"Application for Fertilizer Dealer Permit" - Alabama

Application for Fertilizer Dealer Permit is a legal document that was released by the Alabama Department of Agriculture and Industries - a government authority operating within Alabama.

Form Details:

  • The latest edition currently provided by the Alabama Department of Agriculture and Industries;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Alabama Department of Agriculture and Industries.

ADVERTISEMENT
ADVERTISEMENT

Download "Application for Fertilizer Dealer Permit" - Alabama

1459 times
Rate (4.5 / 5) 94 votes
A
S
tate of
LABAMA
D
A
I
EPARTMENT OF
GRICULTURE AND
NDUSTRIES
Audits & Reports Section
1445 Federal Drive, Montgomery, AL 36107-1123
(334) 240-7263 ● 1-800-642-7761, Ext. 7263 ● Fax (334) 240-7187
Rick Pate, Commissioner
www.agi.alabama.gov
APPLICATION FOR FERTILIZER DEALER PERMIT 2019-2020
The undersigned hereby makes application for Fertilizer Dealer Permit as required by Alabama laws to sell
fertilizer in the State of Alabama for the period October 1, 2019 through September 30, 2020.
Name of Business: ________________________________________ Phone (
) __________________
Address: ___________________________________________________
Mailing address (P. O. Box)
___________________________________________________
Physical address (Street Number)
__________________________________________________
Zip Code ________________
City / State
In filing this application for a permit, the undersigned agrees to comply with Alabama laws, rules, and
regulations promulgated thereunder.
Name of Submitting Personnel ________________________________________________________
Signature ______________________________________
Date ______________________________
Email Address _______________________________________
The Fertilizer Dealer Permit fee is ten dollars ($10.00).
Please make check payable to the Alabama Department of Agriculture & Industries.
FOR OFFICE USE ONLY
Approved: __________________
Date: _________________
Method of Payment: Check ________ Cash ________
Date Processed: _______
Permit No.:___________________
A
S
tate of
LABAMA
D
A
I
EPARTMENT OF
GRICULTURE AND
NDUSTRIES
Audits & Reports Section
1445 Federal Drive, Montgomery, AL 36107-1123
(334) 240-7263 ● 1-800-642-7761, Ext. 7263 ● Fax (334) 240-7187
Rick Pate, Commissioner
www.agi.alabama.gov
APPLICATION FOR FERTILIZER DEALER PERMIT 2019-2020
The undersigned hereby makes application for Fertilizer Dealer Permit as required by Alabama laws to sell
fertilizer in the State of Alabama for the period October 1, 2019 through September 30, 2020.
Name of Business: ________________________________________ Phone (
) __________________
Address: ___________________________________________________
Mailing address (P. O. Box)
___________________________________________________
Physical address (Street Number)
__________________________________________________
Zip Code ________________
City / State
In filing this application for a permit, the undersigned agrees to comply with Alabama laws, rules, and
regulations promulgated thereunder.
Name of Submitting Personnel ________________________________________________________
Signature ______________________________________
Date ______________________________
Email Address _______________________________________
The Fertilizer Dealer Permit fee is ten dollars ($10.00).
Please make check payable to the Alabama Department of Agriculture & Industries.
FOR OFFICE USE ONLY
Approved: __________________
Date: _________________
Method of Payment: Check ________ Cash ________
Date Processed: _______
Permit No.:___________________