Wallace State Office Building 502 E. 9th St. Des Moines IA 50319 515-281-5321 515-281-5987 Financial Information Sheets, Regular Financial Information Sheets, Sole Proprietor, Respectively Iowa Grain Dealers License Grain Dealer Monthly Grain Statement Form (W-11) Lost Warehouse Receipt Release Form Disclosure of Company Ownership, Control, & Management Warehouse License Application Warehouse Tariff Form Warehouse Supplemental Tariff Warehouse Operator Monthly Grain Statement Form (W-11) Warehouse Insurance Certificate (W-19) Warehouse Endorsement (W-20) Forms Grain Depositors and Sellers Indemnity Fund Grain Dealer Claim Form Instructions for Grain Dealer Claim Form Grain Depositors and Sellers Indemnity Fund Warehouse Claim Form Instructions for Warehouse Claim Form