No Form Number Seller/Buyer Certification

OMB No. 0581-0189

TEXAS VALLEY CITRUS COMMITTEE
901 Business Park Drive, Suite 400
Mission, Texas 78572
Telephone: (956) 581-2190
Fax: (956) 584-3307
SELLER/BUYER CERTIFICATION
OF MARKETING ORDER NO. 906
Date _______________________
Seller (Handler/Producer)
Name
Phone No.
Address

Buyer
Name
Phone No.
Address

Description of fruit (quantity, containers used, variety, etc.):
Grapefruit
pounds/container/variety
in approved TVCC containers

pounds/container/variety
in bulk

pounds/container/variety
in approved TVCC containers

pounds/container/variety
in bulk

Oranges

Destination of fruit: ______________________________
Vehicle Lic. No. __________________
Vehicle Description: ___________________________________________________________________
(color, year, make, type)

Seller must read this statement to Buyer and ensure Buyer’s understanding:
SELLER/BUYER CERTIFICATION: I understand that Marketing Order No. 906 prohibits the
transportation of over 400 pounds of grapefruit and/or oranges grown in Cameron, Hidalgo, and Willacy
counties, outside of those three counties, without meeting the inspection and pack requirements in 7 CFR
§§ 906.340 – 906.365. I also understand that the civil penalty is $1,100, and that each day that a violation
occurs is a separate violation.
Seller’s Signature

Date

Buyer’s Signature

Date

INSTRUCTIONS: The white copy goes to the Seller. The canary copy goes to the Buyer. The pink copy must be
mailed to the Texas Valley Citrus Committee within 7 days.
NOTE: 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 05810189. 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 opportunity provider and employer.

Rev. 7/12. Destroy previous editions.