CAC 303 (905) FL Citrus--New Handler Application

OMB No. 0581-0189

CITRUS ADMINISTRATIVE COMMITTEE
PO Box 941058
Maitland, FL 32794
Phone: (321)-214-5252 or (407) 765-5940
[email protected]
APPLICATION FOR NEW HANDLER OF RED GRAPEFRUIT
20___ - 20___ SEASON
___________________________________________________________________________________
Name of Registered Packinghouse
Address (incl. City, State, Zip Code) ________________________________________________________
___________________________________________________________________________________
Phone No. (_____) __________________________

Fax No. (_____) _________________________

Hereby certifies and agrees to the following:
1.

I (we) have obtained a license as a Citrus Fruit Dealer, and request to be considered as a New
Handler of Red Grapefruit from the date of this application to July 31, 20___.
(Citrus Fruit Dealer License Number __________________________)

2.

I (we) will have registered our packinghouse with the Florida Department of Agriculture,
Division of Fruit & Vegetable for the 20___ - 20___ season. The Division of Fruit & Vegetable
has assigned us a packinghouse Registration Number: _________________________________.

3.

This season will be the first season in which we will ship red grapefruit at this location or under
the Registration Number assigned to us by the Florida Department of Agriculture, Division of
Fruit & Vegetable.

________________________________________
Authorized Signature of Registered Packinghouse

_______________________
Title

_____________
Date

False certification or knowingly making any false statement to the Secretary of Agriculture is a violation
of title 18, section 1001, of the United States Code, and is punishable by fine, imprisonment, or both.
The above application for a New Handler of Red Grapefruit is hereby approved/disapproved (circle one)
for the 20___ - 20___ Season.
By: __________________________________________________
Manager, Citrus Administrative Committee

Date: ________________

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CAC Form 303 (Rev. 12/2018. Destroy previous editions.)

OMB No. 0581-0189

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CAC Form 303 (Rev. 12/2018. Destroy previous editions.)