No Form Number 906-TX Citrus-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)		Buyer
Name		Name
Phone No.		Phone No.
Address		Address

Description of fruit (quantity, containers used, variety, etc.):

Grapefruit
	pounds/container/variety			pounds/container/variety
		in approved TVCC containers			in bulk
Oranges
	pounds/container/variety			pounds/container/variety
		in approved TVCC containers			in bulk

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.

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 0581-0189. 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. 9/13. Destroy previous editions.