Form 1 (956) Walla Sweet Onions Handlers Statement of Oni

OMB No. 0581-0178

WALLA WALLA SWEET ONION MARKETING COMMITTEE

6601 W. Deschutes Ave., Suite C-2

Kennewick, WA 99336

Phone: (509) 585-5460 or Fax: (509) 585-2671

HANDLER’S STATEMENT OF WALLA WALLA SWEET ONION SHIPMENTS

HANDLERS of Walla Walla Sweet Onions, as defined by Marketing Order No. 956, are required to submit this statement, along with all assessments due, to the Walla Walla Sweet Onion Marketing Committee, by September 30, for onions handled prior to September 1 of each year. For sweet onions handled September 1 or later, an additional statement and assessment payment must be submitted no later than thirty (30) days after the end of the month in which the sweet onions were handled.  Delinquent accounts will be charged interest at the rate of 1.5% per month.  Walla Walla Sweet Onions include all varieties of Allium cepa grown within the production area, except Spanish hybrid varieties (see section 956.4 and 956.5 of the Marketing Order).

ENCLOSED FIND A CHECK or MONEY ORDER FOR $ __________________________. The enclosed check/money order is payment in full for assessments owed for all assessable shipments of Walla Walla Sweet Onions made during the current marketing season. Assessments were calculated from handling sweet onions from the following producers:

PRODUCER No. of 50 lb Equiv. PRODUCER No. of 50 lb Equiv.

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(Please use extra paper for additional entries)

This is to certify that ________________________________ shipped ___________________ 50 lb equivalencies

Handler Total Amount

of Walla Walla Sweet Onions during the current season at the established assessment rate of $_____ per 50 lb equivalency for a total assessment amount of $___________.

______________________________________ ___________________ ____________________________

Signature Date

____________________________

____________________________

Address

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 15 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.

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.

Form 1 (Exp. x/xxxx) Destroy previous editions.