F/H Form 2 Hazelnuts--Exchange of Merchantable Inshell Between Hand

OMB No. 0581-0178

HAZELNUT MARKETING BOARD

21595-A Dolores Way NE

Aurora, OR 97002-9738

Tel: (503) 678-6823

Fax: (503) 678-6825

EXCHANGE OF MERCHANTABLE INSHELL BETWEEN HANDLERS

The undersigned hereby certify that merchantable inshell hazelnuts have been exchanged between _____________________________________, the selling handler, and ___________________________________, the buying handler. It is also understood and agreed that ________________________________ (buying or selling handler) shall assume any diversion obligation required on the following lot(s):

Date of Inspection Certificate No. Weight (lbs) Size

SELLING HANDLER: BUYING HANDLER:

_________________________________________ __________________________________________

By ______________________________________ By ________________________________________

Title _____________________________________ Title ______________________________________

No sale of merchantable inshell hazelnuts between handlers can occur until a completed exchange form is received (7 U.S.C. 608(d), 7 CFR 982.56 and 7 CFR 982.456).

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.

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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.

F/H Form 2 (Rev. 01/2014) Destroy previous editions.