This form is used to provide a Power of Attorney
for individuals or partnerships that have executed form WA-83.
The bond is
prepared by the Licensing Branch and sent to the warehouse operator
for signature of execution and submission of the original completed
form in hard copy or facsimile to the Kansas City Commodity Office
(KCCO), Warehouse License and Examination Division, STOP 9148, P.O.
Box 419205, Kansas City, MO 64141-6205; or FAX 816-926-1774, for
acceptance and licensing.
This form is provided for information purposes
only.