Application To Engage In The Sale Or Purchase Of Livestock Form

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No. ___________________
Mississippi Department of Agriculture and Commerce
P.O. Box 1609
Jackson, Mississippi 39215-1609
APPLICATION TO ENGAGE IN THE SALE OR
PURCHASE OF LIVESTOCK
As required by Section 75-27-209(1) Mississippi Code of 1972, the undersigned hereby, make application to
the Commissioner of Agriculture for a permit to engage in the sale or purchase of Livestock
Business Name
Physical Address (No PO Boxes)
City
State
Zip Code
County
Telephone
Fax
Mailing Address
City
State
Zip Code
Type of Business
Section 75-27-209(1) Mississippi Code of 1972, requires your business to be bonded, therefore,
please attach a copy of your present bond.
This the ________________ day of _____________________________, _______________.
Enclose with this application:
License Fee of $50.00
Present Bond
___________________________________
Signature of Applicant
___________________________________
Title

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