Fdacs-11206 - Description Of Regulated Germplasm Form - Florida Department Of Agriculture And Consumer Services, Division Of Plant Industry Page 2
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2Are there any representative plantings that are available for observation? Yes _______ No_________
If “yes”,where?______________________________________
How long have these plantings been in production?__________
Who should be contacted in order in order to arrange for a visit? Name:__________________________
Phone No:______________________ Email: ___________________________
V.
Authorized Supplier and Agent information
(Company or individual that allows propagation of this variety)
Company name___________________________________________
Address __________________________________________________________________________________
Phone No.: ___________________Fax: ______________________Email______________________________
Personal contact (name)____________________________________
Address___________________________________________________________________________________
Phone No.: ___________________Fax: ______________________Email______________________________
VI.
Anticipated Fees and Licenses
Cost for initial germplasm ________________________ Cost per nursery tree___________________________
Cost per fruit produced ________________________________ Is the variety patented? Yes______ No ______
If “yes”, where? _____________________________________________________________________
By whom? __________________________________________Patent expires: ___________________
If patented, please include a copy of the patent.
VII.
Present location of the donor/source tree
Company name___________________________________________
Insect-proof greenhouse or screenhouse? Yes______No______ Field planting? Yes_______ No_______
Other (describe)____________________________________________________________________________
Personal contact (name)____________________________________
Address___________________________________________________________________________________
Phone No.: ____________________ Fax:_____________________ Email______________________________
What citrus pathogens and diseases are known to occur in this immediate area?
VIII.
Description of the donor/source tree
Does this plant originate from a line of shoot-tip grafted plants? Yes______ No _______
If yes, has this plant been maintained in a pest-free and protected environment? Yes______ No______
Has this plant been cross protected with any viruses? Yes________ No_____
If “yes”, which one(s)? ________________________________________________________________
Have any viroids or transmissible small nuclear ribonucleic acids been used in the plant? Yes_____ No______
If “If yes”, which one(s)?_______________________________________________________________
Has this plant been tested for any graft-transmissible pathogens? Yes ________ No_________
If “yes”, which pathogens and what test methods were used?
Pathogen
Detection Method
Results
Date Tested
Please include any additional information on this sheet or attached sheets of paper.
FDACS-08408 Rev. 07/15
Page 2 of 2
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