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                    "text": "PO BOX 202001\nATTN: Livestock Dealer Licensing\nHELENA, MT. 59620-2001\nOFFICE: (406) 444-9762\nWEBSITE: www.liv.mt.gov",
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                    "text": "DEPARTMENT OF LIVESTOCK\nBRANDS ENFORCEMENT DIVISION\nMONTANA LIVESTOCK DEALER LICENSE\nAPPLICATION FOR ADDITIONAL AGENT",
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                    "text": "Fee to add additional agent(s) to your MT Livestock Dealer License is $250 per agent being added. Please include fee when sending application for additional agent(s).",
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                    "text": "Applicant: Please print or type",
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                            "text": "1. Name of Entity (individual or firm)",
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                            "text": "2. Mailing Address",
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                            "text": "3. Street Address (if different from mailing address)",
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                            "text": "4. City",
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                            "text": "5. State",
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                            "text": "6. Zip",
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                            "text": "7. Telephone Number (include area code)",
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                            "text": "9. Email Address",
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                            "text": "10. Dealers License Number (if available)",
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                            "text": "To The Department of Livestock Brands Enforcement Division Administrator:\nI hereby state that I am fully aware and I do willingly accept full responsibility for all transactions, financial or otherwise, made or entered into, by the following person(s) while acting as an agent for me. I will inform the following agents listed below that they will conduct all transactions under the name of the Entity to be licensed as listed on page 1, part 1. Furthermore, I will send all required information to the Packers & Stockyards Administration (at the times required by Packers & Stockyards) concerning the activities of all agents so that the bond amount for the entity (as listed on page1, part 1) can be determined correctly.",
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                            "text": "Livestock Dealer Agents: A $250 licensing fee is required for each Livestock Dealer Agent and must be mailed with this form. Please print clearly",
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                            "text": "Name of Agent(s) being Added",
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                            "text": "Mailing Address & Phone Number",
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                            "text": "Printed Name of Licensed Dealer:",
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                            "text": "Signature:",
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                            "text": "Date:",
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