
Arkansas State Plant Board
P.O. Box 1069
Little Rock, AR 72203
APPLICATION FOR GINSENG DEALER LICENSE
Please fill out this application and enclose $50.00 annual license fee.
Name of Business__________________________________________
Contact Name_______________________________________ Phone #_______________________
Mailing Address____________________________________________________________________________
Physical Address____________________________________________________________________________
E-Mail______________________________________ Website______________________________________
I agree to maintain true records of all purchases and sales of wild American and cultivated ginseng roots. The
following information will be recorded and kept for a minimum of three years.
I agree to submit information from these records as required to the Arkansas State Plant Board and to make the
records and ginseng roots in my possession available for inspection by an authorized employee of the Arkansas
State Plant Board.
I understand that registration and execution of this agreement is in partial fulfillment of requirements of the
Arkansas State Plant Board for issuance of a Certificate of Legal Taking. I agree to use any Certificates of Legal
Taking which are issued based on this agreement in accordance with the requirements of the Arkansas State
Plant Board.
FEES: Act 774 of 1985, Section 4 …“the annual license fee for a Ginseng Dealer shall be $50.00, which
shall accompany the application for a license.”
___________________________________________ ________________________
A. Name and address of collector or grower. (FORM 538A)
B. Name and address of collector or grower. (FORM 538A)
C. Weight of ginseng roots (in pounds and ounces)(green or dry
weight) purchased (FORM 538A) or sold (detachment from
FORM 539). Information is to be recorded for each transaction.
D. Copies of nursery inspection certificates for cultivated ginseng.
(FORM 536)
E. Copies of the Ginseng Certificate to Possession. (FORM 540)
FORM 535
Revised: 07/2011
Signature of Dealer