PMC 10.5 CA Dried Prunes Diverters Request for Transferable Prune

Vegetable and Specialty Crops

PMC 10.5

Vegetable and Specialty Crops Mandatory

OMB: 0581-0178

Document [pdf]
Download: pdf | pdf
Fonn PMC lO.S
OMB -OS81.()178

DIVERTER'S REQUEST FOR TRANSFERABLE PRUNE PLUM DIVERSION CERTIFICATES
Notes:

(A)
(8)

CHECK ONLY ONE BOX BELOW: A, B, OR C; DO NOT CHECK MORE THAN ONE.
Prepare this form in Duplicate send original to PMC, keep a copy for your file.

-

Application Number
Date

Harvested Dry Tons Credited
Unharvested Dry Tons Credited
Total Dry Tons Credited

D

A. I hereby request that the total tonnage certified as diverted by me be applied exclusively to the reserve pool prunes
delivered by my name as indicated below.
My Account No.

My Name and Address

D

D

My Handle.r's Name

B. I hereby request that the total tonnage certified as diverted by me be applied in part to my own reserve pool prunes (as
indicated below) and the balance transferred to another producer (also indicated below).

My Name and Address

APPLY TO MY OWN RESERVE
My Account No.
My Handler's Name

Tons to Apply

His Name and Address

APPLY TO ANOTHER PRODUCER'S RESERVE
His Account No.
His Handler's Name

Tons to Apply

C. I hereby request that the total tonnage certified as diverted by me be transferred to another Producer and applied to his

reserveas indicatedbelow.
His Name and Address

His Account No.

His Handler's Name

I understand that the above producers have actual pmnes placed in the 2001 crop year reserve pool for their account which
will be released to salable tonnage to the extent of the salable percent times the diversion certificate weights set forth for their
respective names, at such time as the certificates are tendered to the Committee properly endorsed by me, by the respective
producers listed above, and their handlers.
Name of Producer

Send to: Prune Marketing Committee
3841 No.Freeway Blvd, Suite 120,
Sacramento, CA 95834
Authorized Signature and Title
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 058 I -0/78. 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, gender, religion, age,
disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require
alternative means for communication of program information (Brail/e, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice
and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, /400 Independence Avenue, SW,
Washington, DC 20250-94/0 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer.

Fonn PMC 10.5
OMB OS81..()178

Instructions for Fonn PMC 10.5, Diverter's Request for Transferable Prune Plum Diversion Certificates
This fonn was mailed to all independent diversion applicants with the official results of their diversion. The
purpose of the fonn was to enable the independent diverter to notify the Prune Marketing Committee to
whom the Diversion Certificate should be issued and which account number and handler would be receiving
the Certificate. Independent producers, after filling out this fonn, are required to return it to the Prune
Marketing Committee before a Transferable Diversion Certificate could be issued.


File Typeapplication/pdf
File Modified2007-07-31
File Created2007-07-31

© 2024 OMB.report | Privacy Policy