KC-1623 USDA-AMS 

(04-19-19) COTTON WAREHOUSE TARIFF 

1. WAREHOUSE CODE 2. LICENSE NO. 

3. NAME AND LOCATION OF WAREHOUSE 4. EFFECTIVE DATE 

Part A RECEIVING PER BALE 

1. Receiving, tagging, weighing on arrival, drawing one set of samples, if requested, issuing warehouse receipts and placing in 

storage. 

2. Classing or other charges, if paid by warehouse operator. 

Part B STORAGE AND INSURANCE PER BALE 

1. Each storage month or fractional part thereof, including fire insurance. 

2. Uninsured Storage (Part B1, excluding insurance). 

Part C REWEIGHING AND RESAMPLING (Including customary handling of samples exclusive of delivery.) PER BALE 

1. Weighing or reweighing at time of shipment including furnishing original and three copies of certified weight sheets. 

2. Sampling or resampling at time of shipment. 

3. Weighing or reweighing, including removing cotton from and returning it to storage and furnishing original and three copies of 

certified weight sheets. 

4. Sampling or resampling, including removing cotton from and returning it to storage. 

5. Weighing or reweighing, and sampling or resampling, including removing cotton from and returning it to storage and furnishing 

original and three copies of certified weight sheets. 

6. Drawing an extra set of samples, at time of any sampling. 

Part D DELIVERY PER BALE 

1. Charge, per bale, for picking out by tag number, removing from storage, delivery to warehouse platform, and 

loading according to custom. 

a. CAR b. TRUCK 

2. Drayage, where necessary, to rail. a. MINIMUM CHARGE ($) PER SHIPMENT b. PER BALE CHARGE 

3. Charge for cancellation of order and return to stock after breakout. 

Part E MISCELLANEOUS PER BALE Part E MISCELLANEOUS PER BALE 

1. Marking or Branding (not more than five letters). 2. Extra marking (not more than five letters). 

3. Patching. 4. Delivery of samples (postage, express, parcel 

post, etc.) 

5. Typing - 25 pounds and under, and reweighing. 6. Typing - over 25 pounds, and reweighing. 

7. Applying shippers’ tags. 8. Brushing. 

9. Reconditioning damaged cotton. 10. Drying wet cotton. 

11. Ranging for inspection and return to storage if 

necessary. (This charge not applicable in 

connection with any other service.) 

12. Handling transit cotton for consolidation or any 

purpose other than compression (includes in and 

out handlingand loading). 

13. Baling loose, pickings or sweepings. 14. Furnishing sacks for samples. PER SACK: 

Part F OTHER CHARGES PER BALE 

1. Transit cotton in lots: Receiving, marking, storing, and loading by lot. 

2. Compression (If warehouse operator paid for compression at time of ginning) 

3. Converting electronic receipts to paper receipts or paper receipts to electronic receipts. 

Special services not offered on this KC-1623 will be rendered and 

billed at rates agreed upon at the time of the order. 

G. SIGNATURE 

The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a). The authority for requesting the following information is 15 U.S.C. 714 and regulations promulgated 

thereunder (7 CFR Parts 1427 and 1403). The information will be used to complete the terms of an agreement between the warehouse operator and CCC. Furnishing the requested information 

is voluntary, however, without it, eligibility to enter into an agreement with CCC cannot be determined. This information may be provided to other agencies, IRS, Department of Justice, or other 

State and Federal enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud statutes, including 18 USC 286, 371, 

641, 651, 1001; 15 USC 714m; and 31 USC 3729, may be applicable to the information provided. RETURN THIS COMPLETED FORM TO THE WAREHOUSE AND COMMODITY 

MANAGEMENT DIVISION, LICENSE AND STORAGE CONTRACT BRANCH, STOP 9148, P.O. BOX 419205, KANSAS CITY, MISSOURI 64141-6205. 

The authority for collecting the following information is Pub. L 107-171. This authority allows for the collection of information without prior OMB approval mandated by the Paperwork Reduction 

Act of 1995. The time required to complete this information collection is estimated to average 15 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. 

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, 

sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived 

from any public assistanceprogram. (Not all prohibitedbases apply to all programs.) Persons with disabilitieswho require alternativemeans for communication of program information(Braille,largeprint, audiotape,etc.) 

should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of Discrimination, write to USDA, Director, Office of Civil Rights, 1400 

Independence Avenue, SW, Washington, DC 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.