WA-140 Agreement to Assume Agricultural Product Storage Obligat

This form is available electronically.

WA-140

See Page 2 for the Privacy Act and Public Burden Statements.
U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency

(11-20-03)

Form Approved - OMB No. 0560-0120

License No.

Initials

AGREEMENT TO ASSUME AGRICULTURAL PRODUCT STORAGE OBLIGATIONS
(a)

(c)

License No.

(b)

Assuming License No.

_______________________________________________________ , (d)
(Type Entity)

(Acquiring Entity)

has acquired (or is acquiring) possession of the warehouse known as (e)
(Common Name of Warehouse and location City, State)

[License No. (f)

] currently operated by (g)

,
(Relinquishing Entity)

as a public warehouse, under the license number cited, issued under the

(h)
(Type Entity)

provisions of the United States Warehouse Act (7 U.S.C. 241-256) (the Act); and

(i)

__________________________________________________________ now has certain obligations representing
(Relinquishing Entity)

agricultural products in these warehouses but its license, under the Act has been (or is to be) revoked or amended; and
is applying for license, or an amendment to license

(j)
(Acquiring Entity)

under the Act to conduct public warehouses for the storage of agricultural product(s) and will operate the named warehouse
currently operated by (k)

under the license stated above; and
(Relinquishing Entity)

Farm Service Agency is charged with the supervision of warehouses licensed under the provisions of the Act
and desires to make certain that all storage obligations made by

(l)
(Relinquishing Entity)

for agricultural products stored in this warehouse will be fulfilled.

It is agreed that (m) ______________________________________________________________________
(Acquiring Entity)

assumes full and complete responsibility for the storage and delivery of all agricultural product(s) obligations now
in the control of (n)

(Relinquishing Entity)

in the named warehouse, at the time of acceptance of the named warehouse by (o)
(Acquiring Entity)

and to assume storage and delivery of the said obligations according to the terms and provisions of the Act, regulations, licensing
agreements, and warehouse receipts originally issued by (p) __________________________________________________________ .
(Relinquishing Entity)

WA-140

Page 2 of 2

(11-20-03)

The parties have executed this agreement this (q)
Day

day of (r)

Month / Year

(t)

(s)
Acquiring Entity

Relinquishing Entity

(1) By

(1) By

Officer

Officer

(2) Its

(2) Its

Office

Office

(3) Witness

(3) Witness

(4) City, State

(4) City, State

NOTE: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a) and the Paperwork Reduction Act of 1995, as amended. The authority
for requesting the following information is the regulations at 7 CFR Part 735. This information may be provided to other agencies, IRS, Department of Justice or
other State and Federal law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud
statutes, including 18 U.S.C. 286, 287, 371, 641, 651, 1001; 1014, and 31 U.S.C. 3729, may be applicable to the information provided.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0120. The time required to complete this
information collection is estimated to average 15 minutes per response including the time for reviewing instructions searching existing data sources gathering and
maintaining the data needed and completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO THE KANSAS CITY
COMMODITY OFFICE, POST OFFICE BOX 419205, KANSAS CITY, MO 64141-6205.
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disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative
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a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D. C. 20250-9410
or call (202) 720-5964 (voice or TDD). USDA is an equal opportunity provider and employer.