Form GD-2A "Financial Information Sheet" - Iowa

What Is Form GD-2A?

This is a legal form that was released by the Iowa Department of Agriculture and Land Stewardship - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 1999;
  • The latest edition provided by the Iowa Department of Agriculture and Land Stewardship;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form GD-2A by clicking the link below or browse more documents and templates provided by the Iowa Department of Agriculture and Land Stewardship.

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Download Form GD-2A "Financial Information Sheet" - Iowa

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Form GD-2A
Page 1
IOWA DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP
FINANCIAL INFORMATION SHEET
1. Company Name & Address:
2. Grain Dealer License #(s)
GD-__________________ ________________
____________________________________________
GD-__________________ ________________
____________________________________________
GD-__________________ ________________
3. Warehouse License #
____________________________________________
W-___________________ ________________
City
State
Zip
4. Licensee Contact Person:
5. Fiscal Closing Date:
_____________________________________ _________________________
_____________________
Name
Phone Number
6. Your Certified Public Accountant’s Name, Address & Phone Number:
__________________________________________
__________________________________________
Name
Phone Number
__________________________________________
__________________________________________
Address
City
State
Zip
7. Type of Business Entity:
This area to be left blank
___ Corporation:
___Regular corporation
___Sub Chapter “S” corporation
___Cooperative
___Partnership
___Limited Liability Company
___Other (specify)____________________
8. List Officers/Partners/Members:
Name
Title
Address
Phone Number
_____________________________ ___________ _____________________________ _______________
_____________________________ ___________ _____________________________ _______________
_____________________________ ___________ _____________________________ _______________
_____________________________ ___________ _____________________________ _______________
_____________________________ ___________ _____________________________ _______________
9. Name and Phone Number of Bank(s) that you do business with:
10. Do you have a line of credit?
___Yes
___No
If yes, list the name and address of lending institution(s):
Dollar Amount of Line of Credit:
Form GD-2A
Page 1
IOWA DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP
FINANCIAL INFORMATION SHEET
1. Company Name & Address:
2. Grain Dealer License #(s)
GD-__________________ ________________
____________________________________________
GD-__________________ ________________
____________________________________________
GD-__________________ ________________
3. Warehouse License #
____________________________________________
W-___________________ ________________
City
State
Zip
4. Licensee Contact Person:
5. Fiscal Closing Date:
_____________________________________ _________________________
_____________________
Name
Phone Number
6. Your Certified Public Accountant’s Name, Address & Phone Number:
__________________________________________
__________________________________________
Name
Phone Number
__________________________________________
__________________________________________
Address
City
State
Zip
7. Type of Business Entity:
This area to be left blank
___ Corporation:
___Regular corporation
___Sub Chapter “S” corporation
___Cooperative
___Partnership
___Limited Liability Company
___Other (specify)____________________
8. List Officers/Partners/Members:
Name
Title
Address
Phone Number
_____________________________ ___________ _____________________________ _______________
_____________________________ ___________ _____________________________ _______________
_____________________________ ___________ _____________________________ _______________
_____________________________ ___________ _____________________________ _______________
_____________________________ ___________ _____________________________ _______________
9. Name and Phone Number of Bank(s) that you do business with:
10. Do you have a line of credit?
___Yes
___No
If yes, list the name and address of lending institution(s):
Dollar Amount of Line of Credit:
Form GD-2A
Page 2
11. Do you have a Hedge Account?
___Yes
___No
If yes, list the following for each account:
Closing
Open Trade
Total Value
Security on
Name of Broker
Account Balance
Equity Gain/Loss
of All Accounts
Deposit
You may attach a copy of hedge statement(s) in lieu of completing the above schedule.
12. Supplemental Financial Statement Information: In accordance with administrative rules concerning
grain dealers and warehouse operators, the following disclosures shall be made in the financial statement by
the CPA:
A. Any differences between grain obligations as listed on the financial statement and as listed on the monthly
grain report (form W-11) for the fiscal year end shall be reconciled in the notes to the financial statement.
B. Collateral warehouse receipts shall be disclosed as to the bushel amount and type of grain.
C. Company owned grain which is being stored in unlicensed facilities or which has been transferred to another
warehouse shall be disclosed as to the bushel amount and type.
D. A breakdown of the unpaid company owned grain which discloses the amount of grain on credit sale
contracts and other priced-not-paid grain shall be made. The dollar amount of credit sale contracts shall be
separately totaled and disclosed for each type of contract. Any advance payments made against a group of
contracts shall also be disclosed.
E. Number of bushels and dollar value of grain purchased under each separate Iowa grain dealer license, during
the dealer’s fiscal year.
F. Gross grain sales for the fiscal year.
G. Gross non-grain sales for the fiscal year.
H. Cost of all goods sold for the fiscal year.
I. Depreciation expense for the fiscal year.
J. Interest expense for the fiscal year.
13. Licensee’s Certification: I hereby state that this information is true and complete and I authorize the Iowa
Department of Agriculture and Land Stewardship to engage in such verification of this information as it deems
necessary.
___________________________________ _______________________ ________________________
Signature
Title
Date
009-0599 (rev. 1/1999)
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