Maize Research Levy Return Form

Please check and update your information as necessary.

Company or Reseller Name

Contact Name

Postal Address

Phone

Please add all crops below, and check the resulting totals.

This return covers the period from to of

Invoice Date: 7 October 2024

Payment Term: 7 days from invoice date

Purchased		Total Seeds	Levy Rate (10k seeds)	Total Levy (NZD $)

Subtotal:	$0.000
GST:	$0.000
Total:	$0.000
less 1% optional collection fee:	$0.000
Total Payment (inc GST):	$0.000

Are you a collection agent?

Yes
No

Instantly using your credit card
Funds transfer using my internet banking

I hereby declare the following to be all levies deducted from all first point of sale or transfer of arable crops sold for the period indicated.