No Form Number 906-TX Citrus-Seller/Buyer Certification

OMB No. 0581-0189

TEXAS VALLEY CITRUS COMMITTEE Telephone: (956) 581-2190

901 Business Park Drive, Suite 400 Fax: (956) 584-3307

Mission, Texas 78572

SELLER/BUYER CERTIFICATION OF MARKETING ORDER NO. 906

Date _______________________

Seller (Handler/Producer)		Buyer
Name		Name
Phone No.		Phone No.
Address		Address

Description of fruit (quantity, containers used, variety, etc.):

Grapefruit
	pounds/container/variety			pounds/container/variety
		in approved TVCC containers			in bulk
Oranges
	pounds/container/variety			pounds/container/variety
		in approved TVCC containers			in bulk

Destination of fruit: ______________________________ Vehicle Lic. No. __________________

Vehicle Description: ___________________________________________________________________

(color, year, make, type)

Seller must read this statement to Buyer and ensure Buyer’s understanding:

SELLER/BUYER CERTIFICATION: I understand that Marketing Order No. 906 prohibits the transportation of over 400 pounds of grapefruit and/or oranges grown in Cameron, Hidalgo, and Willacy counties, outside of those three counties, without meeting the inspection and pack requirements in 7 CFR §§ 906.340 – 906.365. I also understand that the civil penalty is $1,100, and that each day that a violation occurs is a separate violation.

Seller’s Signature		Date
Buyer’s Signature		Date

INSTRUCTIONS: The canary copy goes to the Seller. The pink copy goes to the Buyer. The white copy must be mailed to the Texas Valley Citrus Committee within 7 days.

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 OMB 0581-0189. 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.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. USDA is an equal opportunity provider, employer, and lender.

Rev. 9/2016. Destroy previous editions.