Livestock Identification and Commerce Act
REVOCATION OF LIVESTOCK DEALER
LETTER OF AUTHORIZATION
F-2 Version 2009-11-15
(Please print clearly)
TO: LIVESTOCK IDENTIFICATION SERVICES LTD.
FROM: Client No.
Name of the owner of the livestock For LIS Use Only
THIS IS TO CERTIFY THAT:
1. I am the owner or one of the owners of the livestock and I am authorized to sign this Revocation of
Livestock Dealer Letter of Authorization on behalf of the owners.
I am authorized by the corporation or partnership to sign this Revocation of Livestock Dealer Letter
of Authorization on behalf of the corporation or partnership.
Note: Cross off the statement in paragraph 1 that is not applicable
2. I hereby revoke the Livestock Dealer Letter of Authorization described below:
Date of Letter of Authorization
Livestock Dealer Client No.
For LIS Use Only
DATED at this day of 20
Town/City Province Day Month Year
Signature of Witness Signature of person signing authorization
Printed name of witness Printed name
Phone number Phone number