LP-11 BEEF--Certification of Non-Producer Status (re-seller)

CERTIFICATION OF NON-PRODUCER STATUS (FOR THE RESELLER)

Failure to pay the beef checkoff is a violation of federal law. This form must be properly completed and signed to be valid. You may by law be fined up to $10,000, imprisoned up to 5 years, or both for knowingly or willfully making false statements within this document (18 U.S.C. §1001).

I CLAIM NON-PRODUCER STATUS ON HEAD OF CATTLE WHICH I AM RESELLING ON TO:

(number) (date)

BUYER’S NAME/ADDRESS

I certify upon reselling these cattle in compliance with 7 CFR 1260.314 that I have purchased these cattle to

facilitate the transfer of ownership of these cattle to a third party and I am reselling these cattle no later than

10 days from the date I purchased them; or that I have purchased these cattle and upon transfer shall receive only a sales commission or a service fee which was established prior to my purchase of the cattle.

I (the reseller) further certify that I purchased these cattle on and:

(date(s))

(Check only one box) OMB 0581-0093

1. I collected $1.00 per head; or

2. I received a Certification of Non-Producer Status from the person I purchased these cattle from; or

3. I purchased these cattle in a transaction in which I was not responsible for collecting the $1 per head

(Auction Market or Brand Inspector).

BUYER: Send this copy in with your monthly Remittance Report when required by your qualified

State beef council or Cattlemen’s Beef Promotion and Research Board (White).

BUYER’S COPY: Retain for your files (Yellow).

RESELLER’S COPY: Retain for your files (Pink).

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Person who owns these cattle at the time of sale and is claiming Non-Producer status.

RESELLER’S NAME: TAX ID #: ADDRESS: CITY: STATE/ZIP: SIGNATURE OF RESELLER:

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 0581-0093. The time required to complete this information collection is estimated to average 2 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintain the data needed, and completing and review 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.

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he following statements are made in accordance with the Privacy Act of 1974 (U.S.C. §522a) and the Paperwork Reduction Act of 1995, as amended. The authority for requesting this information to be supplied on the form is the Beef Promotion and Research Act of 1985 (7 U.S.C. §§2901-2911). Furnishing the requested information is necessary for the administration of this program. Submission of the Tax Identification Number (TIN) or Employer Identification Number (EIN) is mandatory, and will be used to determine affiliation or entity identity.

INSTRUCTIONS

1. Certificate must be filled out correctly and completely. When completed, it must then be given to the purchaser of your cattle, otherwise the purchaser is required under Federal Law to deduct the $1 per head.

2. A NON-PRODUCER is one who:

{a} received only a commission, handling fee, or other service fee from the proceeds of the cattle sale;

{b} acquired title of cattle to facilitate the transfer of ownership of such cattle from the seller to a third party, and resold such cattle no later than 10 days from the date on which the person acquired ownership; and

{c} has proof from the Bill of Sale or other documentation that the $1-per-head assessment was collected on the previous sale of these cattle.

PENALTIES

You may by law be fined up to $10,000, imprisoned up to 5 years, or both for knowingly or willfully making false statements within this document {18 U.S.C. §1001}.

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ABOUT THIS FORM

Get a Dollar or Get a Document! This expression has been used by the Beef Industry as a simple answer to an often asked question. Every buyer is responsible for getting either a dollar or a document from a seller. We all understand that when ownership of a bovine animal changes, a $1 is due for beef promotion and research. In some instances, however, a document is accepted in place of the $1. This document is the “Certification of Non-Producer Status” form.

The “Certification of Non-Producer Status” form is to be used only by someone RESELLING cattle that they have purchased and held not longer than 10 days. This RESELLER is considered to be a non-producer, and, therefore, exempt from the checkoff on this transaction. This form is used to certify the number of head sold and whether or not the reseller was required to collect a checkoff $1 when he/she purchased these cattle.

As the RESELLER you are responsible for filling in this form with the number of head of cattle being resold, the actual date of the sale, your name or company name, tax ID number, your complete address. Completed information on the buyer should also be filled in. Check the appropriate box certifying that when you purchased the cattle, you either collected the checkoff $1, received a non-producer status form, or bought cattle in a transaction in which you were not responsible for collecting the checkoff (auction market or brand inspector collected). For the form to be acceptable to the buyer, ALL this information must be completed, and the form must be signed.

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HIS FORM MUST BE SIGNED BY THE RESELLER IN ORDER TO BE VALID.

THIS BOOK ISSUED TO:

NAME/COMPANY: ADDRESS:

CITY: STATE:

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ZIP: