Name of the entity - type or print the name of the entity to be licensed on the line below)
As provided for by section 81-8-234(1) of Montana Code Annotated which requires that "every livestock market or livestock dealer shall maintain a financial condition of total assets in excess of total liability, including total current assets in excess of total current liabilities," livestock markets and livestock dealers may sign and date this affirmation (at the bottom) in lieu of submitting a current balance sheet to the Montana Department of Livestock.
As an owner, officer, or authorized agent of the livestock dealer or livestock market, specified above, I hereby affirm the following:
As of the date written below, the total assets of the owners of the above entity are greater than the total liabilities of the owners. In addition, the total current assets of the owners of the above entity are greater than the total current liabilities of the owners.
As of the date written below, the total assets of the entity, specified above, are greater than the total liabilities. In addition, the total current assets of the entity, specified above, are greater than the total current liabilities.
The statements in this Montana Livestock Dealer License Application are made in full knowledge of the provisions of Sec. 45-7-203 (MCA) and Sec. 45-7-208 (MCA) which make it a criminal offense to make a willfully false statement or misrepresentation to any Department or Agency of the State of Montana as to any matter within its jurisdiction.
Signature of owner, partner, officer, or authorized agent
Printed Name:
Date:
Call Montana Livestock Crimestoppers 800-503-6084