Form No. 1 924-Fresh Prune Handler Statement for WA.-OR. Fresh Prun

OMB No. 0581-1089

WASHINGTON-OREGON FRESH PRUNE
MARKETING COMMITTEE
P. O. Box 2386
Yakima, WA 98907
Telephone and Fax No.: (509) 457-7697

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
FRUIT AND VEGETABLE PROGRAMS

HANDLER STATEMENT FOR WASHINGTON-OREGON FRESH PRUNES
Handlers of Washington-Oregon fresh prunes, as defined by Marketing Order No. 924, are required to submit this statement,
along with all assessments due, to the Washington-Oregon Fresh Prune Marketing Committee by September 15 of each year.
Washington-Oregon fresh prunes include all varieties of plums classified botanically as Prunus domestica, grown in the
production area, except those of the President variety (see §§ 924.4 and 924.5 of the Marketing Order).
Handler Name:
Handler Address:
Crop Year ____________

Producer Name

Field Run Tons
Early Prunes
Late Prunes

Address

TOTAL TONS
COMBINED (Early + Late) TOTAL TONS
Assessment Rate per Ton
TOTAL ASSESSMENTS ENCLOSED
Prepared By:
Signature:

Phone:
Date:

NOTE: 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 0581-0189. The time
required to complete this information collection is estimated to average 25 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.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age,
disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal,
or because all or part of an individual’s income is derived from any public assistance program (Not all prohibited bases apply to all programs.) Persons with
disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET
Center at (202) 720-2600 (voice and TDD).
To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or
call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

Form No. 1 (Rev. 7/10. Destroy previous editions.)