PO BOX 202001
HELENA MT 59620-2001
OFFICE: (406) 444-9762
Or: (406) 444-2045
https://liv.mt.gov
Please complete application by printing clearly or typing information. See page 3 for important information regarding livestock sale permits.
Type of Sale Permit being applied for:
O Test Station Sale
Association Sale
Off-Premise Sale
Name of Person / Group / Entity / Livestock Market applying for Permit:
Mailing address (complete – include city, state and zip code):
Physical address (if different from mailing address):
Telephone number (including area code): Email address (required so that you can be contacted quickly if necessary):
Not required for an Off-Premise Sale If Entity or Group is an Association or Corporation, list the Names and Addresses of the Directors and Officers: Mailing address (include city, state and zip code):
Directors and Officers (includes titles):
Sale Name:
Sale Date or Dates: Location of sale (include street address):
Nature of Sale (include types and breeds of livestock to be sold):
Is this an Annual Sale (yes or no)?:
If yes, how many years has the sale been conducted / held?:
Name and address of the Clerk of Sale:
Name and address of Montana domiciled bank where the Custodial Account is established: