Credit Transaction Trust Waiver

Dealer Trust Notification

Section 318 (7 U.S.C 217b)

(Contact Name) Date: _____________

(Dealer Name)

(Address)

(City), (State) (Zip)

Dear (Dealer or Contact Name):

This is to notify you that I have not been paid for livestock purchased by you (Dealer Name) on the dates and in the amounts as follows:

Insert the sale transaction(s) detail here (e.g., head count, livestock description, sale date, delivery date, total sales price, balance due, etc.). Also, state pricing details if they are unique and need further explanation. ***Attach all available supporting documents***

As a cash seller of livestock, I request that you hold in trust for me the items required to be held in trust under the Packers and Stockyards Act. This notice is for the full amount due for the livestock sold. If my calculations are in error or my estimates are incorrect, due to lack of settlement records, this notice will be for the account amount due for the livestock sales noted above.

As required by law, I am forwarding a copy of this letter to the Agricultural Marketing Service, Fair Trade Practices Program, Packers and Stockyards Division Regional Office in (Regional Office Address).

Sincerely,

(SIGNATURE): ______________________________________________________________________

Claimant’s Printed Name/Title: ___________________________________________________

Company Name (if Applicable): ___________________________________________________

Address: ______________________________________________________________________

City, State, Zip: ________________________________________________________________

Telephone Number(s): ___________________________________________________________

Email: ________________________________________________________________________

cc: Packers and Stockyards Division, Fair Trade Practices Program