Mark And Brand Application/certificate Form - County Of Palo Pinto, Texas
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1MARK AND BRAND APPLICATION/CERTIFICATE
(BRAND REGISTRATION IS FOR 10 YEARS – AUGUST 31, 2011, TO AUGUST 30, 2021)
Renewal of this Brand/Mark must be filed during the period August 31, 2011, to February 29, 2012
STATE OF TEXAS
§
COUNTY OF PALO PINTO
The undersigned hereby makes application for the registration and recording of the following mark(s) and/or
brand(s) by the County Clerk of Palo Pinto County, Texas.
New:
Renewal:
Release:
Transfer:
Name of Owner: _______________________________________________________________
Ranch / Business Name: ________________________________________________________
Address: _________________________________________ Phone: _____________________
City: ________________________________ State: _______________ Zip: _____________
Specie: Cattle:
Horse:
Other: ______________
Ear Marks Only:
Draw the Brand
Right Ear
Left Ear
Brand Location:
Left
Shoulder
Flank
Jaw/Nose/Face
Right
Side/Rib
Hip/Loin
Electronic Chip # _________
Tail/Back
Thigh
Brand Description: _____________________________________________________________
Signature of Applicant: ____________________________________ Date: _______________
(Owner/Agent)
Recorded Volume/Book __9____ Page ________ Cert # ____________
NOTARY USE ONLY
Signature of Applicant: ______________________________________________ Date: ______________
Owner/Agent
Before me, the undersigned authority, on this day personally appeared _____________________________ known to
me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he/she signed
the same for the purposes and consideration therein expressed.
Given under my hand and seal of office, this the ________ day of ________________________, 20______.
__________________________________________________
Signature of Notary
STATE OF _________________________ COUNTY OF _________________________
Given under my hand and seal of office on this _______ day of ______________________, 20_____.
Janette K. Green, County Clerk of Palo Pinto County, Texas
By:____________________________________________________ Deputy
Pursuant to Texas Agriculture Code 144.041, a copy of this application shall be forwarded to:
Texas and Southwestern Cattle Raisers Association
1301 West Seventh St., Ste 201
Fort Worth, TX 76102
Notarial / County Seal
800-242-7820
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