"Nursery Dealer Certificate Application" - Alabama

Nursery Dealer Certificate Application 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;
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  • 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.

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Download "Nursery Dealer Certificate Application" - Alabama

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S
A
OF
TATE
LABAMA
D
A
I
EPARTMENT OF
GRICULTURE AND
NDUSTRIES
1445 Federal Drive ● Montgomery, Alabama 36107-1123
NURSERY DEALER CERTIFICATE APPLICATION
COMPANY NAME:___________________________________
CONTACT PERSON_______________
MAILING ADDRESS:______________________________
EMAIL__________________________
CITY, STATE, ZIP________________________________
TELEPHONE: ____________________
PHYSICAL ADDRESS:________________________________
CITY, STATE, ZIP________________________________
COUNTY:_______________________
New applicant? _____ yes _____ no
Are you a landscape company? _____ yes _____ no
If yes, do you have a retail location? _____ yes _____ no
Do you purchase plants for the client and immediately install them? _____ yes _____ no
State Law requires that nursery stock be purchased from certified sources only. Section 2-25-6, Code of Alabama
(1975), requires that anyone or any agency that buys and re-sells nursery stock register with the Department of
Agriculture and Industries, annually, on or before October 1
. A $20 permit fee is required for each separate
st
place of business (list additional locations on the back of this form or on a separate attachment).
Shipping tags are required on all boxes, bundles, or packages of nursery stock sold in Alabama, other than local
retail sales to the ultimate user of the nursery stock for their private use.
Make check or money order payable to: Alabama Department of Agriculture & Industries
RETURN TO:
Alabama Department of Agriculture & Industries
Plant Protection
1445 Federal Drive
Montgomery, AL 36107-1123
$__________ for ___________ # of Locations
(There is a $3.00 late fee for each location for renewals not submitted before October 1
st
)
Do you ship out of the State? ______ yes _____ no
Do you move plants across state lines? _____ yes _____ no
Do you have customers that move plants across state lines? _____ yes _____ no
If you answered yes to any of the above questions, you will need to purchase shipping tags.
$15.50 per bundle of 50. Tags expire December 31, 2021.
________ Number of bundles
www.agi.alabama.gov
“We provide employment & services without discrimination.”
S
A
OF
TATE
LABAMA
D
A
I
EPARTMENT OF
GRICULTURE AND
NDUSTRIES
1445 Federal Drive ● Montgomery, Alabama 36107-1123
NURSERY DEALER CERTIFICATE APPLICATION
COMPANY NAME:___________________________________
CONTACT PERSON_______________
MAILING ADDRESS:______________________________
EMAIL__________________________
CITY, STATE, ZIP________________________________
TELEPHONE: ____________________
PHYSICAL ADDRESS:________________________________
CITY, STATE, ZIP________________________________
COUNTY:_______________________
New applicant? _____ yes _____ no
Are you a landscape company? _____ yes _____ no
If yes, do you have a retail location? _____ yes _____ no
Do you purchase plants for the client and immediately install them? _____ yes _____ no
State Law requires that nursery stock be purchased from certified sources only. Section 2-25-6, Code of Alabama
(1975), requires that anyone or any agency that buys and re-sells nursery stock register with the Department of
Agriculture and Industries, annually, on or before October 1
. A $20 permit fee is required for each separate
st
place of business (list additional locations on the back of this form or on a separate attachment).
Shipping tags are required on all boxes, bundles, or packages of nursery stock sold in Alabama, other than local
retail sales to the ultimate user of the nursery stock for their private use.
Make check or money order payable to: Alabama Department of Agriculture & Industries
RETURN TO:
Alabama Department of Agriculture & Industries
Plant Protection
1445 Federal Drive
Montgomery, AL 36107-1123
$__________ for ___________ # of Locations
(There is a $3.00 late fee for each location for renewals not submitted before October 1
st
)
Do you ship out of the State? ______ yes _____ no
Do you move plants across state lines? _____ yes _____ no
Do you have customers that move plants across state lines? _____ yes _____ no
If you answered yes to any of the above questions, you will need to purchase shipping tags.
$15.50 per bundle of 50. Tags expire December 31, 2021.
________ Number of bundles
www.agi.alabama.gov
“We provide employment & services without discrimination.”
S
A
OF
TATE
LABAMA
D
A
I
EPARTMENT OF
GRICULTURE AND
NDUSTRIES
1445 Federal Drive ● Montgomery, Alabama 36107-1123
Nursery Stock Source List
Please complete the nursery stock source list. This is a list of all sources from which you purchase plants. The
sole purpose of the Nursery Stock Source List is to verify that all plants are being purchased from certified
sources. This helps to prevent plant pests, noxious weeds, and diseases from entering or spreading across the state
of Alabama.
Please note: you are required to submit the nursery stock source list with your application or your
application will not be processed.
Please list complete name and physical address of business that plants are purchased from.
1.__________________________________________________________________________________
2.__________________________________________________________________________________
3.__________________________________________________________________________________
4.__________________________________________________________________________________
5.__________________________________________________________________________________
6.__________________________________________________________________________________
7.__________________________________________________________________________________
8.__________________________________________________________________________________
9.__________________________________________________________________________________
10._________________________________________________________________________________
11._________________________________________________________________________________
12._________________________________________________________________________________
13._________________________________________________________________________________
14._________________________________________________________________________________
15._________________________________________________________________________________
www.agi.alabama.gov
“We provide employment & services without discrimination.”
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