<p>Intervention Skimmed Milk Powder – Purchase by tender SMP8 (TENDER) Tender application and claim for payment Commission Regulation (EU) No. 1272/2009 as amended. Notes about this form Data Protection A Please use BLOCK CAPITALS. B To be received by the Rural Payments Agency no later Defra is the data controller for personal data you give to than the closing time on the day the tender closes. us or we hold about you. We use it in line with the Data Part B – Security C Any amendments must be initialled. Protection Act. For more information, go to Security of at the rate per tonne specified in the D Do not use correction fluid. www.gov.uk/rpa, choose ‘Contact RPA’ and click on invitation to tender has been lodged with you in the E If you need help to fill in this form, please contact ‘Personal information charter’. form of (please tick): operations on 0191 226 5219/5851</p><p>Part A – General details  block guarantee Name and address of tenderer Tel number (incl area code)  single transaction guarantee</p><p>Fax number (incl area code)  cash</p><p>Postcode Trader Registration Number  other (please specify)</p><p>Status: sole proprietor partnership company trust Quantity offered for tender in </p><p>If other, please specify: tonnes Part C Price to be given in euro per 100kg ex store (not including domestic taxes and expressed to no more than 2 decimal places) Bag numbers of Store where SMP is Creamery of Creamery approval Date of Manufacturing creamery Price in euro SMP offered Tonnage currently stored manufacture number manufacture lot number per 100kg From To</p><p> spin3t ver 4.0 Jan 2015 Price to be given ex store (not including domestic taxes and expressed to no more than 2 decimal places) Bag numbers of Store where SMP is Creamery of Creamery approval Date of Manufacturing creamery Price in euro butter offered Tonnage currently stored manufacture number manufacture lot number per 100kg From To</p><p>Conditions Declaration You must: The tenderer: Signature 1 comply with the requirements of Articles 14 of  has read and understood Scheme Guide IM(L)21, as Commission Regulation (EU) No. 1272/2009. may be amended; Name (BLOCK CAPITALS) 2 only offer SMP:  accepts and has complied with the conditions Capacity of person signing - please specify  made exclusively and directly from skimmed cow's opposite; (for example: sole proprietor, partner, director, trustee, agent) milk;  will take back any consignment and repay any  that meets the quality and compositional standards storage charges incurred by the Agency from the Date required; date of takeover on SMP not accepted;  of the correct weight and age;  claims the subsidy due; WARNING: any person who makes a false declaration may be prosecuted. A false or  that has been packaged and marked properly.  has given details that are true and complete to the inaccurate statement can lead to loss of best of their knowledge and belief. entitlement and recovery of any payments made.</p><p>Part D – For official use only Agency stamp Acknowledgement of receipt Signature</p><p>Date received Name (BLOCK CAPITALS) Date </p><p>Rural Payments Agency, Lancaster House, Hampshire Court, Newcastle upon Tyne NE4 7YH. Tel 0191 226 5219/5851. Fax 0191 226 5101 [email protected] </p><p> spin3t ver 4.0 Jan 2015</p>