The deposit agreement, Form FSA-2140, is a U.S. Department of Agriculture (USDA) Farm Service Agency (FSA) form that ties three parties together: the depositor, a bank, savings and loan or credit union, and the Government. The depositor pledges an account to the Government as security for debt owed to it, and the financial institution agrees to the withdrawal and reporting terms printed in Part B. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the form is published by FSA at the official URL below, and the completed form is returned to your county FSA office.
Last updated
What is FSA-2140?
Form FSA-2140, Deposit Agreement, is a USDA Farm Service Agency (FSA) agreement among a depositor, a bank, savings and loan or credit union, and the Government, in which the depositor pledges an account as security for debt owed to the Government.
The form has two parts. Part A collects the depositor's name, address, telephone number and Social Security Number or Tax Identification Number, the FSA address and telephone number, the name and address of the financial institution, the account number and the date. Part B sets the terms, items a through h.
Under those terms the depositor assigns, transfers and pledges the account and its deposits, made before or after the agreement, as security for any indebtedness now or later owed to the Government. No money may be withdrawn except on the depositor's order countersigned by an authorized FSA representative. The Government can direct the financial institution to pay over the balance, or part of it, on written demand, and the depositor's death, disability or insolvency does not impair that power.
The financial institution agrees not to claim offset or recoupment (except service charges), not to claim a security interest or "control" of the account, and to send the Government a monthly statement. Item h makes the state shown in Item 6A the institution's jurisdiction. The form carries OMB No. 0560-0238.
Who needs to file FSA-2140?
The form is signed by three parties, so each has its own role.
- The depositor enters their own details in Items 1 to 4 and signs in Item 10A. The depositor is the person or entity whose account is pledged to the Government.
- The financial institution (bank, savings and loan or credit union) is named in Item 6A, enters its representative's name, title, signature and date in Items 8A to 8D, and takes on the duties listed in Part B, items d through h.
- FSA is the Government party. An FSA representative completes Items 9A to 9D, and the FSA address and telephone number appear in Items 5A and 5B.
The form does not say who may sign for a depositor who is an entity or who acts through a representative. Ask your county FSA office if someone other than the named depositor will sign.
The form gives no eligibility rules for opening an account or for the debt it secures. The Privacy Act statement says FSA collects the information to determine eligibility for credit or other financial assistance, service the loan and conduct statistical analyses.
When to file FSA-2140
The agreement is made on the date entered in Item 7, and Part B says it applies to deposits made before or after that date. The form prints no separate due date.
Because the pledge covers all money deposited in the account, complete and sign the form before the account is relied on as security. The depositor's death, disability or insolvency does not impair the Government's power to demand withdrawal.
Once the financial institution has signed, it must return the signed original and a copy, with a copy of the deposit slip, to the address in Item 5A. After that the institution provides a monthly statement to the Government at that address. The Paperwork Reduction Act statement estimates an average of 10 minutes per response to complete the information collection.
Documents you need
- A copy of the deposit slip, which the financial institution returns with the signed original and a copy of the agreement to the address in Item 5A.
How to fill out FSA-2140
Enter the depositor's name and address
Item 1: the depositor's name. Item 2: the depositor's address.
Add telephone and tax number
Item 3: the depositor's telephone number. Item 4: the Social Security Number or Tax Identification Number, a 9 digit number; leaving it out may delay processing or lead to rejection.
Enter the FSA address and phone
Item 5A: the FSA address, where the financial institution returns the signed agreement and sends monthly statements. Item 5B: the FSA telephone number.
Identify the financial institution
Item 6A: the name and address of the bank, savings and loan or credit union, including the state, since item h uses it as the institution's jurisdiction. Item 6B: the account number.
Enter the agreement date
Item 7: the date of the agreement. Part B states that the agreement is made on this date.
Read the Part B terms
Review items a through h before anyone signs. They cover the pledge, withdrawals with an FSA countersignature, the Government's right to demand funds, the institution's waivers and its monthly statement duty.
Complete the institution's block
Items 8A to 8D: the financial institution's representative enters name, title, signature and date.
Complete the FSA representative's block
Items 9A to 9D: the FSA representative's name, title, signature and date.
Sign as the depositor
Item 10A: the depositor signs. Item 10B: the date of signing.
Review and download the completed PDF
Check that Items 1 to 7 are complete and all three signature blocks are filled, then download or print the completed PDF from FillingPDF and return it as described under How to submit.
How to submit FSA-2140
The form names two destinations: your county FSA office for the completed form, and the address in Item 5A for the financial institution's return copy.
- County FSA office: the form ends with the instruction to return the completed form to your county FSA office. It prints no mailing address, portal or appointment rule, so contact the office for its address and hours.
- Financial institution's return: the note to the financial institution asks it to return the signed original and a copy, along with a copy of the deposit slip, to the address listed in Item 5A.
- Monthly statements: under item f, the institution sends monthly statements to the Government at the address shown above, which is Item 5A. If a checking statement lacks payee names or check numbers and amounts, the institution must add the original canceled checks or a microfilm copy or other reasonable facsimile.
The form names no other channel. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Leaving out the Social Security Number or Tax Identification Number in Item 4; the form warns that omitting it may delay processing or lead to rejection.
- Entering something other than a 9-digit number in Item 4, which asks for a 9 digit No.
- Having the financial institution return only the signed original, without a copy and without a copy of the deposit slip as the note requires.
- Leaving the FSA address in Item 5A blank or wrong; the institution returns the agreement there and sends its monthly statements to it.
- Omitting the state from the institution's address in Item 6A, even though item h makes that state the institution's jurisdiction.
- Leaving any of the three signature blocks empty: Items 8C, 9C or 10A.
- Withdrawing money without the countersignature of an authorized FSA representative, which item b requires for every withdrawal.
- Sending the completed form somewhere other than your county FSA office, the destination the form gives.
Frequently asked questions
What is the FSA-2140 deposit agreement?
The FSA-2140 deposit agreement is a USDA Farm Service Agency form in which a depositor pledges an account at a bank, savings and loan or credit union to the Government as security for debt owed to it. The depositor, the financial institution and FSA all sign.
Who signs Form FSA-2140?
Three parties sign: the depositor in Item 10A, a representative of the financial institution in Item 8C, and an FSA representative in Item 9C. Each signature block has a matching date line, and the names and titles of the two representatives are entered in Items 8A, 8B, 9A and 9B.
Can I withdraw money from the pledged account?
Only with FSA's countersignature. Item b says no withdrawal is permitted except on the depositor's order and the counter-signature of an authorized representative of the Government. Under item c, FSA can also demand the balance in writing without the depositor's consent.
Where do I return the completed deposit agreement?
Return the completed form to your county FSA office, as the form states. The financial institution returns the signed original and a copy, with a copy of the deposit slip, to the address in Item 5A. The form gives no other channel, so ask your county office for its address.
Is the Social Security Number required on Form FSA-2140?
Giving it is voluntary, but the form warns that failing to disclose the Social Security Number or Federal Tax Identification Number may delay processing or lead to rejection. Item 4 asks for a 9 digit number.
What happens to the agreement if the depositor dies or becomes insolvent?
The Government's power is not affected. Item c says the death, disability or insolvency of the depositor does not impair FSA's power to demand or order a withdrawal of the balance, or any part of it, from the financial institution.
Does the bank have to send statements to FSA?
Yes. Under item f the financial institution provides a monthly statement to the Government at the address in Item 5A. If a checking statement lacks payee names or check numbers and amounts, it must add canceled checks or a microfilm copy or other reasonable facsimile.
Can I fill out the deposit agreement online on FillingPDF?
Yes. You can fill out the fillable PDF online on FillingPDF and download or print it. FillingPDF is an independent service, not affiliated with FSA, and does not file or send the form; you return it to your county FSA office.
Ready to fill out FSA-2140?
Fill out FSA-2140 now