OMB No. 0581-0189

CMC Trf-20___/20___ (Exp. 01/31/2027. Destroy previous editions.)

CRANBERRY MARKETING COMMITTEE

2527 Cranberry Highway, Building B Wareham, MA 02571

Phone: (508) 291-1510

Fax: (508) 291-1511

BUYER’S TRANSFER FORM

20___ CROP YEAR

BUYER INFORMATION Grower No. _________________

Name: ______________________________________________________________________________________

Business Name (or D/B/A): ______________________________________________________________________

Address: _____________________________________________________________________________________

Telephone No.: _______________________________________________________________________________

SELLER INFORMATION Grower No. _________________

Name: ______________________________________________________________________________________

Business Name (or D/B/A): ______________________________________________________________________

Address: _____________________________________________________________________________________

Telephone No.: _______________________________________________________________________________

a) Effective date of the transfer: ____________________________ (day/month/year)

b) □ If this if a TOTAL transfer of the Seller’s cranberry-producing acreage, ALL of the Seller’s cranberryproducing acreage and prior year’s cranberry production used in calculating sales history, will be automatically 

transferred to the Buyer. Sign, date, and return this form to the Cranberry Marketing Committee. In addition, 

legal documentation must accompany the Leased Acreage Form showing the transfer/sale of the cranberry 

acreage. Transfers will not be processed without attached legal documentation.

c) □ If this is a PARTIAL transfer of the Seller’s cranberry acreage, complete (1) and (2) below. NOTE: 

Whenever there is a partial transfer of cranberry-producing acreage, the Buyer and Seller must denote on their 

respective transfer forms: (1) the amount of cranberry-producing acreage being transferred; and (2) the amount, 

in barrels, of sales history attributable to the acreage being transferred for each of the crop years shown below. 

In addition, legal documentation must accompany the Leased Acreage Form showing the transfer/sale or the 

cranberry acreage. Transfers will not be processed without attached legal documentation.

1. Amount of cranberry-producing acreage received through the transfer: ___________ acres

2. Indicate below the amount of production, in barrels, attributable to the acreage received in (c)(1) for each of 

the crop years shown.1

Crop Year 20___ 20___ 20___ 20___ 20___ 20___

Barrels

I hereby certify to the best of my knowledge that the information contained herein is true and accurate.

Buyer’s signature ________________________________ Date __________________

1 Buyer Note: Prior crop years’ sales history (production) must be transferred by the Seller.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a 

collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is OMB 

0581-0189. The time required to complete this information collection is estimated to average 12 minutes per response, including the time for 

reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection 

of information.
OMB No. 0581-0189

CMC Trf-20___/20___ (Exp. 01/31/2027. Destroy previous editions.)

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its 

Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on 

race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, 

family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in 

any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by 

program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American 

Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA 

through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. 

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at 

http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of 

the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to 

USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW 

Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. USDA is an equal opportunity provider, 

employer, and lender.