Warehouse Regulations Under the United States Warehouse Act

Warehouse Regulations Under the United States Warehouse Act

WA0401instruction

Warehouse Regulations Under the United States Warehouse Act

OMB: 0560-0120

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WA0401

Instructions For WA-401
LICENSING AGREEMENT FOR COTTON WAREHOUSE OPERATORS
Kansas City Commodity Office staff supplies cotton warehouse operators with the standard
Cotton Warehouse Licensing Agreement provisions in this form. The Warehouse Operator
reviews the provisions of the Agreement and signs the document indicating agreement to
abide by the provisions.
This form is generally prepared by the Kansas City Commodity Office staff and mailed, emailed, faxed or otherwise delivered to the warehouse operator for execution by signature
and submission of the original of the completed form in hard copy or facsimile to the
Kansas City Commodity Office (KCCO), Warehouse License 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 KCCO. Features for transmitting the form
electronically are available to those customers with access credentials only. If you would
like to establish online access credentials with USDA, follow the instructions provided at the
USDA eForms web site.

Generally prepared by Kansas City Commodity Office and provided to
the warehouse operator for signature.
The following items may be prepared by the Warehouse Operator, but if assistance is needed,
contact KCCO.
Fld Name /
Item No.
The Title and
Table of
Contents Pages

Instruction
Enter USWA license number in the blank named "License Number".
Enter the effective date of the Agreement in the blank named "Effective Date".

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Enter the USWA license number in the blank named "License Number".
Enter the Warehouse Operator’s complete name in the blank named
"Warehouse Operator".
For Example:
For a proprietor, enter, for example A Susan Doe@ .
For a corporation, enter, for example, A Does, Inc.@ , A a BLANK
corporation@ , where BLANK is the name of the state of incorporation.
For a general partnership, enter, for example A Letitia Doe, Frank Doe,
Selma Doe, and James Doe, copartners, trading as Doe Farms@ then A under
the laws of BLANK@ where BLANK is the state under whose laws the
partnership is organized.
For a limited partnership, enter, for example A Doe Farms Limited
Partnership under the laws of BLANK, Selma Doe, General Partner@ where
BLANK is the state of organization and under whose laws you operate.
For a limited liability company, enter, for example A doe Farms, L. L. C., a
BLANK limited liability company@ where BLANK is the name of the state
under which organized)
Enter the licensed locations from the proposed license in the blank named
"Licensed Location(s)".
Enter the effective date of the licensing Agreement in the blanks "Day"
"Month" and "Year".
Enter the complete name of the Warehouse Operator in the blank named
"Warehouse Operator". (The same as above instruction for Warehouse
Operator.)

Items completed by the Warehouse Operator.
Fld Name /
Item No.

Instruction

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Signature of person having the authority to bind the warehouse operator in
a legal contract. See examples of who can sign below:
Example 1. For a corporation, a signature resolution must be on
file or a signature resolution must be sent with the
bond for execution.
Example 2. Partnerships require signatures of all partners.
Example 3. General partner signs for a limited partnership.
Example 4. LLC signature is according to the organizing documents.
Enter the date of signature in the style as shown (MM-DD-YYYY).

For "Farm Service Agency" is to be completed by FSA.

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File Typeapplication/pdf
File TitleWA0401
File Modified2008-07-07
File Created2008-07-07

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