DEPARTMENT OF LIVESTOCK BRANDS ENFORCEMENT DIVISION APPLICATION FOR BRAND RECORDING Page 2

• Brand Choices: Carefully draw one brand image in each box. List choices IN PREFERENTIAL ORDER. The first available brand choice listed on this application will be issued to the applicant. Indicate the position on cattle, horses, or both for each image. Per 81-3-103, MCA, new brands must be distinguishable with reasonable certainty from all other marks and brands.
• 2) 3) 4)
• Cattle:_________ Horse:________ Cattle:_________ Horse:________ Cattle:_________ Horse:________ Cattle:_________ Horse:________
• 6) 7) 8)
• Cattle:_________ Horse:________ Cattle:_________ Horse:________ Cattle:_________ Horse:________ Cattle:_________ Horse:________
• 10) 11) 12)
• Cattle:_________ Horse:________ Cattle:_________ Horse:________ Cattle:_________ Horse:________ Cattle:_________ Horse:________

If you prefer to have MT Dept of Livestock select and assign a brand to you, using the criteria listed below, please select the box below and follow the instructions. Finish the process by printing, signing, dating, and returning the form with your payment.

☐ If none of the above brand choices are available, I will accept ANY BRAND with the following two (2) characters on the position listed. Enter one character in each box, no not use a bar, slash or quarter circle. NOTE: There will be a Bar, Slash or Quarter Circle added to your chosen characters to complete your Brand.

Character Character Circle any position you will accept: Position on cattle: LS RS LR RR LH RH Position on horses: LS RS LT RT LJ RJ

Applicant's printed name:__________________

Applicant's signature:__________________ Date:__________________