Instructions to Complete 

Application for Registration 

Form PSD 1000 

Form PSD 1000 is used by applicants to register their operation with the Packers and Stockyards 

Division (PSD) as a dealer buying and selling livestock for their own account or for the account 

of others, a market agency buying livestock on a commission basis, or a market agency selling 

livestock on commission. If any information is missing or incorrect, PSD will return the 

application form to the principal for completion or correction. 

Operating without proper registration and bond may subject the principal to severe civil penalties 

as authorized by law for each violation, and additional penalties for each day the violation 

continues (7 U.S.C § 203). 

Submit the completed form to the PSD regional office that covers your area. The Areas covered 

by each regional office are listed below the regional office's address. 

Regional Offices of the Packers and Stockyards Division 

Agricultural Marketing Service, Fair Trade Practices Program 

Eastern Regional Office 

75 Ted Turner Drive SW, Ste 230 

Atlanta, GA 30303-3308 

Telephone: (404) 562-5840 

FAX: (404) 562-5848 

E-mail: 

PSDAtlantaGA@ams.usda.gov 

States Covered 

AL, AR, CT, DC, DE, FL, GA, 

LA, MA, MD, ME, MS, NC, 

NH, NJ, NL, NY, PA, PR, QC, 

RI, SC, TN, VA, VT, WV 

Midwestern Regional Office 

210 Walnut Street, Room 317 

Des Moines, IA 50309-2110 

Telephone: (515) 323-2579 

FAX: (515) 323-2590 

E-mail: 

PSDDesMoinesIA@ams.usda.gov 

States Covered 

IA, IL, IN, KY, MB, MI, MN, 

MO, ND, NE, OH, ON, SD, WI 

Western Regional Office 

3950 Lewiston St., Suite 200 

Aurora, CO 80011-1556 

Telephone: (303) 375-4240 

FAX: (303) 371-4609 

E-mail: 

PSDDenverCO@ams.usda.gov 

States Covered 

AB, AK, AZ, BC, CA, CO, HI, 

ID, KS, MT, NM, NV, OK, OR, 

SK, TX, UT, WA, WY 

If you have any questions about the form or completing the form, please contact the PSD 

Regional Office that covers your area, as listed above. 

Applicants must complete lines 1 through 23, and sign line 21. 

If any information for lines 15 and 16 does not fit into the space provided, attach a separate sheet 

of paper with the information and include the line number(s) referenced. 

Form PSD 1000 Expires 01/31/2025 Page 1 of 4
Line 

No.

Subject Instruction

1 Name of Applicant to be 

Registered

If you will operate as an individual, enter your first 

name, middle initial and last name. If you will operate as 

a partnership, enter each partner’s first name, middle 

initial and last name. If you will operate as a corporation, 

association, Limited Liability Partnership (L.L.P.), or 

Limited Liability Corporation (L.L.C.), enter the name of 

the corporation, association, L.L.P., or L.L.C.

2 Trade Name /d.b.a Enter the trade name/d.b.a under which you, the 

applicant, will operate. This is the name the business 

will use. If you do not operate with a “Trade Name”, 

enter “NA.”

3a 

through 

3e 

Mailing Address Enter your mailing address. Enter street, city, county, 

state, and zip+4. This is the address where all 

correspondence, regular and certified from the Packers 

and Stockyards Division will be sent. 

4a 

through 

4e 

Operating Address Enter the operating address and/or physical location. 

Enter street, city, county, state, and zip+4. This is the

address where you conduct your business services. 

5 

through 

8 

Telephone, Cell Phone., 

Fax, and E-Mail 

Address 

Enter the telephone number, including area code, where 

you may be reached, a cell phone number, a fax number, 

and, if applicable, the business’ e-mail address.

9 Web Site Address (if 

applicable) 

If you operate a web site in conjunction with your 

livestock operations, enter the complete Web site address 

the business operates. For example: 

www.WebSiteName.com 

10 Type of Livestock 

Handled

Check the appropriate box(es) to indicate each type of 

livestock the business will be handling.

11a 

and 

11b 

Character of Business –

Market Agency/Dealer

Check each type of operation that applies to the business. 

If you are completing the application as a stockyard 

owner, check the box for Stockyard Owner and add the 

name of the stockyard.

11c Character of Business -

Clearee

If you are named as a Clearee on another registrant’s 

bonding instrument, check “Yes”. If you provide your 

own bonding, check “No” or leave 11c blank.

11d Character of Business -

Cleared by

If you checked “Yes” on 11c, enter the registrant’s name 

providing the bond coverage.

12 Nature of Selling on 

Commission Activities

Check the type(s) of selling on commission activity that 

best describes your business. If operating a yearly horse 

sale, include date sale will be conducted. May be month, 

or month/day.

Form PSD 1000 Expires 01/31/2025 Page 2 of 4
Line 

No.

Subject Instruction

13a 

through 

13c 

Type of Organization Check the appropriate box to indicate the type of 

organization as it applies to the business’ operation. If 

appropriate, enter the state where the Corporation, LLC, 

or LLP was formed on 13b., and the date the 

organization was formed on 13c.

14a 

through 

14c 

Owners, Members, 

Partners, Or Officers, 

(Name and Title), 

Percent Ownership

Home Address (Street, 

City, State, Zip + 4 

Code)

For each owner and every partner, enter their name, title, 

respective percentage of ownership and home address 

(street, city, state, zip+4). Provide this information for

every individual with any ownership interest, in the 

applicant’s operation. 

15 Names and location of 

posted stockyards, 

auction markets,

feedlots, and web sites 

where applicant will 

operate 

IF APPLYING TO OPERATE AS A DEALER OR 

MARKET AGENCY, BUYING ON COMMISSION

ORDER BUYER: 

Enter the stockyards and markets (including city and 

state) where you will conduct business. If you are a 

dealer or order buyer, buying in multiple states, insert 

“IN COMMERCE” as your answer.

IF APPLYING TO OPERATE AS A MARKET 

AGENCY SELLING ON COMMISSION:

Enter the address of the auction market, including city 

and state, where you will conduct business. 

IF OPERATING AT A WEB SITE:

Enter the web site(s), other than your own, where you 

will be purchasing or selling livestock.

16 If Previously 

Registered, Registered 

Name and Address 

If you were previously registered with the Packers and 

Stockyards Division, enter ALL name(s) under which 

you were previously registered, and the street, city, state, 

and zip +4 code of the prior business(es). 

17 Does the registrant own 

or lease a scale used in 

the purchase and sale of 

livestock? 

Check the appropriate box to indicate if the registrant 

owns or leases a scale used in the purchase and sale of 

livestock. If yes, enter the location (address, city, state, 

and zip +4 code), model, and serial number of each scale, 

or attach a copy of the most recent scale test.

18 Reporting Year End Every registrant is required to file an annual report on a 

prescribed form. Check the appropriate box to indicate 

whether the business is operating/filing on a calendar 

year or fiscal year basis, which should be the same as 

you file your income taxes. If operating/filing on a fiscal 

year basis, enter the beginning and ending dates of the 

business’ fiscal year (for example, November 1 to 

October 31). If you are filing as a clearee, use the same 

filing date as the clearor.

Form PSD 1000 Expires 01/31/2025 Page 3 of 4
Line 

No.

Subject Instruction

19 Sale Days-Market 

Agency Selling on 

Commission

If the applicant intends to operate as an auction market, 

check the appropriate box(es) to indicate all days the 

market will conduct regular sales. Special sales need not 

be included on the application form.

20a 

through 

20f 

Market Agency Selling 

on Commission - 

Custodial Account 

Every market agency selling on commission is required 

to establish and maintain a separate bank account 

designated “Custodial Account for Shippers’ Proceeds”. 

For the bank where this account has been established, 

enter the name, address, telephone number, and the name 

of a contact person. 

For more information about the custodial account, please 

contact the Packers and Stockyards Division regional 

office for your area that is listed on page 1 of this 

document. 

CERTIFICATION

21 

and 

21a 

Signature (Owner,

Partner, Or 

Responsible Officer or 

Member), Print Name

The applicant must sign the application if operating as 

an individual. 

If the applicant is a partnership, the signature must be 

that of a partner.

If the applicant is a corporation, association, L.L.C., or 

L.L.P., the signature must be that of an owner, officer, or

member.

Print the name of the person signing the application

22 Title Enter the title of the person signing the application.

23 Date Enter the date the application is signed by the applicant.

Form PSD 1000 Expires 01/31/2025 Page 4 of 4