F/H Form 3 Hazelnuts - Request for Transfer of Free Tonnage

OMB No. 0581-0178

HAZELNUT MARKETING BOARD

21595-A Dolores Way NE

Aurora, OR 97002-9738

Tel: (503) 678-6823

Fax: (503) 678-6825

REQUEST FOR TRANSFER OF FREE TONNAGE*

Date ________________________________

TO: Hazelnut Marketing Board

In accordance with the provisions of section 982.52(d) of Marketing Order No. 982, as amended, it is requested that _______________ pounds of free tonnage be transferred. (NOTE: Total Free Tonnage that can be transferred equals your credits divided by the ratio listed on line C. 2. on your monthly F/H Form 1.)

FROM: Handler __________________________________________

By ______________________________________________

Title _____________________________________________

TO: Handler __________________________________________

By ______________________________________________

Title _____________________________________________

* MUST BE SIGNED BY BOTH HANDLERS

APPROVAL OF REQUEST

The foregoing request is hereby approved, and the Hazelnut Marketing Board (Board) records have been adjusted accordingly.

HAZELNUT MARKETING BOARD

_____________________________________ Dated ______________________________

(After approval, the Board will send a copy to each of the handlers involved.)

No approval may be given to hazelnut handlers wishing to transfer excess restricted credits unless a completed request form is received and approved by the Board. (7 U.S.C. 608(d), 7 CFR 982.53 and 7 CFR 982.460).

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F/H Form 3 (Rev. 10/2010) Destroy previous editions.