Application To Engage In The Sale Or Purchase Of Livestock (Page 2 of 2) in pdf

Application To Engage In The Sale Or Purchase Of Livestock Page 2

STATE OF MISSISSIPPI

Department of Agriculture and Commerce

Weights and Measures Division

P. O. Box 1609

Jackson, MS 39215-1609

Lester Spell, Jr., D.V.M., Commissioner

License No. Issued: _______________

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, makes application to

the Commissioner of Agriculture and Commerce for a permit to engage in the sale or purchase of Livestock

Business Name (PLEASE PRINT)

Physical Address (No PO Boxes)

City

State

Zip Code

County

Telephone Number

Fax Number

Mailing Address

City

State

Zip Code

Type of Business

If there has been any changes within the past year in 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 _____________________________, 20 _______________.

____________________________________

___________________________________

Signature of Applicant

Title

Enclose with this application:

□ License Fee of $50.00

□ Present bond, letter of credit, or trust fund agreement if there has been any changes

within the past year.

Application To Engage In The Sale Or Purchase Of Livestock Page 2