Form Pa 409 – Fill Out and Use This PDF

Form Pa 409 is a straightforward document used provide verification of Australian partnership income. It helps provide comfort to lenders in understanding the source of income, ensure records are kept in case of requests from the ATO (Australian Tax Office), and allows accuracy where deductions have been made. The essential details contained within Form Pa 409 are business trading name, ABN, accounting period end date and income declared by the partners. Knowing this information can help streamline applications with lenders by proving that a partner's income has been correctly declared, enabling a more timely assessment process for loan approvals. For added comfort, filing Form Pa 409 can also demonstrate sound financial management practices to lenders who may favor partnering with clients engaging in such business practices.

Form Pa 409 PDF Details

Form Pa 409 is a document that is used to calculate the amount of tax that is owed by an individual or business. This form can be complex, so it is important to understand how to complete it correctly. There are many factors that go into calculating tax liability, so it is important to have a firm understanding of all the details involved. You can use Form Pa 409 to estimate your taxes and ensure that you are paying the correct amount. You may also need to file this form if you are audited by the IRS. By understanding how to complete Form Pa 409 correctly, you can avoid any penalties or additional taxes owed. The information on this form should be accurate and up-to-date in order to avoid any problems with the IRS. Make sure to consult with a professional if you have any questions about how to complete this form.

Question	Answer
Form Name	Form Pa 409
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	pa_409_ceu_rece rtification_spo nsorship texas department of agriculture fillable form reg 202

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P.O. Box 12847 Austin, Texas 78711 (877) 542-2474 (512) 463-7476 Hearing impaired: (800) 735-2988 voice www.TexasAgriculture.gov

	Texas Department of Agriculture
	Pesticide Continuing Education Course
TODD STAPLES, COMMISSIONER	Recertification Sponsorship

PA-409

1 TYPE OF APPLICATION

New Agricultural CEU Application

New Structural CEU Application

SEC.

Renewal Application for Agricultural Course No.

Renewal Application for Structural Course No.

1 SPONSOR INFORMATION

Sponsor Name

Agency

University

Business

Association

2 CONTACT PERSON

Mr.

Mrs.

First Name

M. I.

Last Name

Ms.

____

3 MAILING ADDRESS

SECTION

Address

City

State

Zip

4 CONTACT INFORMATION

Primary Phone

Secondary Phone (optional)

Fax (optional)

(

)

(

)

(

)

E-mail

Would you prefer to be contacted

Okay to post your e-mail address on

by e-mail?

Yes

TDA website?

Yes

1 COURSE INFORMATION

Will this course be open to the public?

Yes

SECTION

If yes, name of person to contact for more information:

_____________________________________

Phone number for more information (

)

Will a fee be charged?

Yes $

Amount

Will this course be for

One Location

Multiple Locations

Various Locations

This document becomes public record and is subject to disclosure. With few exceptions, you have the right to request and be informed about the information that the State of Texas collects about you. You are entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. (Reference: Government Code, Sections 552.021, 552.023, and 559.004.)

Pesticide Division

Revised 4/16/2010

PA-409 Pesticide CEU Recertification Sponsorship

Page 2 of 4

Name

2 COURSE SITE AND DATE

)

Course Location

Address of Training

(cont.

City of Training

State of Training

Zip Code of Training

SEC. C

Date

(mm/dd/yy)

Time

Expected No. of Participants

To document additional course sites and dates, use supplemental form.

1 COURSE TOPICS FOR

Instruction

Demonstration

Proposed

TDA Approval

AGRICULTURAL CEUS

Hours

Credit

Safety Factors

Environmental Consequences

Pest Features

Business Ethics

Pesticide Factors

SECTION

Equipment Characteristics

Application Techniques

Biotechnology/Transgenic Crops

Total General (add 1-8)

10. Integrated Pest Management

11. Laws and Regulations

12. Label and Labeling

Comprehension (L&R)

13. Drift Minimization

14. Total Credits (add 9-13)

1 COURSE TOPICS FOR

Instruction

Demonstration

Proposed

TDA Approval

STRUCTURAL CEUS

Hours

Credit

General Standard Courses

Pest Control

Termite Control

SECTION

Lawn/Ornamental Insect Control

Commodity Fumigation

Structural Fumigation

Weed Control

Wood Preservation

14. Total Credits (add 1-8)

Pesticide Division

Revised 4/16/10

PA-409 Pesticide CEU Recertification Sponsorship

Page 3 of 4

Name

SEC. F

SECTION G

1METHOD OF INSTRUCTION (CHECK ALL THAT APPLY)

Lecture	Slide/Film/Video	Panel Discussion	Demonstration
Other (describe)	__________________________________

1INSTRUCTOR NO. 1 INFORMATION

Mr.	Mrs.	First Name	M. I.	Last Name
Ms.	____
Speaker Topic					Previously		Length of
Speaker Topic					Approved Speaker		Presentation
					Approved Speaker		Presentation
					Yes	No

2CONTACT INFORMATION

Primary Phone			Secondary Phone (optional)			Fax (optional)
(	)	-	(	)	-	(	)	-

1INSTRUCTOR NO. 2 INFORMATION

(cont.)G		Mr.	Mrs.	First Name
		Mr.	Mrs.	First Name
		Ms.	____
SECTION	Speaker Topic
SECTION	2 CONTACT INFORMATION
	2 CONTACT INFORMATION
	Primary Phone
	(	)	-

1INSTRUCTOR NO. 3 INFORMATION

(cont.)		Ms.	____	First Name
		Mr.	Mrs.	First Name
G
G
SECTION	Speaker Topic
SECTION	2 CONTACT INFORMATION
	2 CONTACT INFORMATION
	Primary Phone
	(	)	-

1INSTRUCTOR NO. 4 INFORMATION

FG(cont.)		Mr.	Mrs.	First Name
FG(cont.)

		Ms.	____
SECTION	Speaker Topic
SECTION	2 CONTACT INFORMATION
	2 CONTACT INFORMATION
	Primary Phone
	(	)	-

M. I.		Last Name
M. I.		Last Name

			Previously			Length of
			Approved Speaker			Presentation
			Yes	No
Secondary Phone (optional)					Fax (optional)
Secondary Phone (optional)					Fax (optional)
(	)	-			(	)	-
M. I.		Last Name


			Previously			Length of
			Previously			Length of
			Approved Speaker			Presentation
			Yes	No
Secondary Phone (optional)					Fax (optional)
Secondary Phone (optional)					Fax (optional)
(	)	-			(	)	-
M. I.		Last Name
M. I.		Last Name
			Previously			Length of
			Previously			Length of
			Approved Speaker			Presentation
			Yes	No
Secondary Phone (optional)					Fax (optional)
Secondary Phone (optional)					Fax (optional)
(	)	-			(	)	-

Pesticide Division

Revised 4/16/10

PA-409 Pesticide CEU Recertification Sponsorship

Page 4 of 4

Name

SECTION G (cont.)

1INSTRUCTOR NO. 5 INFORMATION

Mr.	Mrs.	First Name	M. I.	Last Name
Ms.	____

Speaker Topic					Previously		Length of
Speaker Topic					Approved Speaker		Presentation
					Approved Speaker		Presentation
					Yes	No

2CONTACT INFORMATION

Primary Phone			Secondary Phone (optional)			Fax (optional)
(	)	-	(	)	-	(	)	-

To document additional instructors, use supplemental form.

ATTACH AN AGENDA FOR THE COURSE TO THIS FORM

SECTION I

1SIGNATURE

I hereby certify ability to comply with any applicable federal and state laws, including the Americans With Disabilities Act (ADA) requirements for access to activities.

Applicant Name (print)	Title

Applicant Signature	Date	(mm/dd/yy)

SECTION J

1CHECKLIST

Please use this checklist to ensure you are sending all of the necessary information and documents.

Complete Pesticide CEU Recertification Sponsorship form

Include a course outline

Provide all supporting documentation

Submit at least 30 days prior to the first date of the course to:

Texas Department of Agriculture, Training and Certification Program, P.O. Box 12847, Austin, Texas 78711 or fax to : 888-216-9865.

Pesticide Division

Revised 4/16/10

Form Pa 409 – Fill Out and Use This PDF

Form Pa 409 PDF Details

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