OMB No. 0581-0178
ASSIGNMENT OF POOL EQUITY
_______________________________________ ___________________________________________
Name of Assignor, Producer or Dehydrator Name of Assignee, Handler, Bank, etc.
_______________________________________ ___________________________________________
Address of Above Address of Above
DATE: _______________, 20___ QUANTITY OF PRUNES: ___________________
(pounds)
AMOUNT: $ ___________________________ DESCRIPTION: ____________________________
CROP YEAR: 20___ to 20___
TO: Prune Marketing Committee
3840 Rosin Court, Suite 170
Sacramento, CA 95834
For valuable consideration, receipt of which is hereby admitted, the above-named assignor hereby assigns to the above named assignee his entire interest (but not more than the amount, if any, stated above) in any net proceeds to be distributed by the Prune Marketing Committee (Committee) pursuant to section 993.65(e) of Marketing Order No. 993, as amended, with respect to prunes (in a quantity not greater than that, if any, specified above) delivered to said assignee, as the handler thereof, or, if the assignee is not a handler, delivered to the following named handler by said assignor during the crop year specified above.
_____________________________________________________________________________________________
Name and address of handler receiving above described prunes if assignee is not the handler.
The Committee is hereby authorized and directed to pay the net proceeds herein described to said assignee.
The assignor hereby warrants that this is the first assignment of the proceeds specified above or that previous assignments have been for an aggregate amount not greater than $ _______________________.
The above assignment is hereby assented to:
____________________________________________
____________________________________________
____________________________________________ Signatures of other persons holding an interest in the above prunes |
___________________________________________
Signature of assignor
A copy of the within assignment has been received on this date: _________________________, 20___
PRUNE MARKETING COMMITTEE
By: _______________________________________
IMPORTANT NOTICE: The issuance of a false certificate knowing it to be false is a violation of title 18, section 1001 of the United States Code, which provides a penalty of a fine or imprisonment, or both.
This assignment is to be executed and submitted to the Committee in Triplicate. The Committee will endorse the triplicate copy and return to assignee.
INSTRUCTIONS -ASSIGNMENT OF POOL EOUITY
This form may be prepared by an independent prune grower having equity in the reserve pool or by anyone he owes money to and which obligation the grower wished to cover by this mechanism.
The form provides spaces in the upper left portion for identifying the assignor (independent grower holding equity in the reserve pool) with his name and address and his grower number. The date of such grower’s execution of the form should show in the date space. An “Amount” space is available for showing the dollar amount of an obligation.
The upper right portion of the form provides spaces for identifying the Assignee by name and address. An assignment for a fixed quantity of prunes needs the specific quantity to be entered on the line provided. A description space is provided for describing the prunes assigned as to variety, quality, etc. There is also a space for identifying the crop year to which the assignment pertains.
If the assignee is not the handler holding the reserve pool obligation of the assignor, such handler’s name must be entered on the line at the center of the form.
The assignor must declare the amount of any and all prior assignments of reserve pool proceeds on the line provided above his signature.
The assignor's signature must be authentic - it must be the signature of the person named as assignor unless a “Power of Attorney” is in effect and an authenticated copy thereof is furnished to the Committee for inspection and return. All persons having a financial interest in the reserve pool prune recorded in the name of the assignor must sign the form; otherwise, it will be returned to the assignee with a request to obtain the missing signatures.
The Committee will return an acknowledged copy to the assignee when the form is found to be complete and property executed.
Assignees should promptly inform the Committee of any release of the assignment so that reserve pool payments may go forward promptly to the persons legally entitled thereto.
PRUNE MARKETING COMMITTEE
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- 0178. 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.
PMC 8.2 (Rev. 01/2014. Destroy previous editions.)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | ARicci |
File Modified | 0000-00-00 |
File Created | 2021-01-26 |