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            "text": "DEPARTMENT OF LIVESTOCK",
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            "text": "PO BOX 202001\nHELENA MT 59620-2001\nOFFICE: (406) 444-9762\nOr: (406) 444-2045\nhttps://liv.mt.gov",
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            "text": "BRANDS ENFORCEMENT DIVISION\nLIVESTOCK DEALER LICENSE APPLICATION",
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            "text": "Please complete application by printing clearly or typing information\nApplication Fee: Dealer license fees are $50 for first-time dealers and $50 for each additional buyer.\nApplication fee must be submitted with application."
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                            "text": "Species of Livestock Handled (circle all that apply): Cattl…"
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                    ]
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                    "text": "Name of Entity to be Licensed (individual or firm):",
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                    "text": "Mailing address (complete – include city, state and zip code):",
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                    "text": "Physical address (if different from mailing address):",
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                },
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                    "text": "Telephone number (including area code):",
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                        "rowspan": 1,
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                        "bbox_refit": true
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                },
                {
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                    "type": "table_cell",
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                    "text": "Email address (required so that you can be contacted quickly if necessary):",
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                    "text": "You must be registered with USDA before applying for a MT Livestock Dealer License.\\nAre you currently registered with the USDA – Grain Inspection, Packers & Stockyards (USDA-GIPSA)? Yes No",
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                    "text": "Species of Livestock Handled (circle all that apply): Cattle Horses and Mules Sheep and Goats Swine",
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                },
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                    "text": "Type of Organization (Circle the appropriate type):\\nIndividual Corporation Partnership Association Other (specify):",
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                    "text": "If Entity is a corporation or Association, Designate State of Incorporation and Date Incorporated:",
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                    "text": "Owners, Partners, or Offices\\n(Name and Title)",
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                    "text": "Principal Place of Business Activity – Stockyard(s), Auction Markets, Other:",
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                        "bbox_refit": true
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                    "text": "If Licensed Previously, Name in which the License was Issued Under",
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                    "text": "Livestock Dealer's Accounting Period\\nCalendar Year: ________\\nFiscal Year: ________ to ________",
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                        "rowspan": 1,
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                    "text": "Name of Bank Where Business Accounts are Held:\\n__________\\nOfficer: ________\\nCity: ________ State: ________ Zip: ________",
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                    "text": "• I understand that as a livestock dealer, I shall maintain records that disclose all purchases and sales of livestock. I understand that as a livestock dealer, I shall, at all reasonable times, give the department access to and let the department copy any of the records relating to my business, as provided by Sec. 81-8-278(MCA).\\n• The statements in this Montana Livestock Dealer License Application are made in full knowledge of the provisions of Sec. 45-7-203(MCA) which make it a criminal offense to make a willfully false statement or misrepresentation, to any Department or Agency of the State of Montana, as to any matter within its jurisdiction.",
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                    "text": "Signature of Owner, Partner, or Responsible Officer",
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                    "text": "Title",
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                    "text": "Date",
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        "last": []
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