Form AD-45B "Farm Products Dealer Application Supplement" - New York

What Is Form AD-45B?

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

Form Details:

  • Released on September 1, 2016;
  • The latest edition provided by the New York State Department of Agriculture and Markets;
  • 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 AD-45B by clicking the link below or browse more documents and templates provided by the New York State Department of Agriculture and Markets.

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Download Form AD-45B "Farm Products Dealer Application Supplement" - New York

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AD-45b (Rev. 9/16)
ANDREW M. CUOMO
RICHARD A. BALL
Governor
Commissioner
Farm Products Dealer Application Supplement
(Process Memo to describe how business is conducted with New York Producers)
Applicant Name (print): ____________________________________________________________
Please check (√) the appropriate boxes for questions 1 and 2 and for question 3, describe in detail how
business is conducted with New York producers from the initial contact, terms of sale, the type of
documentation provided to the producer and to when final payment is made (please print, type or attach
sheet and provide additional sheet(s) if necessary):
1.
Type of Operation (see cover letter for definitions):
Commission Merchant;
Dealer;
Net-Return Dealer;
Broker;
Processor;
Feed Mill
2. Payment Terms:
Written agreement/contract is used with NY producers. Copy is enclosed with my application.
Payment is within 30 days from sale and delivery. No written agreement/contract is used.
Other:
___________________________________________________________________________________.
3. Describe how business is conducted with New York producers:
Authorized Person (print): ____________________________________
Title: ________________________
Signature: ________________________________________________
Date: ________________________
If you need assistance or have any questions regarding this application supplement, please contact Mark
McMullen at 518-457-4383 Fax 518-457-2716 or email Mark.McMullen@agriculture.ny.gov.
Division of Agricultural Development │ 10B Airline Dr. Albany, N.Y., 12235│ www.agriculture.ny.gov
AD-45b (Rev. 9/16)
ANDREW M. CUOMO
RICHARD A. BALL
Governor
Commissioner
Farm Products Dealer Application Supplement
(Process Memo to describe how business is conducted with New York Producers)
Applicant Name (print): ____________________________________________________________
Please check (√) the appropriate boxes for questions 1 and 2 and for question 3, describe in detail how
business is conducted with New York producers from the initial contact, terms of sale, the type of
documentation provided to the producer and to when final payment is made (please print, type or attach
sheet and provide additional sheet(s) if necessary):
1.
Type of Operation (see cover letter for definitions):
Commission Merchant;
Dealer;
Net-Return Dealer;
Broker;
Processor;
Feed Mill
2. Payment Terms:
Written agreement/contract is used with NY producers. Copy is enclosed with my application.
Payment is within 30 days from sale and delivery. No written agreement/contract is used.
Other:
___________________________________________________________________________________.
3. Describe how business is conducted with New York producers:
Authorized Person (print): ____________________________________
Title: ________________________
Signature: ________________________________________________
Date: ________________________
If you need assistance or have any questions regarding this application supplement, please contact Mark
McMullen at 518-457-4383 Fax 518-457-2716 or email Mark.McMullen@agriculture.ny.gov.
Division of Agricultural Development │ 10B Airline Dr. Albany, N.Y., 12235│ www.agriculture.ny.gov