FINANCIAL
INSTITUTION
PERSON
OR FIRM HOLDING A LIEN OR ENCUMBRANCE
(Valid for CCC Contracts only.)
Form
Approved - OMB No. 0560-0183
This
form is available electronically.
See
Page 2 for Privacy Act and Public Burden Statements.
CCC-251
U.S.
DEPARTMENT OF AGRICULTURE
Commodity
Credit Corporation
1.
DATE OF NOTICE
(MM-DD-YYYY)
(06-11-98)
NOTICE OF ASSIGNMENT
IMPORTANT:
This
document is used to make assignments for both the Commodity Credit
Corporation (CCC) and the United States Department of Agriculture
(USDA). Assignments
for the two Agencies are similar, but the rules governing them are
not identical. Please make sure you know whether CCC or USDA is the
agency named in the contract before completing this form.
2.
CONTRACT MADE BY (Check one)
3.
CONTRACT
Commodity
Credit
Corporation
United
States Department
Of
Agriculture
CONTRACT
NUMBER
DATE
(MM-DD-YYYY)
4.
RETURN
TO
(Name and address of addressee) (For CCC contracts, this is the
USDA office to which invoices will be submitted for payment. For
USDA
contracts, this the contracting officer.)
5.
CONTRACT MADE WITH (Name
and address of contractor and warehouse code, if applicable)
6.
TYPE OF CONTRACT
7.
INSTRUCTIONS:
Monies payable from the U.S.
under a USDA or CCC contract may be assigned to a bank, trust
company, federal lending agency, or other recognized lending
institution. However, if such contract was made with a corporation
whose stock is wholly owned by the federal government, such
contract may be assigned to a prior lienholder, or, with the prior
approval of the contracting officer, to an individual.
Further, the rights of the
assignee to the proceeds of a USDA or CCC contract are subject to,
inter alia, defenses arising under the contract which the
government could have asserted against the assignor absent the
assignment.
Unless expressly permitted by
the contract, that any assignment shall cover all amounts payable
under the contract and not already paid and shall not be made to
more than one party, except that any assignment may be made to one
party as agent or trustee for two or more parties participating in
such financing. If the contract was made with CCC, it shall not be
subject to further assignment.
Since such assignment shall
be recognized only if and when the assignee thereof files written
notice of the assignment, these instructions shall be followed
carefully in order to avoid delay, inconvenience, and possible
impairment of the validity of the assignment.
A. Upon execution of an
assignment, the assignee shall prepare, sign and forward the
original signed copy of this notice, together with the original
signed copy of the
instrument of Assignment
to the addressee. Photocopies of each executed form shall be sent
to the surety or sureties upon the bond or bonds (if any) in
connection
with the contract.
B. The addressee shall
acknowledge receipt of this notice, if in order, in the space
provided and return photocopies of each acknowledged form to the
assignee.
C. It is the policy of CCC
and USDA to notify the assignee of the amount of any indebtedness
of the contractor which is to be collected by CCC or USDA by offset
from
payments due under the
contract. The assignee will generally receive such offset notice
when receipted copies of the Notice of Assignment are returned to
him or her.
Whenever the assignee is
given an offset notice by CCC or USDA, the amounts payable under
the contract will be the amounts remaining to be paid after offset.
D. CCC or USDA may offset
any amounts for which the assignor is indebted to the United States
for taxes with respect to which a notice of lien was filed, or a
Notice of
Levy was served, in
accordance with the provisions of the Internal Revenue Code of 1954
(26 U.S.C. 6323; 6331), prior to acknowledgement by CCC or USDA of
receipt of the notice of
assignment.
E. Such assignment shall
remain in force until addressee receives written advice from the
assignee to release this assignment.
NOTE:
Payment
due or to become due under the contract identified above will be
made to the undersigned assignee.
8.
NAME AND ADDRESS OF ASSIGNEE (Please limit name to one line (30
spaces) and limit address to two lines (30 spaces each).
9A.
STATUS OF ASSIGNEE AT TIME OF ASSIGNMENT (Check appropriate box)
PERSON
OR FIRM NOT HOLDING A LIEN OR ENCUMBRANCE
(Valid for CCC Contracts only. Assignee understands a valid
assignment for all purposes in this case requires the contractor to
obtain approval of the contracting officer or other designated
official of CCC in writing before the assignment will be recognized
by CCC.)
9B.
BY (Name of Signing Officer for Assignee)
9C.
TITLE
9D.
DATE (MM-DD-YYYY)
10.
ACKNOWLEDGMENT
Receipt is acknowledged of
this notice and a signed copy of the above-mentioned instrument of
assignment. Date and time of receipt is as follows:
10A.
TIME
10B.
DATE (MM-DD-YYYY)
10C.
BY (Signature)
10D.
TITLE
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.
CCC-251
(Page
2)
(06-11-98)
NOTE:
The
following statement is made in accordance with the Privacy Act of
1974 (5 USC 552a) and the Paperwork Reduction Act of 1995, as
amended. The authority for requesting the following information is
the Food Security Act of 1985 (Pub. L. 99-198), as amended, and the
regulations promulgated under 7 CFR Part 1400 for Payment
Eligibility Review requirements. The information will be used to
determine eligibility for program benefits and other financial
assistance administered by USDA agencies. Furnishing the requested
information is voluntary. Failure to furnish the requested
information will result in a determination of ineligibility for
certain program benefits and other financial assistance
administered by USDA agencies. This information maybe provided to
other agencies, IRS, Department of Justice or other State and
Federal Law enforcement agencies and in response to a court
magistrate or administrative tribunal. The provisions of criminal
and civil fraud statutes, including 18 USC 286, 287, 371, 651,
1001, 15 USC 714m; and 31 USC 3729, may be applicable to the
information provided. 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 0560-0183. The time required to complete this
information collection is estimated to average 10 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. RETURN
THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.
File Type | application/msword |
File Title | OmniForm Form |
Author | Erica.Robinson |
Last Modified By | Maryann.ball |
File Modified | 2009-06-16 |
File Created | 2009-06-16 |