Application for transfer LLP scallop license

Revised: 09/18/14 OMB Control No. 0648-0334 Expiration Date: 12/31/2014

LLP License Limitation Program	APPLICATION FOR TRANSFER OF SCALLOP LLP LICENSE		U.S. Dept. of Commerce/NOAA National Marine Fisheries Service (NMFS) Restricted Access Management Program (RAM) P.O. Box 21668 Juneau, AK 99802-1668 (800) 304-4846 toll free / 586-7202 in Juneau (907) 586-7354 fax
BLOCK A -- IDENTIFICATION OF LICENSE TO BE TRANSFERRED
1. License Number: ____________________
2. What is the total PRICE (if any), including all fees, being paid for this license? $_______________ Does this price include the price of the vessel or other assets? YES [ ] NO [ ] Attach: A copy of the sales contract or other agreement between the parties that sets out the terms and conditions of the proposed transfer.
BLOCK B – PERSON TRANSFERRING LICENSE (TRANSFEROR/SELLER)
1. Name(s):				2. NMFS Person ID:
3. Business Mailing Address [ ] Permanent [ ] Temporary
4. Business Telephone No.:		5. Business Fax No.:			6. Business e-mail Address (if any):
BLOCK C – PERSON TO WHOM LICENSE WILL BE TRANSFERRED (TRANSFEREE/BUYER)
1. Are you a U.S. citizen or U.S. corporation, partnership, association, or other non-individual entity? YES [ ] NO [ ] If NO, STOP. Only U.S. citizens may hold a scallop LLP license.
2. Name(s):				3. NMFS Person ID:
4. Business Mailing Address: [ ] Permanent [ ] Temporary
5. Business Telephone No.:		6. Business Fax No.:			7. Business e-mail Address:

NOTE: All parties to the requested transfer must complete and sign this Application for Transfer of Scallop License and signatures must be notarized. Failure to have signatures properly notarized will result in processing delays.

NOTE: If an authorized representative is signing on behalf of a party, authorization (in the form of a Power of Attorney or other legally sufficient documentation) must be submitted with this application, or be on file with the RAM Program.

BLOCK D – CERTIFICATION OF TRANSFEROR
Under penalty of perjury, I hereby declare that I have examined this application, and the information presented herein is true, accurate, and complete to the best of my knowledge and belief.
1. Signature of Transferor or Authorized Representative	2. Date
3. Printed Name of Transferor or Authorized Representative Note: If completed by a representative, attach authorization
4. Title, if Representative
5. Notary Public Signature ATTEST	6. Affix Notary Stamp or Seal Here
7. Commission Expires

BLOCK E – CERTIFICATION OF TRANSFEREE
Under penalty of perjury, I hereby declare that I have examined this application, and the information presented herein is true, accurate, and complete to the best of my knowledge and belief.
1. Signature of Transferee or Authorized Representative	2. Date
3. Printed Name of Transferee or Authorized Representative Note: If completed by Representative, attach authorization
4. Title, if Representative
5. Notary Public Signature ATTEST	6. Affix Notary Stamp or Seal Here
7. Commission Expires

INSTRUCTIONS

APPLICATION FOR

TRANSFER OF SCALLOP LLP LICENSE

The information requested on this application is for the express purpose of ensuring that transfers of scallop licenses are properly executed as requested by the parties to the transfer and to ensure that all provisions of the federal regulations governing the transfer of such licenses, 50 CFR 679.4(l)(4), have been met.

Upon approval of an Application for Transfer of Scallop License, RAM will void the license in the name of the transferor and mail a new license to the new holder's address via first class mail, unless a pre-paid express envelope or an account number for a private express carrier has been provided, or arrangements have been made to have the transaction expedited by a private facilitator or courier.

GENERAL INFORMATION

The Scallop License Limitation Program is authorized in Federal regulations at 50 CFR Part 679, and provides that any vessel that is deployed in the scallop fisheries in Federal waters off Alaska must carry a valid scallop license.

A license is transferable; i.e., once issued, it may be transferred by its holder(s) to another person(s) who may then use the license aboard a vessel deployed in the Federal scallop fishery in the waters off Alaska (subject to the restrictions of the license).

Scallop licenses have no area endorsements, all licenses are statewide.

RESTRICTIONS

Gear: If a vessel did not make a legal landing of scallops outside Cook Inlet (State of Alaska Registration Area H) in 1 of the 3 years 1996, 1997, or 1998, through October 9, 1998, the license would be restricted to a single 6 foot (1.8 m) dredge.

Maximum Length Overall (MLOA): Each license displays an MLOA (in feet). MLOA is restricted to 100% of the LOA of the qualifying vessel or, 100% of the LOA of the largest vessel used in the recent qualifying period.

APPLICATION PROCESSING

An original application must be submitted to NMFS Restricted Access Management (RAM) and must bear the original signatures of the parties -- RAM will not process faxed applications. NMFS requires that this application be notarized.

Attach a copy of the sales contract or other agreement between the parties that sets out the terms and conditions of the proposed transfer.

When completed, submit the Application for Transfer of Scallop License and any required attachments, including the original license,

By mail to: NMFS Alaska Region

Restricted Access Management (RAM)

P.O. Box 21668

Juneau, Alaska 99802-1668

or deliver to: NMFS Alaska Region

Restricted Access Management (RAM)

709 West 9^th Street Suite 713

Juneau, Alaska 99801

Additional information is available from RAM, as follows:

Fax: 907-586-7354

e-Mail: [email protected]

Website: http://www.alaskafisheries.noaa.gov/ram/default.htm

Telephone (toll free) 800-304-4846 (Option #2)

Telephone (in Juneau) 907-586-7202 (Option #2)

Please allow at least 10 days for processing of your application. Upon approval of an Application for Transfer of Scallop License, RAM will void the license in the name of the transferor and mail a new license to the new holder's address via first class mail, unless a pre-paid express envelope or an account number for a private express carrier has been provided, or arrangements have been made to have the transaction expedited by a private facilitator or courier.

COMPLETING THE APPLICATION

Attach: A complete copy of the sales contract, or other agreement between the parties, that sets out the terms and conditions of the proposed transfer.

BLOCK A -- IDENTIFICATION OF LICENSE TO BE TRANSFERRED

1. Enter the number of the scallop LLP license to be transferred.

2. Enter the total price, including brokerage fees, being paid for the license. Enter "zero" if the transfer is being proposed pursuant to a gift agreement or for non-monetary consideration.

BLOCK B -- PERSON TRANSFERRING LICENSE (TRANSFEROR/SELLER)

1-2. Enter the transferor's name(s) and NMFS Person ID. NMFS will provide this number, if you do not already have one.

3. Enter the business mailing address, including street or P.O. Box, city, state, and zip code.

4-6. Enter the business telephone number, including area code, business fax number, and e-mail address.

BLOCK C -- PERSON(S) TO WHOM LICENSE WILL BE TRANSFERRED (TRANSFEREE/ BUYER).

1. Indicate if the proposed transferee is a U.S. citizen or U.S. corporation, partnership, association, or other non-individual entity. If NO, STOP. Only U.S. citizens may hold a scallop license.

2-3. Enter the transferee's name(s) and NMFS Person ID. NMFS will provide this number, if you do not already have one.

4. Enter the business mailing address, including street or P.O. Box, city, state, and zip code.

5-7. Enter the business telephone number, including area code, business fax number, and e-mail address.

BLOCKS D and E – TRANSFEROR AND TRANSFEREE CERTIFICATION

The transferor and transferee must sign, print name, and date the application in the presence of a Notary Public. If a Representative is signing on behalf of the proposed transferor or transferee, authorization (in the form of a Power of Attorney or other legally sufficient documentation) must be submitted with the application or be currently on file with the RAM Program. Enter the title of the Representative, if any. A Notary Public must attest and affix a Notary Stamp or Seal to the application.

_________________________________________________________________________________________________

PUBLIC REPORTING BURDEN STATEMENT

Public reporting burden for this collection of information is estimated to average 1.0 hour per response, including the time for reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Assistant Regional Administrator, National Marine Fisheries Service, Alaska Region, Sustainable Fisheries Division, P.O. Box 21668, Juneau, AK 99802-1668.

ADDITIONAL INFORMATION

Before completing this application, please note the following: 1) Notwithstanding any other provision of law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number; 2) This information is being used to manage the Scallop License Limitation Program; 3) Submission of an Application for Transfer of Scallop License is required of those seeking to obtain such a transfer; 5) Responses to this information request are confidential under section 402(b) of the Magnuson-Stevens Act. They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.

____________________________________________________________________________________________________

Application for Transfer of Scallop LLP

Page 7 of 7