PMC 8.2 (993) CA Dried Prunes Assignment of Pool Equity

OMB No. 0581-0178

ASSIGNMENT OF POOL EQUITY

_______________________________________ ___________________________________________

Name of Assignor, Producer or Dehydrator Name of Assignee, Handler, Bank, etc.

_______________________________________ ___________________________________________

Address of Above Address of Above

DATE: _______________, 20___ QUANTITY OF PRUNES: ___________________

(pounds)

AMOUNT: $ ___________________________ DESCRIPTION: ____________________________

CROP YEAR: 20___ to 20___

TO: Prune Marketing Committee

3840 Rosin Court, Suite 170

Sacramento, CA 95834

For valuable consideration, receipt of which is hereby admitted, the above-named assignor hereby assigns to the above named assignee his entire interest (but not more than the amount, if any, stated above) in any net proceeds to be distributed by the Prune Marketing Committee (Committee) pursuant to section 993.65(e) of Marketing Order No. 993, as amended, with respect to prunes (in a quantity not greater than that, if any, specified above) delivered to said assignee, as the handler thereof, or, if the assignee is not a handler, delivered to the following named handler by said assignor during the crop year specified above.

_____________________________________________________________________________________________

Name and address of handler receiving above described prunes if assignee is not the handler.

The Committee is hereby authorized and directed to pay the net proceeds herein described to said assignee.

The assignor hereby warrants that this is the first assignment of the proceeds specified above or that previous assignments have been for an aggregate amount not greater than $ _______________________.

The above assignment is hereby assented to:

____________________________________________

____________________________________________

____________________________________________

Signatures of other persons holding an interest in the above prunes

___________________________________________

Signature of assignor

A copy of the within assignment has been received on this date: _________________________, 20___

PRUNE MARKETING COMMITTEE

By: _______________________________________

IMPORTANT NOTICE: The issuance of a false certificate knowing it to be false is a violation of title 18, section 1001 of the United States Code, which provides a penalty of a fine or imprisonment, or both.

This assignment is to be executed and submitted to the Committee in triplicate. The Committee will endorse the triplicate copy and return to assignee.

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- 0178. The time required to complete this information collection is estimated to average 5 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.

INSTRUCTIONS -ASSIGNMENT OF POOL EOUITY

This form may be prepared by an independent prune grower having equity in the reserve pool or by anyone he owes money to and which obligation the grower wished to cover by this mechanism.

The form provides spaces in the upper left portion for identifying the assignor (independent grower holding equity in the reserve pool) with his name and address and his grower number. The date of such grower’s execution of the form should show in the date space. An “Amount” space is available for showing the dollar amount of an obligation.

The upper right portion of the form provides spaces for identifying the Assignee by name and address. An assignment for a fixed quantity of prunes needs the specific quantity to be entered on the line provided. A description space is provided for describing the prunes assigned as to variety, quality, etc. There is also a space for identifying the crop year to which the assignment pertains.

If the assignee is not the handler holding the reserve pool obligation of the assignor, such handler’s name must be entered on the line at the center of the form.

The assignor must declare the amount of any and all prior assignments of reserve pool proceeds on the line provided above his signature.

The assignor's signature must be authentic - it must be the signature of the person named as assignor unless a “Power of Attorney” is in effect and an authenticated copy thereof is furnished to the Committee for inspection and return. All persons having a financial interest in the reserve pool prune recorded in the name of the assignor must sign the form; otherwise, it will be returned to the assignee with a request to obtain the missing signatures.

The Committee will return an acknowledged copy to the assignee when the form is found to be complete and property executed.

Assignees should promptly inform the Committee of any release of the assignment so that reserve pool payments may go forward promptly to the persons legally entitled thereto.

PRUNE MARKETING COMMITTEE

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.

PMC 8.2 (Exp. x/xxxx) Destroy previous editions.