DEPARTMENT OF LIVESTOCK BRANDS ENFORCEMENT DIVISION REQUEST DUPLICATE CERTIFICATE UPDATE BRAND INFORMATION OFFICE USE ONLY

UPDATE BRAND INFORMATION TRANSMITTAL #__________________

CC/CHECK/MO

AMOUNT REC'D

TRANSMITTAL #

Brand Information: Current Owner(s): ____________ Do you own livestock in Montana? ☐ YES ☐ NO Draw Brand Image:

Brand Position and Species:

Cattle: Horse:

Sheep: Paint Color:

Other:

Updates Being Requested: (Check all that apply)

☐ Request Duplicate Certificate Fee: 10n☐ Add acattle Freeze Brand to an existing Livestock Brand:10\nFees are subject to change; current fees may be viewed at www.liv.mt.gov.\nRequests for duplicate certificates require signatures of current brand owners

Current Brand Owner Signature(s): ____________ Current Brand Owner Signature(s): ____________ ☐ New Mailing Address: Date Date Address City, State, Zip Email Phone # ____________ Cell # ____________

☐ New Physical Address: Address City, State, Zip

☐ Add County(ies) of Range: ____________

☐ Remove County(ies) of Range: ____________

☐ Add Identifying Marks: ____________

☐ Remove Identifying Marks: ____________

Make check payable to: MT Dept of Livestock

Mail / Submit this form to: MT Dept of Livestock ATTN: Brand Recorder PO Box 202001 Helena, MT 59620-2001 Questions: Phone: (406) 444-2045 Email to: brands@mt.gov www.liv.mt.gov