End-Use Certificate Program

Instructions For FSA-751

END-USE CERTIFICATE PROGRAM CANADIAN WHEAT CONSUMPTION AND RESALE REPORT

This form is used by U.S. end-users and exporters of Canadian-produced wheat to report final dispositions of Canadian-produced wheat.

Submit the original of the completed form in hard copy to the Kansas City Commodity Office, Contract Reconciliation Division, P.O. Box 419205, Kansas City, MO 64141-6205.

End-User’s and Exporters of Canadian-produced wheat must complete Items 1 through 15.

Items 1-15

Fld Name / Item No.	Instruction
1 Filer’s Name and Address	Enter your name and address (include Street, City, State and ZIP Code).
2 Filer’s Telephone Number	Enter your phone number, including area code.
3 Storage Location	Enter the wheat storage location.
4 Importer’s Name and Address	Enter the importer’s name and address from the FSA-750, (include street, City, State and ZIP Code).
5 End-Use Certificate for Wheat Serial Number	Enter your serial number shown in the upper right hand corner of the FSA-750, END-USE CERTIFICATE FOR WHEAT.
6 Wheat Class	Enter the class of wheat.
7 Date of Receipt	Enter the date that the wheat was received.
8 Quantity Received	Enter the quantity received in net metric tons.
9 Quantity Consumed or Exported	Enter the quantity consumed or exported (in net metric tons).
10 Quantity Remaining	Enter the quantity remaining (in net metric tons).
11 Use	Mark all applicable items.
12 A and B Signature of Authorized Representa-tive and Date	Item 12A. Enter authorized signature. Item 12B. Enter the date of authorized signature.
13 Quantity Resold	Enter the quantity resold (in net metric tons).
14 Name, Address and Telephone Number of the Buyer	Enter the name, address, and telephone number of the buyer (include Street, City, State, Zip code and area code for telephone number).
15 A, B Signature of Authorized Representa-tive and Date	Item 15A. Enter the signature of authorized representative. Item 15B. Enter the date of authorized signature.