Form 0978 Mississippi PDF Details

In the pursuit of maintaining a well-regulated agricultural sector, the Mississippi Department of Agriculture and Commerce requires commercial fertilizer distributors to submit a detailed report of their quarterly sales. This reporting is facilitated through Form #0978, a crucial document designed to track the distribution and sale of fertilizer within the state. Issued by the Bureau of Plant Industry, this form serves a dual purpose: ensuring compliance with state regulations and aiding in the collection of a nominal inspection fee. Distributors must report various details, including the types and quantities of fertilizers sold, clearly indicating the guaranteed analysis of nutrients such as Nitrogen (N), Phosphorus Pentoxide (P2O5), and Potassium Oxide (K2O), alongside information about the packaging and intended use of the products. The completion involves remitting a fee based on tonnage sold, with precise reporting and payment deadlines. Failure to meet these requirements results in penalties, underscoring the form's role in promoting accountability. Additionally, the form accommodates reporting on specialty products sold in small quantities, exempt from the tax but still relevant for statistical purposes, ensuring that even minor sales are accurately documented and reported to the state.

QuestionAnswer
Form NameForm 0978 Mississippi
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesbpi_ffl_fert_to nnage mississippi fertilizer tonnage report form

Form Preview Example

Form # 0978

Mississippi Department of Agriculture and Commerce

Bureau of Plant Industry

P.O. Box 5207

Mississippi State, MS 39762-5207

662-325-6628

 

 

 

Quarterly Commercial

Fertilizer Tonnage Report

 

 

 

 

Firm Name

 

 

 

 

 

 

Permit No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Instructions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type or print legibly with ball point pen using

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

codes. Remit $.25 per ton quarterly on or

 

Address

 

 

Phone

before the 30th of the month following the date

 

 

 

due. If report is not submitted or amount due is

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

not paid within thirty days after the close of the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

quarter, the law requires a penalty of ten

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

percent of amount due, but in no case less than

 

City

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

ten dollars ($10.00), must be added to you

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

check. Show tons in hundredths. See

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

remittance instructions for further explanation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarter Ending

 

 

Date Submitted

Indicate correct container and use.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description Guaranteed Analysis

 

 

 

 

 

 

 

Container

 

 

Use

 

 

N

P2O5

K2O

 

 

 

 

 

 

 

 

Tons

(1) Bag

 

 

(1) Farm

 

Destination

 

 

 

UFTRS

 

 

 

 

 

 

Sold

(2) Bulk

 

 

(2) Non-Farm

 

County Code

 

 

 

Code

 

 

 

 

 

 

 

(3) Liquid

 

 

 

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

____________________________________________________________________________________________________________________

 

 

 

 

___________________________________________________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Tonnage

 

 

 

 

 

I certify that the above statement is true and correct to the best of my

 

 

 

 

 

 

 

 

 

 

 

knowledge and belief and represents the tonnage of fertilizer and fertilizer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

materials sold by said firm in the State of Mississippi for the quarter ending

 

$

 

Fee @ $.25/Ton

 

______________20_____ on which said firm is due the state a sum of $.25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

per ton as inspection fee on each and every ton sold in the state.

 

$

 

 

Penalty 10%

 

 

 

 

 

Company Representative (Please Print)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

____________________________________________________________

 

 

 

 

 

 

 

 

Check #

 

 

 

 

 

_

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature (Sign in Ink)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

____________________________________________________________

 

 

 

 

$

 

 

Total Remitted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: This report is for the period ending March 31, June 30, September 30, and December 31. Send only one copy properly signed along with your check, to Mississippi Dept of Agriculture and Commerce and keep one copy for your files. If no sales were made in Mississippi during the quarter, send report marked “No sales made in Mississippi during this quarter:.

County

County Code #

County

County Code #

Adams

001

Leflore

083

 

Alcorn

003

Lincoln

085

 

Amite

005

Lowndes

087

 

Attala

007

Madison

089

 

Benton

009

Marion

091

 

Boliver

011

Marshall

093

 

Calhoun

013

Monroe

095

 

Carroll

015

Montgomery

097

 

Chickasaw

017

Neshoba

099

 

Choctaw

019

Newton

101

 

Claiborne

021

Noxubee

103

 

Clarke

023

Oktibbeha

105

 

Clay

025

Panola

107

 

Coahoma

027

Pearl River

109

 

Copiah

029

Perry

111

 

Covington

031

Pike

113

 

De Soto

033

Pontotoc

115

 

Forrest

035

Prentiss

117

 

Franklin

037

Quitman

119

 

George

039

Rankin

121

 

Greene

041

Scott

123

 

Grenada

043

Sharkey

125

 

Hancock

045

Simpson

127

 

Harrison

047

Smith

129

 

Hinds

049

Stone

131

 

Holmes

051

Sunflower

133

 

Humphreys

053

Tallahatchie

135

 

Issaquena

055

Tate

137

 

Itawamba

057

Tippah

139

 

Jackson

059

Tishimingo

141

 

Jasper

061

Tunica

143

 

Jefferson

063

Union

145

 

Jefferson Davis

065

Walthall

147

 

Jones

067

Warren

149

 

Kemper

069

Washington

151

 

Lafayette

071

Wayne

153

 

Lamar

073

Webster

155

 

Lauderdale

075

Wilkinson

157

 

Lawrence

077

Winston

159

 

Leake

079

Yalobusha

161

 

Lee

081

Yazoo

163

 

SPECIALTY PRODUCTS – Fertilizer products sold ONLY in packages of 10 lbs. and under – no tax due.

STATISTICAL PURPOSES ONLY.

Grade

Container Size

Dry

Liquid

Total