State Form 50313 PDF Details

The State Form 50313 serves as a gateway for individuals and entities seeking to enter or continue their venture within Indiana's timber industry, under the watchful guidance of the Department of Natural Resources' Division of Forestry. This comprehensive form, designed for both new applicants and those aiming to renew their Timber Buyers License, plays a pivotal role in ensuring the ecological and economic integrity of timber transactions within the state. Prospective timber buyers are asked to provide detailed information, ranging from basic identification details like names and office locations, to the intricacies of partnership or corporate structures, including lists of partners or principal officers. The form also mandates disclosure of financial commitments to Indiana timber growers, supplemented by requirements for a surety bond, certificate of deposit, or cash deposit, alongside the Timber Buyer's License fee and any agent registration fees. Furthermore, applicants must detail the counties they target for their timber buying activities, affixing an affirmation of the truthfulness of their provided information and their compliance with Indiana's timber buying regulations. Designed with stringent oversight in mind, this form ensures that all engaged in the buying of timber are held to standards that protect both the state's natural resources and its commercial interests.

QuestionAnswer
Form NameState Form 50313
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names50313 renew indiana timber license form

Form Preview Example

APPLICATION FOR INDIANA TIMBER BUYERS LICENSE

CHECK ONE: New Application

State Form 50313 (R3 / 6-16)

Renewal of License

Approved by State Board of Accounts, 2016

For License Year: ______________

Department of Natural Resources / Division of Forestry

 

Please complete entire application.

Questions Call 317/232-4105

Division of Forestry

(A)(I) (They) doing business as:

(Enter name of person, partnership or corporation to be licensed.)

With principal office located at: _______________________________________________________________________

 

Street

 

 

______________________

_______________________________________________________________________

County

City

State

ZIP

_______________________________________

______________________________________

 

E-Mail Address

 

Telephone Number

 

If you are doing business as a Timber Buyer in a name other than your own, list that name:

___________________________________________________________________________________________

(B)If application is by a partnership, list partners or if application is by corporation, list principal officers and managing officer for Indiana.

NAME

 

 

ADDRESS

 

 

 

 

 

 

 

NAME

 

 

ADDRESS

 

 

 

 

 

 

 

NAME

 

 

ADDRESS

 

 

 

 

 

 

 

NAME

 

 

ADDRESS

 

 

 

 

 

 

 

Is the corporation authorized to do business in Indiana?

Yes

No

If so, submit a copy of Certificate of Admission or Incorporation. If you have already submitted a copy to us, please disregard this request. If the corporation is owned or controlled by another, give name and address:

____________________________________________________________________________________________

(C)Give the total dollars paid for timber (stumpage, logs, pulpwood, piling, veneer, etc.) bought from Indiana Timber growers (Government and Private) during the last calendar year or the last twelve (12) months

prior to this application: $*

*New buyers should estimate total dollar value to be paid for timber during the next twelve (12) months.

(D)CHECK ONE BELOW:

I am submitting a Surety Bond, Certificate of Deposit, or Cash Deposit with this application in the required amount.

My Surety Bond, Certificate of Deposit, or Cash Deposit is on file with your office in the proper amount.

I am submitting a “Rider” to my bond or an additional Cash Deposit to increase the amount of bonding to meet

the required amount for the new year.

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(E)Also, the one hundred fifty dollar ($150.00) Timber Buyer's License fee is enclosed.

(F)I am enclosing a total of __________________ dollars ($ ____________) for ________ (specify number) Agents. Attached to this application is one “Agent’s Registration” for each Agent I wish to register (including the owner or primary buyer). There is a twenty dollar ($20.00) registration fee for each agent you wish to register.

(G)The counties in Indiana which I propose to engage in the business of timber buying are as follows:

____________________________________________________________________________________________

(H)I hereby make application for a Timber Buyers License and do certify the information given is correct. I further certify that neither I nor any of the agents I am seeking to register herein have ever been convicted of a felony or a violation of Indiana Code 25-36.5-1-1 et seq., or any rule or regulation enacted by the Indiana Department of Natural Resources for the administration of these said laws.

___________________________________________

______________________________________________

Applicant, Partner or Company Official (Print Name)

Applicant, Partner or Company Official (Signature)

________________________________

______________________________________________

Date (month, day, year)

Title

(I)State of __________________

County of ________________

Being duly sworn upon this oath, deposes and says that he is the person who signed the above application and says that all statements in the above application are true, and said statements are made for the purpose of obtaining a Timber Buyers License in the State of Indiana.

______________________________________________

______________________________________________

Notary Public Signature

Notary Public Printed Name

 

Subscribed and sworn to before me, a Notary Public, in and said County and State this ______ day of

__________________, ________.

 

 

 

My Commission Expires (month, day, year): __________________

 

 

-----------------------------------------------------------------------------------------------------------------------------------------

 

 

Check Enclosed

Please make the Check / Money Order out to the

Money Order Enclosed

Department of Natural Resources.

Credit Card – Expiration Date (month, year): ________

(CHECK ONE)

Visa

Master Card

__________________________________________

_____________________________________________

PRINT name as it appears on Credit Card

Card Number

 

 

__________________________________________

Signature

Please enclose this slip with your application and all fees as prescribed in Indiana Code 25-36.5 and mail all to:

Indiana Division of Forestry, 402 W. Washington St., Room W296, Indianapolis IN 46204.

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