BRANDS ENFORCEMENT DIVISION PO BOX 202001, HELENA MT 59620-2001 406-444-2045

OFFICE USE ONLY Transmittal Number___ A mount Received___

NO MONEY

Debtor/Brand Owner

Address

-----

Phone(

(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:

ALL BRANDED LIVESTOCK

☐ CATTLE ONLY ☐ HORSES ONLY ☐ SHEEP ONLY

TATE POSITION ON: CATTLE: ___ HORSES: ___

SHEEP:___ PAINT COLOR:___

THIS IS TO NOTIFY YOU THAT WE ARE A SECURED PARTY UNDER A SECURITY INTEREST GIVEN BY THE ABOVE NAMED DEBTOR.

YOU ARE RE QUESTED TO FILE THIS NOTICE OF CONTINUATION ON THE RECORD OF THE ABOVE-DESCRIBED BRAND I N ACCORDANCE WITH 81-8-301(MCA) SUB 1, 2, 3, & 4.

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 RENEWED JANUARY 1, 1983 AND EVERY 5 YEARS THEREAFTER UNLESS SATISFIED BEFOREHAND. ALL LIENS THAT ARE NOT RENEWED WILL BE DELETED FROM DEPARTMENT RECORDS.

FIVE DIGIT FILING REFERENCE NUMBER FROM ORIGINAL FILING ___

Recorded Brand Owner(s) signature(s) Date

Lending Institution /Creditor Street Address or PO Box

Street Address or PO Box

(_____)

City, State & Zip

Phone Number

Tax ID or Social Security Number

Signature Date

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File Reference Number □□□□□ Creation Date □□●□□●□□

Filing No. □

Brand ID:_____

2017

2015