, $32,411 for Hampden County, $38,864 for Hampshire County, or $41,003 for Worcester County. If you live elsewhere, click here to check if you are a limited resource producer.
Description of damages to business as a result of 2023 freezes and flooding
Please describe what losses you’ve experienced and/or are expecting because of the extreme weather. (recommended 200 words or less)*
What is the estimated monetary loss? *
How would you use the loan?
Loan amount requested $ (max $25,000). Must be less than or equal to the amount in the previous question.*
Please provide a brief description of how the funds would be utilized and how this would benefit and/or sustain your business. (recommended 200 words or less)*
Have you already sought and/or applied for other forms of disaster funding related to your current need? This includes GoFundMe-type campaigns.*

YesNoOther
If yes, to whom, how much, and what is the status of the application?*
Do you plan on applying for other forms of disaster relief funding related to your current need?*

YesNo
If yes, to whom, how much, and when?
If yes, please describe how an Emergency Farm Fund loan would fit in among other sources of disaster funding. (recommended 100 words or less)*
Loan Repayment
Loan repayment begins six months following the date of the loan and continues in monthly installments until the loan is fully repaid in three years. You may choose to pay the loan back early. We are willing to consider some changes to this schedule on request (for example, beginning repayment later than six months or seasonal payments to match business cash flow). If you would like a different repayment schedule, please explain here.
What ways do you have to repay this loan, if farm income is not sufficient? If repayment would come from off-farm income from household or family members, please document that in the financial documents requested below.
Business References

Please provide us with the names and contact information for three people who can serve as business references. These can include businesses from whom you buy products or services for your business, or regular business customers (e.g. a retailer who buys from you regularly).
Business reference 1: Business Name, Contact Person, Phone #*
Business reference 2: Business Name, Contact Person, Phone #*
Business reference 3: Business Name, Contact Person, Phone #*
Other Requirements

YOUR APPLICATION WILL BE REVIEWED ONLY AFTER THE FOLLOWING MATERIALS HAVE BEEN RECEIVED. If you need help understanding or assembling what is required, please contact Stephen Taranto at CISA (stephen@buylocalfood.org or 413-665-7100, ext. 17). We prefer to receive documents electronically but can also accept them via regular mail. Once we receive your application, you will be sent a link where you can upload your documents.
1. A copy of the 2022 1040 (including all Schedules) for the farm. (Or a 1065, if applicable.) If 2022 taxes are not yet completed, please send 2021 tax forms and management’s Profit and Loss statement for 2021. If there were special circumstances during this year, or if you feel it would provide a better picture of your business, you may provide additional tax or financial documents from previous years. For example, a profit and loss statement or monthly cash flow projection for the upcoming year can be very useful, if available. If you suggested above that off-farm income might be used to repay this loan, please provide a copy of your most recent personal or household tax return.*

I will be uploading this via the link I am sent (preferred).I will be mailing this.Other
2. A farm budget for the coming year. Completed to the best of your ability using current knowledge and showing estimated income and expenses.*

I will be uploading this via the link I am sent (preferred).I will be mailing this.Other
3. A current Balance Sheet or a list of Assets & Liabilities*

I will be uploading this via the link I am sent (preferred).I will be mailing this.Other
Additional tax documentation requirement for loans above $5,000: Larger loans require an additional year of tax documentation. Please send both 2021 and 2022 tax returns. If 2022 taxes are not yet completed, please send 2020 and 2021 tax returns and management’s Profit and Loss Statements for 2021.

I will be uploading this via the link I am sent (preferred).I will be mailing this.Other
I certify that all information in this application and the accompanying materials is accurate and complete to the best of my knowledge. (Type your name below to confirm.)
EMAILS should be sent to:
office@buylocalfood.org
Subject Line: Emergency Farm Fund App

MAIL should be sent to:
CISA Emergency Farm Fund
1 Sugarloaf Street
South Deerfield, MA 01373
Should be Empty:

Emergency Farm Fund Application

Applicant Information

Business Information

Business Overview

Description of damages to business as a result of 2023 freezes and flooding

How would you use the loan?

Loan Repayment

Business References

Other Requirements