Instructions For WA-50

APPLICATION FOR LICENSE OR MODIFICATION OF LICENSE FOR THE CONDUCT OF A PUBLIC WAREHOUSE

Warehouse Operator applicants use this form for new licensing or changes to existing licensing under the United States Warehouse Act (7 U.S.C. 241 et seq.)

Submit the original of the completed form in hard copy or facsimile to the Kansas City Commodity Office (KCCO), Warehouse License and Examination Division, STOP 9148, P.O. Box 419205, Kansas City, MO 64141-6205; or FAX 816-926-1774. Customers who have established electronic access credentials with KCCO may electronically transmit this form to KCCO. Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

Warehouse Operator applicants not currently licensed under the USWA at the specified location in Item 1 complete Items 1, 2, 4, 5, 7A and 7B, 8, 11 and the signature block (Items 12A through 12F). Applicants currently licensed under the USWA for the specific location in Item 1 complete Items 1, 2, 3, 4, 5G, 6A through 6G, 7A and 7B, 8, 11 and the signature block (Items 12A through 12D).

Fld Name/ Item No.	Instruction
1 Location of Warehouse	Enter the City, County or Parish, and the State or Commonwealth of the principal location for which application is made for licensing. If applying for locations outside the principal state or commonwealth, list each principal location in each state or commonwealth.
2 Commodity Stored or to be Stored	Enter the agricultural product anticipated to be or actually stored (i.e., grain, cotton, etc.)
3 License Number	Enter, if presently licensed at the location in Item 1, the current United States Warehouse Act license number, if known.
4 Total Estimated Capacity Under New or Amended License	Enter the total estimated capacity of the warehouse (including, if an application for an amended license, the estimated capacity of the added or deleted facilities)
5 Licensing Action	Enter a check mark in the “Original” box if making an application for a location listed in Item 1not currently licensed under the United States Warehouse Act. Enter a check mark in the “Amendment” box if making an application for a location currently licensed under the United States Warehouse Act.
6A through 6G Amendment Action	6 A. Enter a check mark if new facilities are being added. 6 B. 6 B. Enter a check mark if existing facilities are being deleted. 6 C. 6 C. Enter a check mark if other actions are occurring. 6 D. 6 D. Enter the next sequential amendment number for this license. 6 E. 6 E. Enter the estimated additional capacity. 6 F. 6 F. Enter in box the estimated capacity to be deleted. 6 G. 6 G. Enter a list of the bins or other facilities being deleted.
7A and 7B Type of Entity And State Under Whose Laws Created	7 A. Enter a check mark in the box that describes the type of entity that is applying for licensing under the United States Warehouse Act. Mark “other” if not an individual or a partnership or a corporation. 7 B. Enter the state in which the entity is organized. Follow the written instructions for documentation in the block.
8 Applicant’s Interest in Warehouse to be Licensed	Enter where indicated whether the facilities of the application are owned, leased, etc. Follow the written instructions for documentation in the block.
9 Applicants	Those applicants who are not currently licensed (those not currently licensed warehouse operators who are applying for an original license) must file a current financial statement complying with the regulations cited and the Licensing Agreement. Timely consideration of this application requires completion and filing all of the required documentation.
10 Compliance	By filing this application, the warehouse operator agrees to comply with the requirements of the Act, regulations, and applicable Licensing Agreement for Warehouse Operators.
11 Amount of Estimated Fees	In the second paragraph at the line, enter the amount of estimated fees that accompany the application.
12 Signature	12 A. Enter the name of the Applicant. 12 B. Enter the date (MM-DD-YYYY) the application is signed. 12 C. Enter the applicant’s authorized signature. 12 D. 12D. Enter the title of the applicant. For a proprietor, enter, for example “Susan Doe”. For a corporation, enter, for example, “Does, Inc.”, “a BLANK corporation”, where BLANK is the name of the state of incorporation. For a general partnership, enter, for example “Letitia Doe, Frank Doe, Selma Doe, and James Doe, copartners, trading as Doe Farms” then “under the laws of BLANK” where BLANK is the state under whose laws the partnership is organized. For a limited partnership, enter, for example “Doe Farms Limited Partnership under the laws of BLANK, Selma Doe, General Partner” where BLANK is the state of organization and under whose laws you operate. For a limited liability company, enter, for example “Doe Farms, L. L. C., a BLANK limited liability company” where BLANK is the name of the state under which organized). 12 C. At “Authorized Signature”: enter the signature of an authorized person. 12 D. At “Title”: enter the position in the organization occupied by the individual executing the application with signature (for example, President, partner, general partner, proprietor).

Fld Name/ Item No.

Instruction

Location of Warehouse

Enter the City, County or Parish, and the State or Commonwealth of the principal location for which application is made for licensing. If applying for locations outside the principal state or commonwealth, list each principal location in each state or commonwealth.

Commodity Stored or to be Stored

Enter the agricultural product anticipated to be or actually stored (i.e., grain, cotton, etc.)

License Number

Enter, if presently licensed at the location in Item 1, the current United States Warehouse Act license number, if known.

Total Estimated Capacity Under New or Amended License

Enter the total estimated capacity of the warehouse (including, if an application for an amended license, the estimated capacity of the added or deleted facilities)

Licensing Action

Enter a check mark in the “Original” box if making an application for a location listed in Item 1not currently licensed under the United States Warehouse Act. Enter a check mark in the “Amendment” box if making an application for a location currently licensed under the United States Warehouse Act.

6A through 6G

Amendment Action

6 A. Enter a check mark if new facilities are being added.

6 B. 6 B. Enter a check mark if existing facilities are being deleted.

6 C. 6 C. Enter a check mark if other actions are occurring.

6 D. 6 D. Enter the next sequential amendment number for this license.

6 E. 6 E. Enter the estimated additional capacity.

6 F. 6 F. Enter in box the estimated capacity to be deleted.

6 G. 6 G. Enter a list of the bins or other facilities being deleted.

7A and 7B

Type of Entity

And

State Under Whose Laws Created

7 A. Enter a check mark in the box that describes the type of entity

that is applying for licensing under the United States Warehouse

Act. Mark “other” if not an individual or a partnership or a

corporation.

7 B. Enter the state in which the entity is organized.

Follow the written instructions for documentation in the block.

Applicant’s Interest in Warehouse to be Licensed

Enter where indicated whether the facilities of the application are owned, leased, etc.

Follow the written instructions for documentation in the block.

Applicants

Those applicants who are not currently licensed (those not currently licensed warehouse operators who are applying for an original license) must file a current financial statement complying with the regulations cited and the Licensing Agreement. Timely consideration of this application requires completion and filing all of the required documentation.

Compliance

By filing this application, the warehouse operator agrees to comply with the requirements of the Act, regulations, and applicable Licensing Agreement for Warehouse Operators.

Amount of Estimated Fees

In the second paragraph at the line, enter the amount of estimated fees that accompany the application.

Signature

12 A. Enter the name of the Applicant.

12 B. Enter the date (MM-DD-YYYY) the application is signed.

12 C. Enter the applicant’s authorized signature.

12 D. 12D. Enter the title of the applicant.

For a proprietor, enter, for example “Susan Doe”.

For a corporation, enter, for example, “Does, Inc.”, “a BLANK corporation”, where BLANK is the name of the state of incorporation.

For a general partnership, enter, for example “Letitia Doe, Frank Doe, Selma Doe, and James Doe, copartners, trading as Doe Farms” then “under the laws of BLANK” where BLANK is the state under whose laws the partnership is organized.

For a limited partnership, enter, for example “Doe Farms Limited Partnership under the laws of BLANK, Selma Doe, General Partner” where BLANK is the state of organization and under whose laws you operate.

For a limited liability company, enter, for example “Doe Farms, L. L. C., a BLANK limited liability company” where BLANK is the name of the state under which organized).

12 C. At “Authorized Signature”: enter the signature of an authorized person.

12 D. At “Title”: enter the position in the organization occupied by the individual executing the application with signature (for example, President, partner, general partner, proprietor).