Form SFN 12119 Application for North Dakota Seed Labeling Permit - North Dakota

Form SFN12119 is a North Dakota State Seed Department form also known as the "Application For North Dakota Seed Labeling Permit". The latest edition of the form was released in May 1, 2018 and is available for digital filing.

Download an up-to-date Form SFN12119 in PDF-format down below or look it up on the North Dakota State Seed Department Forms website.

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APPLICATION FOR NORTH DAKOTA
SEED LABELING PERMIT
PO Box 5257
NORTH DAKOTA STATE SEED DEPARTMENT
Fargo ND 58105
    
   
Phone: 701-231-5400
SFN 12119 (5-2018)
Fax:
701-231-5401
Name/Company Name
Address
City
State
ZIP Code
Telephone Number
Fax Number
Cell Phone Number
Email Address
A permit is required to label, transport and sell agricultural, vegetable, flower or tree and shrub
seeds in North Dakota in accordance with Chapter 4.1-53.38 of the North Dakota -Century
Code. The applicant hereby agrees to comply with all of the requirements of the North Dakota
State Seed Laws and Regulations, pay the required fee at the end of each reporting period,
imprint on the analysis labels the information required by law and regulations, and to permit the
Seed Commissioner or his authorized agents to examine records upon which such reports are
based in order to verify the accuracy of the report.
Signature
Title
Office Use Only:
Approval:
Permit Number
Approved
Rejected
Authorized Department Signature
Date
Name
Title
Return to:
ND State Seed Department,
PO Box 5257
Fargo ND 58105-5257
APPLICATION FOR NORTH DAKOTA
SEED LABELING PERMIT
PO Box 5257
NORTH DAKOTA STATE SEED DEPARTMENT
Fargo ND 58105
    
   
Phone: 701-231-5400
SFN 12119 (5-2018)
Fax:
701-231-5401
Name/Company Name
Address
City
State
ZIP Code
Telephone Number
Fax Number
Cell Phone Number
Email Address
A permit is required to label, transport and sell agricultural, vegetable, flower or tree and shrub
seeds in North Dakota in accordance with Chapter 4.1-53.38 of the North Dakota -Century
Code. The applicant hereby agrees to comply with all of the requirements of the North Dakota
State Seed Laws and Regulations, pay the required fee at the end of each reporting period,
imprint on the analysis labels the information required by law and regulations, and to permit the
Seed Commissioner or his authorized agents to examine records upon which such reports are
based in order to verify the accuracy of the report.
Signature
Title
Office Use Only:
Approval:
Permit Number
Approved
Rejected
Authorized Department Signature
Date
Name
Title
Return to:
ND State Seed Department,
PO Box 5257
Fargo ND 58105-5257

Download Form SFN 12119 Application for North Dakota Seed Labeling Permit - North Dakota

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