F/H Form B Hazelnut Mktng. Bd.--Shellers Application for Letter of

Hazelnut Marketing Board
21595 A Dolores Way NE
Aurora, OR 97002-9738

F/H Form B
OMB CONT. NO.
0581-0178

SHELLER'S APPLICATION FOR LETTER OF AUTHORITY
TO THE HAZELNUT MARKETING BOARD:
Application is hereby made for designation as an authorized sheller of hazelnuts with the privilege of
receiving restricted hazelnuts for shelling purposes as provided in §982.52 (a) of the Federal Hazelnut
Marketing Order. In consideration of the granting of this application, the undersigned agrees:
(1) To use such restricted hazelnuts as that maybe received for no purpose other than shelling;
(2) To dispose of or deliver such restricted hazelnuts, as unshelled hazelnuts to no one other than
another authorized sheller;
(3) To comply fully with all laws and regulations applicable to the shelling of hazelnuts; and
(4) To make such reports, certified to the Board and to the Secretary as to their correctness, as the
Board may require.
The undersigned also agrees to ensure that all kernels are properly inspected and certified in accordance
with §982.46 and §982.101.
The undersigned now holds all state, county and municipal licenses required by law and is complying and
will continue to comply with all federal, state and municipal laws applicable to hazelnut shelling
operations.
Our shelling operations are conducted at
We have been shelling hazelnuts at the above location or locations for the past
years.
We have a maximum productive capacity of
pounds of shelled hazelnuts per day.
Dated
Name of Applicant
By
Title

SHELLER'S LETTER OF AUTHORITY
(Invalid unless signed by Authorized Agent of Hazelnut Marketing Board)

The foregoing application is hereby granted, and the applicant is designated as an authorized sheller to
receive and shell restricted hazelnuts pursuant to the provisions of §982.52 (a) of Federal Hazelnut
Marketing Order No. 982. This authorization applies only to the location or locations given in the
foregoing application, is effective
, and remains in effect only until the end of the
current fiscal year.
Dated

By
Authorized Agent, Hazelnut Marketing Board

No sheller's application may be approved unless a completed application form has been received and
authorized (7 U.S.C. 608(d), 7 CFR 982.52(a) and 7 CFR 982.452(a)).

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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
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To file a complaint of discrimination,

write to USDA, Director, Office of Civil Rights, 1400 Independence A venue, S. W.,

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