Instructions for KC-386 POWER OF ATTORNEY
Warehouse operators use this form, jointly with KC-1230, to appoint an agent to represent the warehouse in connection with CCC Storage Agreements. Submit the original of the completed form in hard copy or facsimile to the Kansas City Commodity Office, P.O. Box 419205, Stop 8748, Kansas City, MO 64141-6205; FAX 816-926-1426. For questions or assistance, contact Commodity Management Division, Storage Contract Branch at 816-926-6446. Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.
Warehouse Operators must complete Items 1 through 5.
Items 1-5 Fld Name / Item No. 1 Date 2 Principal 3 Agent and Attorney-inFact 4A–E Signature Instruction Enter date Power of Attorney is prepared. Enter name of warehouse as principal. Enter the name of person appointed by the principal as agent to act and sign legal documents for the warehouse in connection with the Storage Agreement. Item 4A. Enter the name of the warehouse as it appears in Item 2. Item 4B. Enter the street address, city, state, and zip code of the warehouse. Item 4C. Enter the signature of an authorized individual, i.e., corporate officer, partner, member, or proprietor. Item 4D. Enter the title of the person signing for the warehouse. Item 4E. Enter the date this form KC-386 is signed. Enter the signature(s) of person(s) witnessing the individual signing for the warehouse and affix corporate seal in space provided.
5 Witness(es)
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