TO: County Crop/Ag Improvement Associations and NDAA

FROM: Paulette Neva, Executive Secretary

SUBJECT: Check-off Reporting Form

DATE: March 25, 1999

It is time once again to collect check-off fees due on last year's new variety allocations. Attached is a copy of the check-off reporting form. This reporting form is a great help to me in keeping records and I request that you use it again this year when submitting payment. The seed increase agreement specifies that the following check-off be collected on each bushel sold as seed and also on any seed kept by the grower for his own planting:

The increase grower is responsible for the check-off. He should be billed accordingly using the figures above. Please forward 50% of the check-off to the North Dakota Crop Improvement & Seed Association, and 50% shall be retained by the county. Please make checks payable to North Dakota Crop Improvement and Seed Association (NDCISA) and remit to: P.O. Box 5607, University Station, Fargo, ND 58105.

If all or part of seed production was not sold as certified seed or failed certification, we will need a report on that also. If seed was dumped at the elevator, please provide proof of disposal.

Enc.

1999 Check-off Reporting Form
(Seed allocated in 1998)

County Name_______________________________________

Check-Off Fees:

Increase Variety	Grower Name	Total Bushels Production	Bu. Sold as Seed *	Total    Check-Off  Due						Check-off to NDCISA
______	________	__________	_______	____bu/lb X $_____			¸2 =			$_____
______	________	__________	_______	____bu/lb X $_____			¸2 =			$_____
______	________	__________	_______	____bu/lb X $_____			¸2 =			$_____
______	________	__________	_______	____bu/lb X $_____			¸2 =			$_____
______	________	__________	_______	____bu/lb X $_____			¸2 =			$_____
				TOTAL DUE:						$______

* REMINDER: Check-off is also paid on any seed the grower keeps for his own planting.

If all or part of seed production was not sold as certified seed, please complete the following:

Make checks payable to NDCISA and return to:

NDCISA, PO Box 5607-Univ. Station, Fargo, ND 58105