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Form #1077Original Negotiable Grain Warehouse Receipt
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Grain Warehouse Receipt for Oregon - free to use
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not be construed as legal advice. You are strongly encouraged to consult competent
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Your use of this site constitutes your acceptance of our terms of use and your
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on this site. If you do not agree to the above terms, please do not proceed.
These forms are provided to assist business owners and others in understanding important
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Oregon—Grain.
Oregon State
Warehouse License _________
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_________ Station
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Receipt
No. _________
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Original
Negotiable
Grain
Warehouse Receipt
Received from _________, _________(town and state)
for storage in above named warehouse _________ pounds of grain of the kind and
grade described herein for which this receipt is issued subject to the grain
warehouse laws of the state of Oregon, the regulations issued thereunder and
the terms of this warehouse receipt.
Said grain is fully insured by the undersigned
warehouseman to the extent of its full market value against loss or damage by
fire, lightning, inherent explosion, windstorm, cyclone and tornado, unless
expressly stated otherwise on the face of this receipt. The undersigned
warehouseman is not the owner of the commodity covered by this receipt, either
solely, jointly, or in common with others, unless otherwise stated hereon.
The warehouseman issuing this receipt is licensed and
bonded to the state of Oregon until June 30, following the date of this receipt
the warehouseman reserves the right to terminate storage on June 30, following
date of this receipt and collect outstanding charges against the commodity
listed. Upon the return of this receipt properly endorsed, and payment of the
warehouseman's lien, as stated herein, said grain or grain of the same or
better grade will be delivered to the above named depositor or his order.
The undersigned warehouseman claims a lien on said
grain for charges and liabilities as follows: _________
Advances $_____
Storage start date: _________
Date storage paid through _________
Prepaid handling charges:
[ ] In _________ at _________ Bu.
[ ] Out _________ at _________ Bu.
Issued at _________ on _________, _________.
Issued in lieu of W/R _________(licensed
warehouseman).
By
_________
Kind of grain _________
Grade _________(Alpha code _________)
Smut dkg. _________
Foul dkg. _________
No. sacks _________
Gross weight (incl. sack and dockage, if
any) _________ lbs.
Sacks tare _________ lbs.
Pounds of grain (incl. dkg, if any)
_________
Gross bushels and hundredths of bu.
_________
Net pounds _________
Net bushels and hundredths of bu.
_________
Supplemental information—For purposes of the Uniform
Grain Storage Agreement. Show only actual degrading factor except on corn and
grain sorghums which require all factors. (Not part of warehouse receipt)
CCC warehouse code _________
Deposit date _________
Test weight _________ lbs.
Moisture _____%
Total damage _____%
Heat damage _____%
Foreign material _____%
Protein _____%
Sedimentation value _________
Other information _________
Received by: [ ] truck-barge [ ] truck [ ]
rail [ ] barge
Car/truck _________ Initial and number
_________
Charges due warehouseman as follows:
|
Freight
|
$.......................................................................................................
|
|
Storage
|
$.......................................................................................................
|
|
Receiving
|
$.......................................................................................................
|
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Loading out
|
$.......................................................................................................
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Other
|
$.......................................................................................................
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We hate getting spam as much as you do. So we have implemented a tough spam policy
regading how we deal with your email. We pledge that we will:
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Submissions to this site, including any legal or business forms, posts, responses
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not be construed as legal advice. You are strongly encouraged to consult competent
legal council before engaging in any action based upon content contained on this
site.
These downloadable forms are only for personal use. Retransmission, redistribution,
or any other commercial use is prohibited. This includes reposting forms from this
site to another site offering free legal or other document forms for download.
Please note that the donator may have included different usage terms regarding this
form, and you agree to abide by these terms. It is highly recommended that you have
a licensed attorney review any legal documents for which you are searching in order
to make sure that your needs are being properly and completely satisfied.
Your use of this site constitutes your acceptance of our terms of use and your agreement
to hold this site, its officers, employees and any contributors to this site harmless
for any damage you might incur from your use of any submissions contained on this
site. If you do not agree to the above terms, please do not proceed.
These forms are provided to assist business owners and others in understanding important
points to consider in different transactions. They are offered with the understanding
that no legal advice, accounting, or other professional service is being offered
by these documents or on this website. Laws vary in the different states. Agreements
acceptable in one state may not be enforced the same way under the laws of another
state. Also, agreements should relate specifically to the particular facts of each
situation. Therefore, it is important to consult legal counsel whenever utilizing
these forms. The Forms are not a substitute for legal advice YourFreeLegalForms.com
is not engaged in recommending or referring members on the site or making claims
about the competence, character or qualifications of its participating members.
Close
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Keywords: warehouse, legal forms, warehouse receipt, grain
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