Warehouse Regulations Under the United States Warehouse Act

Warehouse Regulations Under the United States Warehouse Act

WA0460-0005 E-Gov

Warehouse Regulations Under the United States Warehouse Act

OMB: 0560-0120

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Instructions For WA-460-5

ADDENDUM TO THE PROVIDER AGREEMENT TO ELECTRONICALLY FILE AND MAINTAIN PEANUT WAREHOUSE RECEIPTS

Used by authorized providers to contract with FSA to provide services to users of the provider’s electronic storage and transfer system.

Submit the original of the 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. Customers who have established electronic access credentials with KCCO may electronically transmit this form to KCCO.

Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with KCCO, follow the instructions provided at the USDA eForms site.

Providers complete Page 1 and Page 7.


Fld Name /
Item No.

Instruction

(a)

Name of Provider

Enter the complete name of the Provider, page 1.

(a)

Name of Provider

Enter the complete name of the Provider, page 7.

(b)

Signature of Provider

Enter the signature of the Provider’s authorized representative, page 7.

(c)

Title of Provider

Enter the title of the Provider’s authorized representative, page 7.

(d)

Date

Enter the date of the signature of the Provider’s authorized representative, page 7.

Items (e) and (f) are for FSA use only.



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleInstructions for CCC-576
AuthorPreferred Customer
File Modified0000-00-00
File Created2021-01-28

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