Fill - Free fillable SeedDealersLicense $125.00 WholesaleorCombinedWholesaleandRetailSeedDealer $30.00 RetailSeedDealer (Information Technology Services) PDF form

North Carolina Department of Agriculture and Consumer Services

Plant Industrial Division – Seed and Fertilizer Section

Applicationfor:

SeedDealer’sLicense

Makechecksoutto:

NCDA&CS

Sendform&Checkto:

NCDA&CS

PlantIndustry–SEED

1060MailServiceCenter

Raleigh,NC27699‐1060

EffectiveYear:January1–December31:

Fee LicenseType

$125.00 WholesaleorCombinedWholesaleandRetailSeedDealer

$30.00 RetailSeedDealer

NorthCarolinaSeedLawReferences:

§106‐277.28.Licenseandinspectionfees

(2)Eachseeddealerwhooffersforsaleanyagricultural,vegetable,orlawnorturfseedsforseedingpurposesshallregisterwiththeCommissionerandshall

obtainanannuallicense,foreachlocationwhereactivitiesareconducted,byJanuary1ofea

ch

year

§106‐277.2.Definitions.

(9)Theterm"dealer"or"vendor"shallmeananyperson,notclassifiedasagrower,whobuys,sellsoroffersforsaleanyseedforseedingpurposesandshall

includeanypersonwhohasseedgrownundercontractforresaleforseedingpurposes.

Theterm"wholesaler"shallmeanadealerengagedinthebusinessofsellingseedtoretailersorjobbersaswellastoconsumers.

BusinessName

Asitwillbedisplayedonthelicense:

PhysicalAddressofBusiness:

City: State: ZipCode: County:

BusinessPhone: BusinessEmail:

Thisismyfirstandonlyseedlicense

Ihaveotherseedlicenses,pleaselinkthemtogether

SpecialNote:

CorporateOffice/Contact:

Ifsameasabove,leaveblank

ContactAddress:

City: State: ZipCode:

ContactPhone: ContactEmail:

Willyoubesellingcontainersofseedweighing10poundsormore?

No

Yes.ReviewtheexcerptsfromtheNorthCarolinaSeedLawbelow,andseeifaseedreportingpermitisrightforyou

NorthCarolinaSeedLawReferences:

§106‐277.28.Licenseandinspectionfees

(3) Eachseeddealerorgrowerwhohasseed,whetheroriginatedorlabeledbythedealerorgrower,thatisofferedforsaleinthisStateshallreportthequantityof

seedofferedforsaleandpayaninspectionfeeoffourcents(4¢)foreachcontainerofseedsweighing10poundsormore.

Seedshallbesubjecttotheinspection

feeandreportingrequirementsonlyonceinany12‐monthperiod.Thisfeedoesnotapplytoseedgrownbyafarmerandofferedforsalebythefarmeratthe

farmwheretheseedwasgrown.

Eachseeddealerorgrowershallkee

p

accuraterecordsofthequantityofseedsandcontainerweightsofferedforsalefromeachdistributionpointinthe

State.TheserecordsshallbeavailabletotheCommissioneroranauthorizedrepresentativeoftheCommissioneratanyandallreasonablehoursforthepurpose

ofverifyingthequantityofseedoffere

dforsaleandthefeespaid.EachseeddealerorgrowershallreportquarterlyonformsfurnishedbytheCommissionerthe

quantityandcontainerweightofseedsfirstofferedforsalethatquarter.ThereportsshallbemadeonthefirstdayofJanuary,April,July,andOctober,orwithin

10days

thereafter.Inspectionfeesshallbedueandpaidwiththenextquarterlyreportfiledaftertheseedisfirstofferedforsale.Ifthereportisnotfiledandthe

inspectionfeespaidtotheDepartmentofAgricultureandConsumerServicesbythetenthdayfollowingthedatedue,orifthere

rtofthequantityorcontainer

weightsisfalse,theCommissionermayissueastop‐saleorderforallseedofferedforsalebythedealerorgrower.Iftheinspectionfeesareunpaidmorethan15

daysaftertheduedate,theamountdueshallbearapenalty

oftenpercent(10%)whichshallbeaddedtotheinspectionfeesdue.

Iftheseedlawexcerptappliestoyou,pleaseapplyforaSeedReportingPermitwiththe2

pageofthis

packet

________

___________________________Signature&Date

Dr. Bill Foote

Director

Joy A. Goforth

Plant Pest Administrator

Steve

n W. Troxler

Commissioner

North Carolina Department of Agriculture

and Consumer Services

Plant Industry Division

Brian D. Bowers

Seed and Fertilizer

Administrator

Divisional Phone: (919) 707-3730 Toll-free: 1-800-206-9333

Fax: (919) 733-1041 http://www.ncagr.gov/plantindustry/

1060 Mail Service Center, Raleigh, North Carolina 27699-1060

TTY: 1-800-735-2962 Voice: 1-877-735-8200

An Equal Opportunity Employer

APPLICATION FOR SEED REPORTING PERMIT

DATE: _______________

NAME OF FIRM:_____________________________________________________________________

ADDRESS: ____________________________

________________________________________ PHONE: _______________________

To:

NC Dept. of Agriculture & Consumer Services

Plant Industry Division

1085 Mail Service Center

Raleigh, NC 27699-1085

Application

is hereby made for a permit to pay to the North Carolina Department of Agriculture and Consumer

Services at the close of each quarter ending September, December, March, and June, the inspection fee of $0.04 per container

of seed weighing 10 pounds or more. Payment will be made using the reporting system as provided in Chapter 106, Article 31

of the General Statutes of North Carolina as amended by the General Assembly of 1995.

I agree to keep satisfactory and necessary records to indicate the quantity and container of weights of seeds

distributed in North Carolina through all distributors of this company’s seeds, and further agree to grant to the Commissioner

of Agriculture , or his legal agent, permission to examine our records, to verify our statement of seeds distributed

I further agree to make report of quantity and container weights and pay inspection fee by the 10th of each October (1st

quarter), January (2nd quarter), April (3rd quarter) and July (4th quarter), covering seed distributed in the State of North Carolina

during the preceding quarter, and to comply with all other provisions of said law and all rules and regulations established

thereunder.

Seed quantity records will be available for audit at the following address:

___________________________________________ ____________________________________

Applicant’s Signature

___________________________________________ _____________________________________

Print Name & Title

PHONE: ___________________________

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