Submit the original
of the completed form in hard copy to Price Support Division,
The person or entity
that intends to succeed to any Tobacco Transition Payment Program (TTPP)
contract will complete Part A, Items 1 through 10, of the form in order to
register with Commodity Credit Corporation prior to succeeding to a TTPP
contract.
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Fld Name / |
Instruction |
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1A & B Participant Name and Address |
Enter the participant or entity�s name and both physical
and mailing addresses, if they are different.�
Include the ZIP code in each address.�
�� |
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2 Participant Taxpayer ID Number |
Enter the last 4 digits of the participant�s or entity�s taxpayer identification number. |
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3 Participant Telephone Number |
Enter participant or entity�s telephone number.� Include the area code. |
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4 Participant E-mail Address |
Enter participant or entity�s email address. |
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5 Contact Person Name |
Enter the name of the person CCC should contact for resolution of any questions pertaining to this form or to any successor-in-interest contract involving the participant listed in Item 1. |
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6 Contact Person Telephone Number |
Enter the contact person�s telephone number.� Include the area code. |
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7 A & B List Authorized Persons |
If the Participant listed in Item 1 is an individual, do not complete this item.� If the Participant in Item 1 is an entity, in Item 7A enter the names of all persons authorized to sign Form CCC-962, Successor-In-Interest Contract, on the entity�s behalf; and in Item 7B enter the last 4 digits of the taxpayer identification number of each person listed in Item7A. |
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8 Withhold Participant Information |
Check the box if you do not want CCC to post the information listed in Items 1A, 1B, 3, and 4 to the Tobacco Information web site www.fsa.usda.gov/tobacco . |
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9 A, B & C Other Applicable Forms |
For A, B, and C, check �YES� or �NO� as applicable and enter the names of the State and County where each applicable form was submitted. |
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10 A Signature of Participant |
The participant must sign to confirm agreement with the provisions of ��7 CFR Part 1463. |
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10 B Date |
Enter the date of signing Item 10 using the format MM-DD-YYYY. |