PMC 10.13 CA Dried Prunes Withdrawal of Application for Prune Plum

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Form PMC 10.13
OMB 0581-0178

Date:

TO:

PRUNE MARKETING COMMlTfEE
3841 NORTH FREEWAY BLVD., SUITE 120
SACRAMENTO, CA. 95834

The undersigned desires to withdraw his Application for Prune Plum Diversion of
2001 crop prunes and requests the Prune Marketing Committee to cease any current action
it may be taking pursuant to such application.
The undersigned hereby requests refund of any portion of his deposit that is subject
to refund in accordance with applicable provisions of Marketing Order No. 993, as
Amended, and with Amended Administrative Rules and Procedures established pursuant
thereto.

(Firm or Partnership)
(Signature)

(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 0581-0178. The time required to
complete this information collection is estimated to average 3 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 (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 USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW,
Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer.

FonnPMC 10.13

INSTRUCTIONS FOR THE WITHDRAWAL REQUEST

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All applications wishing to withdraw tram the green diversion program must obtain a Form PMC
10.13. The form is to be filled out and submitted to the PMC Sacramento office.
PMC Sacramento will process the Withdrawal Form and will correspond with the applicant
within 10 days of receipt by the Sacramento office. The cost of withdrawal is $10.00 ifno work
has been performed in the field. If delineation and appraisal have been made there will be a
withdrawal cost of $100.00. Harvested diversion applicants will have a withdrawa! cost of
$10.00 until the time the Supplement if filled out. If the Supplement has "beenfilled out, but not
physical destruction of prune plums has been made, the withdrawal will be $60.00. Ifharvested
prune plums have actually been diverted, the withdrawal cost will be $100.00.