OMB No. 0581-0178

F/H Form 2 (Exp. 3/31/2024) Destroy previous editions.

HAZELNUT MARKETING BOARD

21595-A Dolores Way NE

Aurora, OR 97002-9738

Tel: (503) 678-6823; Fax: (503) 678-6825

EXCHANGE OF MERCHANTABLE INSHELL BETWEEN HANDLERS

The undersigned hereby certify that merchantable inshell hazelnuts have been exchanged between

_____________________________________, the selling handler, and ___________________________________, 

the buying handler. It is also understood and agreed that ________________________________ (buying or selling 

handler) shall assume any diversion obligation required on the following lot(s):

Date of Inspection Certificate No. Weight (lbs) Size

SELLING HANDLER: BUYING HANDLER:

_________________________________________ __________________________________________

By ______________________________________ By ________________________________________

Title _____________________________________ Title ______________________________________

No sale of merchantable inshell hazelnuts between handlers can occur until a completed exchange form is received 

(7 U.S.C. 608(d), 7 CFR 982.56 and 7 CFR 982.456). 

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 0581-

0178. The time required to complete this information collection is estimated to average 5 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. 

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 

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employer, and lender.