Form Ag 0064 PDF Details

In the context of regulatory compliance and the facilitation of fair agricultural trade practices, the Tennessee Department of Agriculture's Division of Consumer & Industry Services – Animal Health plays a pivotal role. This body, dedicated to ensuring the health and welfare of animals as well as the integrity of the agricultural market, necessitates certain forms of documentation for operations within the state. One such essential document is the AG 0064 form, an application designed for individuals or entities engaging in the livestock dealing business within Tennessee. This form requires detailed information from the applicant, encompassing basic identifiers like names and addresses, but also extending to more comprehensive details about the business. Applicants are required to list the types of livestock involved in their trading activities, including cattle, horses, poultry, and even alternate livestock, thereby ensuring a well-regulated animal trade sector. Moreover, the form mandates the submission of a nominal annual fee alongside proof of meeting bonding requirements, reflecting the state's commitment to financial stability and accountability in this industry sector. Each section of the AG 0064 form is carefully constructed to gather all pertinent data that facilitates oversight and licensing by the Tennessee Department of Agriculture, effectively supporting both animal welfare and industry standards from July 1 through June 30 annually, with the necessity for renewal highlighting the dynamic nature of livestock trade.

QuestionAnswer
Form NameForm Ag 0064
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdealapplication apply for livestock dealer license in tennessee form

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TENNESSEE DEPARTMENT OF AGRICULTURE

DIVISION OF CONSUMER & INDUSTRY SERVICES – ANIMAL HEALTH

P. O. Box 40627, Nashville, Tennessee 37204

Phone: 615/837-5120, Fax 615/837-5250

Animal.health@tn.gov

APPLICATION FOR TENNESSEE LIVESTOCK DEALER LICENSE

Person* to Whom License is to be Issued: _________________________________________________________________

(Must be an individual, corporation, limited liability company, partnership, or other duly formed and recognized legal entity.) Email Address;____________________________________________________________________________

Mailing Address:______________________________________________________________________________

Street, Route or P.O. Box

____________________________________________________________________________________________

City

State

Zip Code

County

Phone Numbers:______________________________________________________________________________

Business

Home

Cellular

 

Address where business records are located: _______________________________________________________

Street, Route or P.O. Box

____________________________________________________________________________________________

CityStateZip Code County

LIST NAMES OF BUSINESS PARTNERS and/or CORPORATION OFFICERS: _________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

LIVESTOCK THAT IS BOUGHT, RECEIVED OR ASSEMBLED FOR RESALE (Check all that apply):

Cattle _____ Calves _____ Horses _____ Mules _____ Poultry _____ Swine _____ Sheep _____ Goats _____

and Alternate Livestock (please list) ______________________________________________________________

THE FOLLOWING MUST BE ENCLOSED BEFORE A LICENSE WILL BE ISSUED:

(1). Annual fee of $25.00, made payable to the Tennessee Dept. of Agriculture and sent to the address at top of form.

(2) Proof the applicant has met bonding requirements of 9 C.F.R. 201.

I HEREBY CERTIFY THAT THE INFORMATION SUBMITTED IN THIS APPLICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE.

_________________________________________________

____________________________________________

Name and Title of Applicant

(Please Print)

Signature of Applicant

Date

Licenses are valid from July 1 through June 30

AG-0064 (Rev. 11/13)

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