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pdfOMB CONTROL NO. 0581-0308
U.S. Department Of Agriculture
Agricultural Marketing Service
Fair Trade Practices Program
Packers and Stockyards Division
RIDER FOR GENERAL USE WITH
TRUST FUND AGREEMENT OR TRUST AGREEMENT
Required Under Packers and Stockyards Act, 1921, As Amended
and Supplemented
To be attached to and to form a part of Trust Fund Agreement No. (1)
or Trust Agreement No. (2)
originally dated (3)
.
, naming
(4)
.
as Principal, (5)
,
as Trustee; and if a Trust Fund Agreement, (6)
,
as Depository.
The subject Agreement is amended as follows:
7. Increase in sum
of Trust Fund
Agreement
Not for use with a
Trust Agreement
8. Decrease in sum
of Trust Fund
Agreement
Not for use with a
Trust Agreement
9. Change in Name
of Principal
The agreement identified above is increased
FROM: $
TO:
$
(The Depository must complete the Depository Statement on the
second page of this form.)
ATTACH A COPY OF THE SECURITY TO THIS RIDER
The sum of the agreement identified above is decreased
FROM: $
TO:
$
.
,
.
,
ATTACH A COPY OF THE SECURITY TO THIS RIDER
The name, address, phone no. and email of the Principal, as given in the agreement
identified above, are changed
(Name, Address,
Phone, and Email)
FROM: ________________________________________________________________
________________________________________________________________
TO: ________________________________________________________________
________________________________________________________________
10. Change of
Trustee
The name, address, phone no. and email of the Trustee, as given in the agreement
identified above, are changed
(Name, Address,
Phone, and Email)
FROM: ________________________________________________________________
________________________________________________________________
TO:
________________________________________________________________
________________________________________________________________
The change of trustee and transfer of the original agreement to the new trustee is agreed to and accepted.
11(a)
Name of Former (Current) Trustee
Signature of Former (Current) Trustee
11(b)
Name of Successor (New) Trustee
Signature of Successor (New) Trustee
Form PSD 2400
Expires 02/28/2021
Page 1 of 6
12. Amend
Condition Clauses
of Agreement
The condition clause of the agreement identified above is amended
FROM: ________________________________________________________________
TO:
13. Add Condition
Clause 3 to
agreement
14. Delete
Condition Clause 3
from agreement
15. Add Clearee to
Clause 3
(Name(s),
Addresses(s),
Phone(s) and Email
16. Delete Clearee
from Clause 3
(Name(s),
Addresses(s),
Phone(s) and Email
________________________________________________________________
Add condition 3, Clearing Services to the above named agreement.
If checked go to line 15 of this form.
Delete condition 3, Clearing Services from the above named agreement.
If checked go to line 16 of this form.
The name(s), address(s), and telephone(s) of :
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
is (are) hereby added as clearee(s) to the agreement identified above.
The name(s), address(s), and telephone(s) of :
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
is (are) hereby deleted as clearee(s) from the agreement identified above.
17. Change of
Depository
The name, address, and telephone of the Depository, as given in the agreement identified
above, are changed
(Name, Address,
Phone and Email)
FROM ________________________________________________________________
________________________________________________________________
TO
________________________________________________________________
________________________________________________________________
*SUCCESSOR DEPOSITORY MUST COMPLETE THE FOLLOWING DEPOSITORY STATEMENT
DEPOSITORY STATEMENT: The Depository Statement must be completed if there is any change to the
amount of the collateral pledged to the referenced Trust Fund Agreement, or a change in the depository,
___________________________________________________________________________________________
18. Name of Bank or Other Depository
19. Account or Security(ies) identification and Number(s);
A copy of the Security must be attached to this document
Depository acknowledges having received notice that the account and/or security(ies) identified above are trust
funds under the above trust fund agreement, to be paid out only as directed in writing by currently named trustee, or
by a successor trustee appointed by Packers and Stockyards Division and properly identified as such, or by a court of
competent jurisdiction. Depository will not be responsible for any person's disposition of such funds.
20a. Depository by (Authorized signature)
Form PSD 2400
20b. Name of Officer
Expires 02/28/2021
Page 2 of 6
The identified agreement on page 1, Line 1 (TA) or Line 2 (TFA) shall be subject to all its agreements, limitations,
and conditions except as herein expressly modified, and further that this agreement and all riders attached thereto,
including this rider, shall not be cumulative, and when loss shall occur under this agreement during a period of time
within which the penalty of the agreement shall vary, the aggregate liability of the agreement shall in no event
exceed the largest penalty of this agreement in force during the period of time within which such loss shall occur
under this agreement.
All other conditions of this agreement remain the same.
21. This rider shall become effective as of the _____________ day of ____________________, 20____.
22a.
Name of Principal
22b.
Signature of Principal
23a.
Name of Trustee
23b.
Signature of Trustee
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 is 0581-0308.
The time required to complete this collection is estimated to average 1.5 hours 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 law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited
from discriminating on the basis of race, color, national origin, sex, age, disability, and reprisal or retaliation for prior civil rights activity. (Not all
prohibited bases apply to all programs.) 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 State or local Agency that administers the program
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 is also available in languages other than English.
To file a complaint alleging discrimination, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at
http://www.ascr.usda.gov/complaint_filing_cust.html, or 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: (a) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW,
Washington, D.C. 20250-9410; (b) fax: (202) 690-7442; or (c) email: [email protected].
Form PSD 2400
Expires 02/28/2021
Page 3 of 6
Instructions to Complete
Rider for General Use with Trust Fund Agreement or Trust Agreement
Form PSD 2400
A rider amending a trust agreement or trust fund agreement requires complete and correct
information to be submitted to the Packers and Stockyards Division (PSD) on Form PSD 2400.
If any information is missing or incorrect, the PSD will return the rider form to the principal or
financial institution for completion or correction. If the trustee is a state official, the regional
office will obtain the signature of the trustee and ensure the trustee retains an original copy of the
rider their files.
Operating without proper registration and bond may subject the principal to severe penalties
under law, including a fine of not more than $28,061.00 for each violation.
Submit a fully executed Trust Agreement/Trust Fund Agreement rider form to the regional office
of the PSD as listed below. The states, provinces, and territories covered by each regional office
are listed below its address.
Regional Offices of the Packers and Stockyards Division
Agricultural Marketing Service, Fair Trade Practices Program
Atlanta Regional Office
Denver Regional Office
Des Moines Regional Office
75 Ted Turner Drive SW, Ste 230 3950 Lewiston St., Suite 200 210 Walnut Street, Room 317
Atlanta, GA 30303-3308
Aurora, CO 80011-1556
Des Moines, IA 50309-2110
Phone: (303) 375-4240
Phone: (404) 562-5840
Phone: (515) 323-2579
FAX: (303) 371-4609
FAX: (404) 562-5848
FAX: (515) 323-2590
E-mail:
E-mail:
E-mail:
[email protected]
[email protected]
[email protected]
States Covered
States Covered
States Covered
AL, AR, CT, DC, DE, FL, GA, AB, AK, AZ, BC, CA, CO,
IA, IL, IN, KY, MB, MI, MO,
LA, MA, MD, ME, MS, NC,
HI, ID, KS, MT, NE, NM,
MN, ND, OH, ON, SD, WI
NH, NL, NJ, NY, PA, PR, QC, NV, OK, OR, SK, TX, UT,
RI, SC, TN, VA, VT, WV
WA, WY
If you have any questions about the form or completing the form, please contact the regional
office of the PSD listed above.
Line
No.
1
Subject
Instructions
2
Trust Fund Agreement
No.
Trust Agreement No.
3
4
Originally Dated
Principal
5
Trustee
If the agreement being amended is a Trust Fund
Agreement (TFA), enter the identification number
If the agreement being amended is a Trust Agreement
(TA), enter the identification number.
Enter the original effective date of the agreement.
Enter name of the Principal. The name must match that
listed on the original agreement or the most current as
changed by a previous rider.
Enter the trustee, as named on the original agreement, or
the most current as changed by a previous rider.
Form PSD 2400
Expires 02/28/2021
Page 4 of 6
Line
No.
6
Subject
Instructions
Depository
If the original agreement is a TFA, enter the Depository, as
named on the original agreement, or the most current as
changed by a previous rider.
If the original agreement is a TA, leave this section blank.
Use lines 7 through 20 to specify changes the rider makes to the agreement. Complete the line(s)
appropriate for the change you make to the agreement.
7
Increase in Sum of Trust Enter the amount of the TFA before the increase in the
Fund Agreement
FROM section, and the amount of the TFA after the
increase in the TO section.
8
Decrease in Sum of
Trust Fund Agreement
9
Change in Name of
Principal
10
Change in Trustee
11(a)
11(b)
Former Trustee’s
Signature
Successor Trustee’s
Signature
Attach a copy of the security to the rider, and complete the
Depository Statement.
Enter the amount of the TFA before the decrease in the
FROM section, and the amount of the TFA after the
decrease in the TO section.
Attach a copy of the security to the rider, and complete the
Depository Statement.
Enter the full name, address, phone, and email of the
Principal in the FROM section as stated on the original
agreement or previous rider, and the principal’s amended
name, address, phone, and email in the TO section.
Enter the full name, address, phone and email of the former
(current) trustee in the FROM section as stated on the
original agreement or previous rider and the full name,
address, phone, and email of the successor (new) trustee in
the TO section.
If there is a change of trustee, enter the name of the former
trustee, and obtain their signature, if available.
If there is a change of trustee, enter the name of the
successor (new) trustee to the agreement, and obtain their
signature.
Enter the condition clause stated on the original agreement
in the FROM section, and the condition clause the
agreement is changed to in the TO section.
12
Amend Condition
Clause of bond
13
Add Condition Clause 3
to Agreement
Check the box to indicate if the rider adds clearing services
to the agreement (Condition Clause 3 on form PSD 2300).
14
Delete Condition Clause
3 from Agreement
Check the box to indicate if the rider deletes clearing
services from the agreement (Condition Clause 3 on form
PSD 2300).
Form PSD 2400
Expires 02/28/2021
Page 5 of 6
Line
No.
15
Subject
Instructions
Add Clearee to
Condition Clause 3
Enter the full name, address, phone and email of each
clearee added to the agreement.
16
Delete Clearee from
Condition Clause 3
Enter the full name, address, phone and email, of each
clearee deleted from the agreement.
17
Change of Depository
18
Name of Bank or Other
Depository
19
Account or Security(ies)
Identification and
Number
Enter the full name, address, phone, and email of the
previous Depository in the FROM section, and the full
name, address, phone, and email of the successor
Depository in the TO section. If changing depository,
complete lines 18 through 21.
Enter the name of the financial institution which will
maintain the collateral pledged to the referenced Trust Fund
Agreement.
Enter the account number or identification numbers of all
accounts or securities that are pledged to the referenced
Trust Fund Agreement. Attach copy of security(ies) to
rider.
a. A responsible officer of the financial institution,
acting as Depository, must sign the form, to signify
the officer understands the responsibility of the
Depository regarding the disposition of the funds
pledged to the trust fund agreement.
b. Enter the name of the officer signing the form.
Enter the effective date of the rider.
a. Enter the name of the Principal.
b. Principal’s signature - The Principal, or someone
authorized to sign for the principal (for example, a
partner, member or officer), must sign the form.
20
a and b
Depository By
21
22
a and b
Rider Effective Date
Print and Signature of
Principal
23
a and b
Print and Trustee
Signature
Form PSD 2400
a.
b.
Enter the name of the Trustee.
Trustee’s Signature - The Trustee, or someone
authorized to sign on behalf of the trustee, must
sign the form. If the trustee is a state official, PSD
will obtain the trustee’s signature.
Expires 02/28/2021
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File Type | application/pdf |
File Title | Microsoft Word - PSD 2400 ams |
Author | PLTolle |
File Modified | 2019-07-24 |
File Created | 2018-06-21 |