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DEPARTMENT OF LIVESTOCK BRANDS ENFORCEMENT DIVISION REQUEST DUPLICATE CERTIFICATE UPDATE BRAND INFORMATIONOFFICE USE ONLY
CC/CHECK/MO
AMOUNT REC'D
TRANSMITTAL #
UPDATE BRAND INFORMATIONTRANSMITTAL #__________________
Brand Information:\nCurrent Owner(s): ____________\n\nDo you own livestock in Montana? ☐ YES ☐ NO\n\nDraw Brand Image:
Brand Position and Species:
Cattle:Horse:
Sheep:Paint Color:
Other:
Updates Being Requested:\n(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): ____________\n\nCurrent Brand Owner Signature(s): ____________\n\n☐ New Mailing Address:Date\nDate\nAddress\nCity, State, Zip\nEmail\nPhone # ____________\nCell # ____________
☐ New Physical Address:Address\nCity, 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\nATTN: Brand Recorder\nPO Box 202001\nHelena, MT 59620-2001Questions:\nPhone: (406) 444-2045\nEmail to: brands@mt.gov\nwww.liv.mt.gov