WMB-17 WMB--Request for Transfer of Reserve Credits

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OMB NO. 0581-0178
WMB Form 117
.

Walnut Marketing Board
1540 River Park Drive,Suite 203
Sacramento CA 95815-4809
Ph (818) 822-5888 Fax (818)$p23-2548

REQUEST FOR TRANSFER OF RESERVE CREDITS
This report requesting the transfer of reserve credits Is submitted In compliance with the requirements of the Federal
Marketing Order No. 984, as amended. In executing this fonn, the handler respectivelycertifies to the Walnut Marketing
Board end to the U.S. Department of Agriculture 88 to the correctness and completeness of their statemenl

Instructions: 1. Completethe Informationbelow.
2. The form must be signedby bothhandlersand submittedIn triplicate.
3. Followingapproval,the WalnutMarketingBoardwill send a copyto each handler.

In accordance with the provisions of Section984.458(b)of ,MarketingOrder No. 984, as
amended, It Is requested that
pounds (kernelwelght) of reserve
credits be transferred:
FROM:

Handler
By
Title
Date

TO:

Handler
By
Title
Date

WALNUT MARKETING BOARD
The foregoing request Is hereby approved, and the Walnut Marketing Board records have been
adjusted accordingly.
By

Date

Note: No transfer of reserve credit will be approved by the Walnut Marketing Board for either the receiving
or transferring handler unless a completed form has been received. (7CFR 984.56 and 7CFR
984.456)
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 0581-0178. The time required to complete this information collection is estimated to average 5 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.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color,
national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual
orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any
public assistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative
means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center
at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights,
1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD).
USDA is an equal opportUnityprovider and employer.