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MISSISSIPPI DEPARTMENT OF TRANSPORTATION
NOTIFICATION OF OWNERSHIP TRANSFER

Location of Sign

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LandOwner

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New Sign Owner Identification

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PHYSICAL DESCRIPTION OF SIGN SHALL REMAIN THE SAME AS ON THE DATE OF PURCHASE :
Current Sign Message:
The above sign was purchased on _____________________, 20__, from ____________________
Mail this Notification of Transfer of Outdoor Advertising to :
Mississippi Department of Transportation
Attn: Maintenance Division 75-01 
P.O. Box 1850 
Jackson, MS 39215-1850
                                        
Please enclose a letter of bill of sale releasing the above sign from the previous sign owner.
Signature of New Owner__________________________________ Date_______________________________