Form AES-08-14 "New Seed Dealer License Application" - Louisiana

What Is Form AES-08-14?

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

Form Details:

  • Released on February 1, 2016;
  • The latest edition provided by the Louisiana Department of Agriculture & Forestry;
  • 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 AES-08-14 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Agriculture & Forestry.

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Download Form AES-08-14 "New Seed Dealer License Application" - Louisiana

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Page background image
L
D
A
F
I
I
OUISIANA
EPARTMENT OF
GRICULTURE &
ORESTRY
*0814*
MIKE STRAIN DVM, COMMISSIONER
Agricultural & Environmental Sciences
5825 Florida Blvd.,Suite 1003, Baton Rouge, LA 70806
(225) 925-4733, FAX (225) 925-4124
NEW SEED DEALER LICENSE APPLICATION
MAKE YOUR NUMBERS & LETTERS EXACTLY LIKE THESE EXAMPLES. USE CAPITAL LETTERS ONLY.
1 2 3 4 5 6 7 8 9 0 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Physical Location Address:
TAX ID OR SSN#
LOCATION NAME
ADDRESS
CITY
STATE
ZIP CODE
PARISH
PHONE
FAX
Corporate Address:
ADDRESS
CITY
STATE
ZIP CODE
PHONE
FAX
Mailing Address for License (if different from Corporate):
ADDRESS
CITY
STATE
ZIP CODE
INSTRUCTIONS:
$150.00
per year (July 1 - June 30) for each place of business. Mail completed application along with check or money
G
FEE:
order.
Make Check Payable to : Louisiana Department of Agriculture & Forestry, 5825 Florida Blvd., Suite 1003, Baton Rouge, La 70806.
G
For information, contact (225) 925-4733 or email seed@ldaf.state.la.us. Do not staple payment to form.
G
DO NOT SEND CASH.
CONTACT PERSON
Mr.
Ms.
Mrs.
FIRST
LAST
PHONE
SUFFIX
FAX
EMAIL
081400000
*081400000*
OFFICE USE
Transmittal #
Check #
Date
$
.00
AES-08-14 (r.02/16)
SEED DEALERS LICENSE
0121 1605 01
0
Amt.
I
I
L
D
A
F
I
I
OUISIANA
EPARTMENT OF
GRICULTURE &
ORESTRY
*0814*
MIKE STRAIN DVM, COMMISSIONER
Agricultural & Environmental Sciences
5825 Florida Blvd.,Suite 1003, Baton Rouge, LA 70806
(225) 925-4733, FAX (225) 925-4124
NEW SEED DEALER LICENSE APPLICATION
MAKE YOUR NUMBERS & LETTERS EXACTLY LIKE THESE EXAMPLES. USE CAPITAL LETTERS ONLY.
1 2 3 4 5 6 7 8 9 0 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Physical Location Address:
TAX ID OR SSN#
LOCATION NAME
ADDRESS
CITY
STATE
ZIP CODE
PARISH
PHONE
FAX
Corporate Address:
ADDRESS
CITY
STATE
ZIP CODE
PHONE
FAX
Mailing Address for License (if different from Corporate):
ADDRESS
CITY
STATE
ZIP CODE
INSTRUCTIONS:
$150.00
per year (July 1 - June 30) for each place of business. Mail completed application along with check or money
G
FEE:
order.
Make Check Payable to : Louisiana Department of Agriculture & Forestry, 5825 Florida Blvd., Suite 1003, Baton Rouge, La 70806.
G
For information, contact (225) 925-4733 or email seed@ldaf.state.la.us. Do not staple payment to form.
G
DO NOT SEND CASH.
CONTACT PERSON
Mr.
Ms.
Mrs.
FIRST
LAST
PHONE
SUFFIX
FAX
EMAIL
081400000
*081400000*
OFFICE USE
Transmittal #
Check #
Date
$
.00
AES-08-14 (r.02/16)
SEED DEALERS LICENSE
0121 1605 01
0
Amt.
I
I