Submit the original of the completed form in hard copy or facsimile to the Kansas City Commodity Office (KCCO), Warehouse Licensing and Examination Division, STOP 9148, P.O. Box 419205, Kansas City, MO 64141-6205; or FAX 816-926-1774.
Customers who have established electronic access credentials with KCCO may electronically transmit this form to the KCCO. Features for transmitting the form electronically are available to those customers who would like to establish online access credentials with KCCO, follow the instructions provided at the USDA eforms web site.
Fld
Name /
|
Instruction |
A License Number |
Enter the United States Warehouse Act license number from form WA-125. |
B Code No. |
Enter the CCC code number from formWA-125. |
C Date of Exam |
Enter the date of the warehouse examination. |
13 Report |
Enter a narrative of the warehouse operator’s report of action taken to remedy the exceptions taken on form WA-125. |
14
|
If warehouse operator purchases grain to regain sufficient inventory to meet storage obligations, the warehouse operator completes this section detailing the purchases. |
14A Date |
Enter the date of the purchase. |
14B Kind |
Enter the kind of grain purchased. |
14C Bushel Amount |
Enter the number of bushels of grain purchased. |
14D Type of Purchase |
Enter the type of purchase: (for example) New grain, warehouse receipts, open storage, etc. If not paid, indicate the contract number. |
14E Check number |
Enter the check number if the purchase was paid. |
14F Date issued |
Enter the date the check was issued. |
14G Dollar amount |
Enter the dollar amount of the purchase. |
14H Purchased from |
Enter the name of the seller of the purchase. |
15A Signature |
Enter the signature of the warehouse operator’s designated person.
If you are mailing or faxing this form, print the form and manually enter your signature. If this form is approved for electronic transmission and you have established credentials with USDA to submit forms electronically, use the buttons provided on the form for transmitting the form to the USDA servicing office. |
15B Title |
Enter the title of the warehouse operator’s designated person. |
15C Date |
Enter the date of the warehouse operator’s designated signature. |
Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Instructions for WA-125ER |
Author | Preferred Customer |
File Modified | 0000-00-00 |
File Created | 2021-01-28 |