STATE OF MONTANA DEPARTMENT OF LIVESTOCK BRANDS ENFORCEMENT DIVISION PO BOX 202001, HELENA MT 59620-2001 406-444-2045

Transmittal Number_____ Amount Received_____

NO MONEY_____

Debtor/Brand Owner

Address

___

___

Phone(

___

_____ 1 month ( ) _____

(Note: The Department of Livestock can only file liens against recorded MONTANA brands)

ONLY ONE BRAND AND POSITION PER SPECIES (UP TO 3 SPECIES) IS ALLOWED PER FORM

CHECK THE APPROPRIATE BOX THAT THIS LIEN APPLIES TO: ☐ CATTLE ONLY

ALL BRANDED LIVESTOCK

CATTLE ONLY

HORSES ONLY

SHEEP ONLY

STATE POSITION ON: CATTLE:___ HORSES:___

SHEEP:_____ PAINT COLOR:_____

THIS IS TO NOTIFY YOU THAT THE ABOVE DESCRIBED SECURITY INTEREST HAS BEEN FULLY PAID AND SATISFIED AND YOU MAY THEREFORE RELEASE THE NOTATIONS ON YOUR RECORDS COVERING THIS BRAND.

YOU ARE REQUE STED TO FILE THI S SATISFACTION ON THE RECORD OF THE ABOVE-DESCRIBED BRAND IN ACCORDANCE WITH THE LAW COVERING THE FILING OF SATISFACTIONS OF SECURITY AGREEMENTS AS PROVIDED UNDER 81-8-301(MCA) SUB. 5.

WE UNDERSTAND THAT SATISFACTION OF SE CURITY AGREEMENTS MUST BE FILED IMMEDIATELY WITH THE DEPARTMENT OF LIVESTOCK AS PROVIDED BY 81-8-303(MCA). WE HAVE ENCLOSED THE TWENTY-FIVE DOLLARS ($25.00) FEE PER RECORDED BRAND AS PROVIDED BY 81-8-304(MCA).

FIVE DIGIT FILING REFERENCE NUMBER FROM ORIGINAL FILING ___

___ reditor

Lending Institution /Creditor

Street Address or PO Box

( )

City, State & Zip Phone Number

Tax ID or Social Security Number

Signature Date

OFFICE USE ONLY

Date of Last Activity Creation Date

File Reference Number Filing No.

Expiration Date □□□•□□•□□

Mortgage Code

Brand ID: _____

2015