Form W-11 "Monthly Grain Statement" - Iowa

What Is Form W-11?

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

Form Details:

  • Released on February 1, 2009;
  • The latest edition provided by the Iowa Department of Agriculture and Land Stewardship;
  • 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 fillable version of Form W-11 by clicking the link below or browse more documents and templates provided by the Iowa Department of Agriculture and Land Stewardship.

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Download Form W-11 "Monthly Grain Statement" - Iowa

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Form W-11
MONTHLY GRAIN STATEMENT
To The GRAIN WAREHOUSE BUREAU
IOWA DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP
WALLACE STATE OFFICE BUILDING
DES MOINES, IA 50319-0053
Phone: 515-281-5987 Fax: 515-281-6800
Iowa Grain Dealer License Number GD-
Iowa Warehouse License Number
W-
Location
Name of Licensee
For the close of business
Date
A.
Rules governing the operation of warehouse operators and grain dealers provide that a monthly statement shall be prepared at the
close of business at the end of each calendar month and filed with the department by the tenth of the month following. You may send
your statement by fax (no cover sheet needed) or mail.
B.
All Iowa or federal licensed warehouse operators and grain dealers who have grain storage facilities shall complete columns 1 through 10.
C.
Grain dealers who do not hold any type of warehouse operator license and who have no storage facilities shall complete columns 3, 6, 8, 9 and 10.
D.
Information is to be taken from your daily position record.
E.
Further instructions for completing this form are found on the back of this form.
1
2
3
4
5
6
7
Kind of
Warehouse
Unpaid
Paid
Price
Grain
Open Storage
Receipted
Company
Company
Total Bushels
Per
Total Value
Owned
Owned
Bushel
Corn
Soybeans
Oats
Wheat
Indicate the amount of credit-sale contract grain that is included in column 3 above.
Kind of Grain
8 Price Later Contract
9 Deferred Payment Contract
10 Minimum Price Contract
Corn
Soybeans
Additional Disclosures: (Collateral warehouse receipts, company owned grain in unlicensed space, grain transferred in trust, etc.)
Print or type the name of the person to contact in case of questions
009-0619 (2/09)
RETAIN A COPY OF THIS FORM IN YOUR RECORDS
Form W-11
MONTHLY GRAIN STATEMENT
To The GRAIN WAREHOUSE BUREAU
IOWA DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP
WALLACE STATE OFFICE BUILDING
DES MOINES, IA 50319-0053
Phone: 515-281-5987 Fax: 515-281-6800
Iowa Grain Dealer License Number GD-
Iowa Warehouse License Number
W-
Location
Name of Licensee
For the close of business
Date
A.
Rules governing the operation of warehouse operators and grain dealers provide that a monthly statement shall be prepared at the
close of business at the end of each calendar month and filed with the department by the tenth of the month following. You may send
your statement by fax (no cover sheet needed) or mail.
B.
All Iowa or federal licensed warehouse operators and grain dealers who have grain storage facilities shall complete columns 1 through 10.
C.
Grain dealers who do not hold any type of warehouse operator license and who have no storage facilities shall complete columns 3, 6, 8, 9 and 10.
D.
Information is to be taken from your daily position record.
E.
Further instructions for completing this form are found on the back of this form.
1
2
3
4
5
6
7
Kind of
Warehouse
Unpaid
Paid
Price
Grain
Open Storage
Receipted
Company
Company
Total Bushels
Per
Total Value
Owned
Owned
Bushel
Corn
Soybeans
Oats
Wheat
Indicate the amount of credit-sale contract grain that is included in column 3 above.
Kind of Grain
8 Price Later Contract
9 Deferred Payment Contract
10 Minimum Price Contract
Corn
Soybeans
Additional Disclosures: (Collateral warehouse receipts, company owned grain in unlicensed space, grain transferred in trust, etc.)
Print or type the name of the person to contact in case of questions
009-0619 (2/09)
RETAIN A COPY OF THIS FORM IN YOUR RECORDS
Instructions for completing form W-11
A copy of the form completed for each month shall be retained in your records.
All grain quantity amounts shall be listed in bushels.
Column 1
Enter the amount of open storage at the end of the month. Open storage consists of grain
delivered by depositors for storage purposes where no warehouse receipt has been issued and
grain which is awaiting disposition. Open storage does not include grain which has been
sold to you.
Column 2
Enter the total amount of grain covered by warehouse receipts at the end of the month.
Column 3
Enter the total of unpaid company owned at the end of the month. Unpaid company owned
consists of all grain purchased by you for which payment has not been made, including that
which is covered by credit-sale contracts. (credit-sale contracts include, but are not limited
to, deferred payment, price later, basis, minimum price, etc.) Amounts in columns 8, 9 and
10 at the bottom of the form are included in column 3. Unpaid company owned shall
include all direct shipment purchased grain.
Column 4
Enter the total of your company owned paid inventory at the end of the month.
Column 5
Enter the total amount of grain in the warehouse at the end of the month. Adding columns 1,
2, 3 and 4 should add up to equal column 5. This figure should also agree with the total
stock figure in your daily position record.
Column 6
If an entry is made in any column, indicate the price per bushel for that type of grain. The
price per bushel to report is your bid price for the last business day of the month.
Column 7
Enter the total value of grain in the warehouse at the end of the month. To arrive at this
figure, multiply the amount in column 5 with the price in column 6.
Column 8
Enter the total amount of unpaid company owned grain which is on price later contracts at
the end of the month. For purposes of this form, “price later” shall include deferred pricing,
no price established and basis contracts.
Column 9
Enter the total amount of unpaid company owned grain which is on deferred payment
contracts at the end of the month.
Column 10
Enter the total amount of unpaid company owned grain which is on minimum price contracts
at the end of the month. For purposes of this form, “minimum price” shall include extended
price contracts.
This form is also available from the bureau in Excel worksheet format. Call 515-281-5987 if you would like
to have a copy e-mailed to you.
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