Form 24A "Interstate Bulk Transfer of Seed Pending Certification" - Arkansas

What Is Form 24A?

This is a legal form that was released by the Arkansas Agriculture Department - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2009;
  • The latest edition provided by the Arkansas Agriculture Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 24A by clicking the link below or browse more documents and templates provided by the Arkansas Agriculture Department.

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Download Form 24A "Interstate Bulk Transfer of Seed Pending Certification" - Arkansas

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FORM 24A (rev 05/09)
INTERSTATE BULK TRANSFER OF SEED PENDING CERTIFICATION
Use this document to transfer seed certification responsibilities to another company in another state. This
document must accompany the shipment of seed.
KIND
YEAR HARVESTED
VARIETY
BUSHELS SHIPPED
SEED
DESCRIPTION
LOT / BIN #
TOTAL BUSHELS IN THIS LOT #
CLASS
NUMBER OF ACRES APPROVED
SEED CONTAINER:
True Bulk
Work Bags
NUMBER OF TRUCKS:
STAGE OF CONDITIONING:
Name
CERTIFIED
Also complete the
SEED
Address
Name & Address of
SELLER below.
APPLICANT
Phone
Send a copy to
the Seed
I hereby declare the seed described on this transfer was produced under my company name as the applicant for
Certification
certification and the fields were inspected by and met the minimum field requirements for Arkansas certification.
Office and to
the Seller
DATE OF TRANSFER ______________________
SIGNATURE _______________________________
Name
Also complete Name &
SELLER
Address of
Address
BUYER/PROCESSOR
Phone
Same as above?
below.
Send a copy to
the Seed
Certification
(Note: Only certified growers / dealers are eligible to use this form as a method of transferring ownership of
certified seed)
Office and to
the Buyer
DATE OF TRANSFER ______________________
SIGNATURE _______________________________
Complete any missing
Name
BUYER /
information, sign, date
PROCESSOR
Address
and return to the Seed
Phone
Certification office.
Send a copy to
the Seed
DATE RECEIVED ________________
Certification
Authority in both
BUSHELS RECEIVED ______________________
SIGNATURE _______________________________
states
BUYER’S NEW LOT NUMBER(S): ____________________________________________________________
ARKANSAS STATE PLANT BOARD – SEED CERTIFICATION SECTION
Phone (501) 225-1598
#1 NATURAL RESOURCES DRIVE, LITTLE ROCK, ARKANSAS 72205
Fax (501) 225-7213
SEED CERTIFICATION AUTHORITY DECLARATION: According to certification records, the above
information appears to be (circle one) ACCURATE
INACCURATE.
Transfer Approved (Y/N):____
Signature_______________________________________
Date__________________
FORM 24A (rev 05/09)
INTERSTATE BULK TRANSFER OF SEED PENDING CERTIFICATION
Use this document to transfer seed certification responsibilities to another company in another state. This
document must accompany the shipment of seed.
KIND
YEAR HARVESTED
VARIETY
BUSHELS SHIPPED
SEED
DESCRIPTION
LOT / BIN #
TOTAL BUSHELS IN THIS LOT #
CLASS
NUMBER OF ACRES APPROVED
SEED CONTAINER:
True Bulk
Work Bags
NUMBER OF TRUCKS:
STAGE OF CONDITIONING:
Name
CERTIFIED
Also complete the
SEED
Address
Name & Address of
SELLER below.
APPLICANT
Phone
Send a copy to
the Seed
I hereby declare the seed described on this transfer was produced under my company name as the applicant for
Certification
certification and the fields were inspected by and met the minimum field requirements for Arkansas certification.
Office and to
the Seller
DATE OF TRANSFER ______________________
SIGNATURE _______________________________
Name
Also complete Name &
SELLER
Address of
Address
BUYER/PROCESSOR
Phone
Same as above?
below.
Send a copy to
the Seed
Certification
(Note: Only certified growers / dealers are eligible to use this form as a method of transferring ownership of
certified seed)
Office and to
the Buyer
DATE OF TRANSFER ______________________
SIGNATURE _______________________________
Complete any missing
Name
BUYER /
information, sign, date
PROCESSOR
Address
and return to the Seed
Phone
Certification office.
Send a copy to
the Seed
DATE RECEIVED ________________
Certification
Authority in both
BUSHELS RECEIVED ______________________
SIGNATURE _______________________________
states
BUYER’S NEW LOT NUMBER(S): ____________________________________________________________
ARKANSAS STATE PLANT BOARD – SEED CERTIFICATION SECTION
Phone (501) 225-1598
#1 NATURAL RESOURCES DRIVE, LITTLE ROCK, ARKANSAS 72205
Fax (501) 225-7213
SEED CERTIFICATION AUTHORITY DECLARATION: According to certification records, the above
information appears to be (circle one) ACCURATE
INACCURATE.
Transfer Approved (Y/N):____
Signature_______________________________________
Date__________________