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Arizona Department of Agriculture (Arizona)

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DOUGLAS A. DUCEY

Governor



Arizona Department of Agriculture

1688 W. Adams Street, Phoenix, Arizona 85007

(602) 542-3578 FAX (602) 542-0466

https://agriculture.az.gov

Page1of4 Rev.9/22/2015

MARK W. KILLIAN

Director

NewBrand/BrandAmendmentApplication

CompleteApplication–includesnamesofallownersspecifiedby“OR”or“AND”;MailingAddress;Telephone

Number(s);EmailAddress(ifapplicable);upto5clearlydrawnbranddesigns;EarmarkDescription(Optional);

RangeLocation;County;NotarizedSignaturesofallspecifiedownerswitnessedbyeitheraNotaryPublic,

JusticeofthePeace,aJudgeofacourtofrecord,aClerkordeputyClerkofaCourthavingaseal,aRecorderof

Deeds,aCountyRecorder,orLivestockOfficer.Ifallpartiesinvolvedintheapplicationareunabletoappearfor

acknowledgementatthesametime,aseparateacknowledgementmaybeattachedforadditionalsignatures.If

ownershipisbeingdistributedtoabusinessentityoraTrust,youmustprovideacopyofthebusiness

organizationalpapers(i.e.ArticlesofIncorporationorArticlesofOrganization)orTrustdocuments.

ApplicationFee–Thefeetoregisteranewbrandoramendanexistingbrandis$75.00.However,thebrand

mustberesearchedandgothrougha30dayPublicNotice.PleaseDoNotsendanymoneyuntilyoureceivea

letterofapprovalfromtheDepartmentofAgriculture.

StepstoaSpeedyRegistration–Toincreasethelikelihoodofregisteringtherequestedbranddesignplease

keepinmindthefollowing:

□ Provideupto5uniquebranddesigns,clearlydrawninblackink.Nomorethanfive(5)branddesigns

willbeconsideredperapplicationandwillbeconsidered1

Choice,2

Choice,3

Choice,etc.,as

shownontheform.Donotwriteadditionalimagesinbox(i.e.locationonanimal)asthesewillbe

consideredpartofthebranddesign.

□ PleaselookthroughtheonlineBrandBookwhic hcanbefoundonourwebsiteat

https://agriculture.az.gov/sites/default/files/BrandsBook2014_0.pdftomakesureyourdesiredbrandis

notanexactduplicateof,orinconflictwith,anexistingregisteredbrand.Ifanalterationcanbemade

toanexistingbrandthatwouldthenmatchyourrequestedbrand,itshallbeconsideredaconflict.

□ Singleletterornumberbrand,orenclosedbranddesignswillberejectedandrefused.

□ Brandlocationmustbespecifiedinasinglelocation(i.e.leftrib;righthip,etc.).However,pleasebe

flexibleinyourbrandlocation.Whilewemaynotbeabletoapprovethebrandintherequested

location,wemightbeabletoapproveitinanalternatelocation.

□ Ifthisisanamendment,pleasewritetheBrandNumberinthe1

ChoiceBox.Anamendmentcanbe

usedtoaddanimalsoraddearmarkstoabrand.Itcannotchangethelocationofanexistingbrandas

thatconstitutesanewbrand.

PublicNoticeofProposedBrands–Ifnoconflictswithexistingbrandsarefound,yourbrandwillbepostedon

ourofficialsitehttp://searchagriculture.az.gov/docs/brandsnotice.pdf.

AfterApproval‐Ifapplicationfeeisnotreceivedorpostmarkedbyduedate,whichis30daysafterwritten

noticeofapproval,therequestedbrandwillbeforfeit.DONOTbrandyourlivestockuntilyouhavereceived

yourbrandcertificate.



Page2of4 Rev.9/22/2015

EarmarkExamplesandDescriptions

Theearmarkexamplesbelowillustratethemostcommonvariationsonrecordedbrands.ThisisNOTan

exhaustivelist.EartagsDONOTneedtobeadvertisedandneednotbeincludedontheapplication.













Page3of4 Rev.9/22/2015

BrandLocationExamplesonLivestock

 S=Shoulder,R=Rib,H=Hip,T=Thigh,B=Back



 Right Left







Page4of4

 Rev.9/22/2015

For ADA/ESD Use Only

Brand #:________________

Check #:________________

Check Date: _____________

Check Amount: __________

Line Number: ____________

ArizonaDepartmentofAgriculture(ADA)

LicensingandRegistrationSection

1688WestAdams,Phoenix,AZ85007

Phone:(602)542‐3578

Fax:(602)542‐0466

Brand Application or Amendment

(ARS 3-1266) Fee: $75

Select One: ☐ New Brand Application ☐ Amend Brand # Do Not send any money until you received the Brand

approval letter from the Brand Department

The undersigned hereby applies for the recording of the brand and earmarks, if any, as shown below:

Please print or type Name of Applicant(s):

And☐ Or ☐ And☐ Or ☐

(Select only one, if no box check assumed to be “OR”) (Select only one, if no box check assumed to be “OR”)

And☐ Or ☐ And☐ Or ☐

(Select only one, if no box check assumed to be “OR”) (Select only one, if no box check assumed to be “OR”)

DBA or Name under which livestock will be transported or sold

(Only if different from name(s) listed above)

Mailing Address: City: State: Zip: _____

Email Address: Phone:

Choice 2

Choice 3

Choice 4th Choice 5th Choice

(Donotwriteadditionalimagesinbox(i.e.locationonanimal)asthesewillbeconsideredpartofthebranddesign.)

Describe earmark (i.e. Right Crop or R Crop. See page 2):

Brand Location on Animals: Cattle: Horse: Sheep: Goat:

Range: County:

(City or Town where livestock will be located)

If conflicts are found on the requested side or location, may we change side or location to avoid delay? ☐ Yes ☐ No

(If no selection is made, we will assume the answer to be “yes”.)

By signing this document, I/we affirm that I/we have read and understand the instructions provided and all information

provided herein is true and correct; and I/we do not know of a similar brand or earmark being run or used by another person

in the State of Arizona, Republic of Mexico, or in the states of New Mexico, Utah, Nevada, or California.

Acknowledged signature of each applicant named above is required.

X___________________________________________________ X___________________________________________________

STATE OF )

) ss.

County of )

On this day of , 20 , before me personally appeared

(Name of Signer(s))

Whose identity was proven to me on the basis of satisfactory evidence to be the person who s/he claims to be and acknowledged that

s/he signed the above/attached document.

____________________________________________________

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Completed 20 July 2020

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