FAS-359 Declaration of Sale

FORM APPROVAL – OMB No. 0551-0005

FAS-359 U.S. DEPARTMENT OF AGRICULTURE (REV. 06-98) FOREIGN AGRICULTURAL SERVICE DECLARATION OF SALE				1. CCC REGISTRATION NO.
				2. SUPPLIER’S SALE NO.				3. PURCHASE AUTHORITY NO.
				4. DATE OF SALE TIME OF SALE
				5. DATE NOTICE OF SALE FILED TIME OF SALE
6. NAME AND ADDRESS OF IMPORTER (BUYER)				7. DESTINATION COUNTRY
8. CONTRACT QUANTITY IN METRIC TONS (M.T.)				9. CONTRACT LOADING TOLERANCE
10. COMPLETE COMMODITY DESCRIPTION
11. CONTRACT UNIT PRICE PER M.T.	DELIVERY TERMS (f.o.b., f.a.z., etc.)			12. CONTRACT DELIVERY PERIOD			13. COAST OR PORT OF ENTRY
14. NAME AND ADDRESS OF SALES AGENT, IF ANY
15. COMPLETE PACKAGING DESCRIPTION AND PACKAGING MATERIAL SPECIFICATIONS IF EXPORT OTHER THAN BULK
16. OTHER INFORMATION (any options to be entered by supplier of foreign buyer, any other contract terms not specifically provided for above, any additional information on delivery of the commodity, Import License (if required, type of vessel to be loaded, etc.)
SUPPLIER’S (EXPORTER’S) CERTIFICATION
I HERBY CERTIFY that the information contained in this form (and in any other documentary evidence of sale required to be submitted) is true and correct to the best of my knowledge and belief.) A FALSE STATEMENT IN THE CERTIFICATION MAY SUBJECT THE UNDERSIGNED TO CRIMINAL AND CIVIL PENALTIES UNDER FEDERAL STATUTES
SIGNATURE for supplier (Exporter)			TITLE			DATE
FOR USDA USE ONLY
This confirms that the above sale and price have been approved for financing under the regulations issued pursuant to Title I of Public Law 480 (83rd Congress), as amended.
AUTHORIZED SIGNATURE for General Sales Manager		TITLE			DATE

TO: NAME AND ADDRESS OF SUPPLIER (EXPORTER)

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 [0551-0005]. The time required to complete this information collection is estimated to average 0.50 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.