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DEPARTMENT OF LIVESTOCK BRANDS ENFORCEMENT DIVISION AFFIDAVIT OF PRINCIPAL
Do you own livestock in Montana? If so, you are required to pay a PER CAPITA FEE. Visit www.liv.mt.gov for more information. RETURN FORM TO: MT DEPT OF LIVESTOCK ATTN: BRAND RECORDER PO BOX 202001 HELENA, MT. 59620-2001
RETURN FORM TO: MT DEPT OF LIVESTOCK ATTN: BRAND RECORDER PO BOX 202001 HELENA, MT. 59620-2001
STATE OF ___
COUNTY OF ___
BEING FIRST DULY SWORN, DEPOSES AND SAYS:
(PRINTED NAME OF PRINCIPAL/OFFICER)
THAT (HE, SHE) IS THE ___ OF
(TITLE OF PRINCIPAL-President, Director, etc.)
(NAME OF BUSINESS/COMPANY)
AND HAS THE LEGAL AUTHORITY TO TRANSFER THE BRAND, ON BEHALF OF THE BUSINESS, AS DESCRIBED ON THIS FORM.
POSITION ON CATTLE:
POSITION ON HORSES:
POSITION ON SHEEP & PAINT COLOR:
POSITION ON OTHER (SPECIFY):
DRAW BRAND HERE
IN MY CAPACITY AS THE ___ OF (TITLE OF PRINCIPAL-President, Director, etc.)
(NAME OF BUSINESS/COMPANY)
I APPLIED MY SIGNATURE TO THE ASSIGNMENT OF BRAND FORM.
SIGNATURE OF PRINCIPAL: ___
DATE: ___
1/2
SEAL
NOTARY SIGNATURE: DATE: