Farmers who grow corn and are concerned about the accuracy of their yield assessment should request a refund. The form to request the refund is available on the Nebraska Department of Agriculture website. Farmers have until December 1st to submit a claim. In order to be eligible for a refund, farmers must have paid for an assessment and have evidence to support their claim. Corn yield assessments can be impacted by factors such as weather and pests, so it's important that farmers are confident in the results. More information about the refund process is available on the Nebraska Department of Agriculture website.
Question | Answer |
---|---|
Form Name | Corn Assessment Refund Request Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | corn assessment, iowa corn checkoff refund form, mo assessment refund, missouri corn checkoff form |
STATE OF MISSOURI DEPARTMENT OF AGRICULTURE COMMODITY FUND PROGRAM
IDENTIFICATION NUMBER
________________________________________
DO NOT WRITE IN THIS SPACE
MISSOURI DEPARTMENT OF AGRICULTURE
CORN COMMODITY FUND
P.O. BOX 630
JEFFERSON CITY, MISSOURI 65102
CORN ASSESSMENT REFUND REQUEST
IN ORDER TO QUALIFY FOR A CORN ASSESSMENT REFUND:
1.COMPLETE THE FOLLOWING INFORMATION AND ATTACH SETTLEMENT SHEETS WHICH VERIFY THE DATE OF SALE, NUMBER OF BUSHELS SOLD, AND THE AMOUNT OF CORN ASSESSMENT FEES DEDUCTED.
2.SUBMIT THIS CORN ASSESSMENT REFUND REQUEST FORM AND SETTLEMENT SHEETS TO THE MISSOURI DEPARTMENT OF AGRICULTURE WITHIN SIXTY (60) DAYS AFTER THE DEDUCTION IS MADE.
PRODUCER NAME
FED. TAX ID # OR SOCIAL SECURITY #
ADDRESS
CITY
STATE
ZIP
TELEPHONE NO.
FIRST PURCHASER NAME
ADDRESS
CITY
STATE
ZIP
TELEPHONE NO.
NUMBER OF SETTLEMENT SHEETS ATTACHED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MONTH DEDUCTION MADE BY FIRST PURCHASER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL BUSHELS SOLD TO FIRST PURCHASER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL BUSHELS CLAIMED FOR REFUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AMOUNT CLAIMED FOR REFUND AT $.01 PER BUSHEL . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDER PENALTIES OF PERJURY, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE INFORMATION CONTAINED ON THIS FORM AND THE ATTACHED SETTLEMENT SHEETS IS TRUE AND ACCURATE.
SIGNATURE
DATE
MO