$25.00 FILING FEE
STATE OF MONTANA DEPARTMENT OF LIVESTOCK BRANDS ENFORCEMENT DIVISION PO BOX 202001, HELENA MT 59620-2001 406-444-2045
OFFICE USE ONLY Transmittal Number_____ Amount Received_____ NO MONEY___
NOTICE OF SECURITY INTEREST COVERING BRANDED LIVESTOCK
Debtor/Brand Owner_Address ___
Debtor/Brand Owner_________________________________________________________________________
Address___________________________________________________________________________________
____________________________________________Phone( )___________________________
(Note: The Department of Livestock can only file liens against recorded MONTANA brands)
_Phone( )
(Note: The Department of Livestock can only file liens against recorded MONTANA brands)
(Note: The Department of Livestock can only file liens against recorded MONTANA brands)
SHEEP: ___ PAINT COLOR: _
STATE POSITION ON: CATTLE:_____________ HORSES:_____________ SHEEP:_____________ PAINT COLOR:_____________
STATE POSITION ON: CATTLE:_____________ HORSES:_____________ SHEEP:_____________ PAINT COLOR:_____________
STATE POSITION ON: CATTLE:_____________ HORSES:_____________ SHEEP:_____________ PAINT COLOR:_____________
SHEEP ONLY
STATE POSITION ON: CATTLE:___ HORSES:___
THIS IS TO NOTIFY YOU THAT WE ARE A SECURED PARTY UNDER A SECURITY INTEREST GIVEN BY THE ABOVE NAMED DEBTOR.
YOU ARE REQUESTED TO FILE THIS NOTICE OF SECURITY INTEREST ON THE RECORD OF THE ABOVE-DESCRIBED BRAND I N ACCORDANCE WITH 81-8-301(MCA).
WE ENCLOSED THE TWENTY-FIVE DOLLARS ($25.00) FEE PER RECORDED BRAND AS PROVIDED BY 81-8-304(MCA). WE RECOGNIZE THAT THIS SECURITY INTEREST IS TO BE RENE WED JANUARY 1, 1983 AND EVERY 5 YEARS THEREAFTER UNLESS SATISFIED BEFOREHAND. A LL LIENS THAT ARE NOT RENEWED WILL BE DELETED FROM DEP ARTMENT RECORDS, AS PROVIDED BY 81-8-301(MCA) SUB 2, 3, 4, & 5.
Lending Institution /Creditor
___________________________________________________ ______________________________________________________
___________________________________________________ ______________________________________________________
Street Address or PO Box _____ (_____) City, State & Zip Phone Number
_________________________________(_____)____________ ______________________________________________________
Street Address or PO Box
Phone Number
City, State & Zip
Tax ID or Social Security Number
Signature Date
Recorded Brand Owner(s) signature
Recorded Brand Owner(s) signature Date
Tax ID or Social Security Number
OFFICE USE ONLY
Date of Last Activity □□□●□□●□□
□□•□□•□□
File Reference Number □□□□□□
Date of Last Activity □□□.□□□.□□□
Creation Date JULORU
Expiration Date └ └ └ └ └ └ └
Filing No. □
Mortgage Code
Brand ID: ___
2017
2015