Bonded Weighmaster's License for a Business by hjh63417

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									                                  STATE OF MISSISSIPPI
                         Department of Agriculture and Commerce
                          Lester Spell, Jr., D.V.M., Commissioner
                              Weights and Measures Division
                                       P. O. Box 1609
                                  Jackson, MS 39215-1609


                 Bonded Weighmaster’s License for a Business
The 1997 Legislature amended the Bonded Weighmaster’s Law to provide that a business may be
licensed as a Bonded Weighmaster and that seals may be inscribed electronically on weight certificates.
A business license will cover all qualified employees of that business. Business with more than one
location will need to obtain a license and have a surety bond, as specified in Section 75-27-313, for each
physical location. The fee for the business license is one hundred dollars ($100.00). All
Weighmaster’s licenses will expire on June 30 of each year.

Completed applications should be mailed to the Mississippi Department of Agriculture and
Commerce/Weights and Measures Division, P. O. Box 1609, Jackson, MS 39215-1609 and must be
accompanied by: (1) the appropriate fee (check or money order should be made payable to the
Mississippi Department of Agriculture and Commerce/Weights and Measures Division), (2) a
signed weighmasters oath, (3) a surety bond in the penal sum of five thousand dollars ($5,000.00)
with surety to be approved by the Secretary of State and (4) a statement certifying that the
weighing or measuring device used has within the past twelve months, been tested and declared to
be accurate, within tolerance allowed by NIST Handbook 44 for such device, by the State Weights
and Measures jurisdiction.

All persons performing the services of a bonded weighmaster, whether as an individual licensee or as the
employee of a business licensee shall: (1) be a citizen of the United States or has declared his intention
of becoming a citizen, (2) be a resident of the State of Mississippi, (3) be not less than twenty-one (21)
years of age, (4) be of good moral character, (5) have the ability to weigh accurately, (6) make correct
weight certificates and (7) comply with all requirements of the Bonded Weighmasters Law.

If company is continuing a present bond; only provide a continuation certificate of the bond that will be
continued; do not fill out the BLANKET WEIGHMASTER’S BOND. However, if company has a new
bond; therefore you must fill out the BLANKET WEIGHMASTER’S BOND and upon receipt of the
necessary forms the new bond will be sent to the Insurance Department for approval of the Mississippi
Residence Agent; if approval is granted then the Mississippi Department of Agriculture and Commerce
will release your license.

If you have any questions, please contact my office at 601-359-1149.
                                      STATE OF MISSISSIPPI
                            Department of Agriculture and Commerce
                             Lester Spell, Jr., D.V.M., Commissioner
                                 Weights and Measures Division
                                          P. O. Box 1609
                                     Jackson, MS 39215-1609
                                                                      License No. _________________

   APPLICATION FOR BONDED WEIGHMASTER’S LICENSE
                   FOR A BUSINESS
The undersigned hereby applies for a license to engage in business as a Bonded Weighmaster, as defined
by Section 75-27-303(1) Mississippi Code of 1972, as amended, such license being required by Section
75-27-307(1) for any business who engages in business as a public weighmaster.

Full Name of Applicant (PLEASE PRINT)

Give Firm Name: If corporation or partnership, give exact title

Physical Address (No P. O. Boxes)

City                             State              Zip Code                Telephone Number

Mailing Address

City                             State              Zip Code                Fax Number



Is the business of the applicant owned by (a) individual, (b) partnership, (c) a corporation, or (d)
a cooperative: ______________________________


State business or trade names used, if any ___________________________________________

____________________________________ where filed _______________________________

If partnership:
 NAME OF ALL PARTNERS                                             ADDRESS                      AGE
 If corporation: In what state incorporated ___________ Date incorporation ________________

    OFFICERS                            NAME                                          ADDRESS

President

Vice-President

Secretary

Treasurer

Chief Exec. Officer

 Principal office if State of Mississippi ______________________________________________

 Is Applicant a subsidiary of or affiliated in any way with any other corporation _____________

 Domestic __________________________ Foreign __________________________________

 What is the primary property, commodity, produce or article to be weighed or measured by
 applicant ____________________________.

 Type of Scale (weighing device):
 a. Make ___________________________ b. Serial No. _____________________________
 c. Capacity _________________________ d. Date of last official test __________________
 e. Model ___________________________
 Has Applicant ever held a license or authorization to perform similar duties to those for which

 this application is made? □ Yes □ No If yes, state details ____________________________
 The undersigned applicant hereby certifies and affirms that (1.) all statements, oaths, information and
 schedules attached hereto are hereby made a part of this application and that all statements, oaths, information and
 schedules contained herein are true and correct; (2.) applicant has executed an official weighmasters oath; (3.) all
 employees retained to perform public weighing must be a citizen of the United States or a person who has declared
 his intention of becoming such a citizen, who is a resident of the State of Mississippi, not less than twenty-one (21)
 years of age, of good moral character, who has the ability to weigh accurately and to make correct weight
 certificates; (4.) a bond in the penal sum of five thousand dollars ($5,000.) payable to the State of Mississippi with
 sureties to be approved by the Secretary of State of the State of Mississippi for the faithful performance of the
 duties of a public weighmaster is supplied with this application; (5.) an impression seal or electronic impression of
 the weighers name and license number as required by Section 75-27-311 of the code will be used by each public
 weigher employed by applicant; and (6.) compliance with all requirements of the Bonded Weighmasters Law and
 Regulations adopted thereunder will be strictly observed.

 This the __________ day of ____________________, 20__________


 ___________________________________                                       _________________________________
 Full name of applicant                                                    By

 ___________________________________                                      __________________________________
 Firm name                                                                Title
NOTE: (1.) Application must be signed.       If partnership, each partner must sign. If corporation,
corporate name must be signed in full with the officer’s name or name of agent authorized to sign
the application and title. (2.) Corporate seal must be impressed.

State of __________________________________              County of ____________________________________

This day personally came and appeared before me, the undersigned authority in and for the jurisdiction aforesaid,

_________________________________________ who, being by me first duly sworn, states on oath that the
matters and things in the foregoing instruments are true and correct as herein stated.

                                                                                ___________________________
                                                                                          Affiant

Sworn to and subscribed before me on this the ______________ day of _______________________, 20_________


                                                                                ___________________________
                                                                                        Notary Public
My commission expires__________________________




NOTE: THE FOLLOWING MUST BE ATTACHED AND MADE A PART OF THIS
APPLICATION:

        1. $5,000 surety bond payable to the State of Mississippi (Surety must be approved by the
           Secretary of State)

        2. Weighmaster’s Oath (signed by applicant and two witnesses)
        3. Statement that weighing device(s) has been tested and declared to be accurate, within
           tolerance allowed by NIST

        4. Handbook 44 for such device, by state weights and measures jurisdiction
        5. Check or money order in the amount of $100.00 payable to the Mississippi Department of
           Agriculture and Commerce/Weights and Measures Division.
                            STATE OF MISSISSIPPI
                     Department of Agriculture and Commerce
                      Lester Spell, Jr., D.V.M., Commissioner
                          Weights and Measures Division
                                   P. O. Box 1609
                              Jackson, MS 39215-1609



       CERTIFICATE OF ACCURACY
         OF WEIGHING DEVICE

This is to certify that the weighing device (scale) used by licensee in the determination of
certified weights of property, produce, commodities or articles has been tested and declared
to be accurate, within tolerances allowed by NBS Handbook 44 for such device, by the
State Weights and Measures jurisdiction within the immediate past twelve months from the
date of this certificate.



                                     ____________________________________
                                     Licensee (type or print)


                                     ____________________________________
                                     By


                                     ____________________________________
                                     Title




__________________________
            Date
                                           STATE OF MISSISSIPPI
                                   Department of Agriculture and Commerce
                                    Lester Spell, Jr., D.V.M., Commissioner
                                        Weights and Measures Division
                                                  P. O. Box 1609
                                            Jackson, MS 39215-1609

                                           WEIGHMASTER’S OATH
                                                (Business)
  I, the undersigned, being fully vested with authority to act for and in behalf of Bonded Weighmasters License
   applicant


       Business (PLEASE PRINT)



       Physical Address (No P. O. Boxes)



       City                                                                   State               Zip Code



       Mailing Address



       City                                                                   State               Zip Code




  do solemnly swear that I have read the Bonded Weighmasters Law of the State of Mississippi and Rules and
  Regulations adopted thereunder and fully understand requirements imposed upon a bonded weighmaster
  licensee, and affirm that said business meets all requirements to be licensed as a Bonded Weighmaster and agree
  that all employees acting in behalf of said business will lawfully and faithfully perform and fulfill the duties and
  responsibilities devolving upon them by reason of their position and fully understand that if said business or any
  person employed by it violates any provisions of said law or rules or regulations adopted thereunder, the business
  will become amenable to the law and subject to the punishment therein, so help me God.

  It is understood that this oath expires on the same date as business’ weighmaster license or upon revocation of
  such license by the Commissioner for cause.

              2 WITNESSES:

                                                                                          ________
                                                                 Name (print or type)

                                                                                                   _______
                                                                 Signature

                                                                                                   _______
Date                                                             Title
                                                                              Bond No. ___________________________


             BLANKET WEIGHMASTER’S BOND
KNOW ALL MEN BY THESE PRESENTS, That we
                                                                                        (Business)
of                                               , as Principal, and _____________________________________
                     (City)
as Surety are held and firmly bound unto the State of Mississippi in the full and just sum of five thousand
($5,000.00) dollars, for payment of which sum well and truly to be made and done, we bind ourselves, our heirs,
executors, administrators, successors, and assigns, jointly and severally, by these presents.

            WHEREAS, the said Principal,                                                       _____________located at
                                                        (Business)
                                                                                                      ______________
(Address)                               (City)              (State)            (Zip)                  (County)
has applied to the Commissioner of Agriculture and Commerce for a license to engage in business as a bonded
weighmaster and is required to furnish this bond guaranteeing compliance with the laws of the State of Mississippi
and the existing rules and regulations duly promulgated thereunder by the Commissioner of Agriculture and
Commerce.

         NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if
the said Principal shall from the                 day of          , 20______, to the 30th day of June, 20        ,
faithfully fulfill the requirements and duties prescribed by the laws of the State of Mississippi and the rules and
regulations duly promulgated thereunder, as now existing or hereafter amended, then this obligation shall be void,
otherwise to remain in full force and effect.

        PROVIDED, HOWEVER, that beginning on the thirtieth day following receipt by the Commissioner
of Agriculture and Commerce of written Notice of Cancellation from the Surety, no new liability shall accrue to the
Surety under this bond.

        PROVIDED FURTHER, that this obligation may be continued from any subsequent year by
continuation certificate duly signed and sealed by the surety.

SIGNED, SEALED and DELIVERED, this the                               day of                     , 20______.


                                                                 Principal

Countersigned by:                                                By


Mississippi Residence Agent                                      Surety

                                                                 By
Address                                                              Attorney-In-Fact

								
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