Cattle Buyer Registration

First Name

Last Name

Business Name

SSN (last 4)

Phone

Western location closest to you:

Buyer's Business is:

Sole Proprietorship Partnership Corporation Limited Liability Co.

Street Address

City

State

Zip

Estimated Purchase Amount

Payment Frequency

This Sale Per Week Per Year

I will be paying for my purchases as follows:

Check Wire Transfer ACH Other

I will be buying as a:

Dealer Order Buyer Packer Other

I will be buying livestock for:

Myself Another Individual/Business

Name and phone for "Other Individual/Business" if selected:

Do you have a Packers & Stockyards bond?

Yes No

Name of Buyer’s Bank

Phone

Fax

Street Address

City

State

Zip

Account Officer

Checking Account #

CD/Savings Account #

TERMS AND CONDITIONS OF SALE/PURCHASE

I (“Buyer”) understand and agree that these terms and conditions will apply to all purchases of livestock at this market (“Market”), unless otherwise expressly stated. I understand and agree that I will be financially responsible for the livestock that I buy, whether of myself or as an agent for someone else. Except for sales where livestock are to be delivered at a later date, accounts must be paid at the time of purchase and persons subject to the Packers & Stockyards Act must pay no later than the close of the next business day following the day of purchase in accordance with 7 USC 228b. Sales are on a cash basis. In transactions where livestock are to be delivered at a later date, payment shall be in accordance with the contract. If the Market takes legal action to collect my account and prevails, the Market and its successors and assigns shall be entitled to reasonable attorney’s fees and court costs.

I UNDERSTAND AND AGREE THAT THERE ARE NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE ON LIVESTOCK SOLD AT THIS MARKET

I hereby grant the Market a security interest in all livestock that I purchase at the Market, as well as all proceeds therefrom, until the Market has received final payment, and authorize the Market to authenticate and file any and all documents that are needed to perfect and give notice of all the Market’s interest in such livestock. I acknowledge and agree that the Market has the right to assign any security interest that it obtains.

AUTHORIZATION/CONSENT TO DISCLOSE FINANCIAL INFORMATION

Buyer hereby authorizes each of the banks/financial institutions named on this Buyer Registration and Consent Agreement to release and disclose to Market information needed to determine Buyer’s financial responsibility and/or ability to pay for livestock. Buyer understands that such information may be used to help determine Buyer’s financial responsibility and/or ability to pay for livestock to be purchased at this Market. This authorization shall remain in affect until Buyer notifies the Market in writing that it has been canceled. A copy of this authorization shall be as a valid as the original. I understand that the information disclosed on this Buyer Registration and Consent Agreement and the information disclosed by the banks/financial institutions for business purposes and not for consumer purposes.

By typing your full name here, you are signing your agreement to all information submitted.

Date

Western Livestock Buyer Registration Form & Consent Agreement