Project No.:	enter text	Designation:	enter text
Project ID:	enter text	Parcel No.:	enter text
County:	enter text	Landowner:	enter text

KNOW ALL MEN BY THESE PRESENTS:

THAT WHEREAS, the State of Montana, acting by and through its Department of Transportation did on Choose a date, purchase the hereinafter described real property for state highway purposes; and

WHEREAS, the said real property or a portion thereof may, in the future no longer be necessary to the laying out, altering construction, improvement or maintenance of any state highway or for any highway purposes.

NOW THEREFORE, the undersigned, for and in consideration of the sum of One Dollar ($1.00), lawful money of the United States, now paid, the receipt whereof is hereby acknowledged, hereby expressly waives and relinquishes any and all rights enter text, as the original owner or successor in title, may have under Montana law which gives enter text preference to repurchase all or a portion of the following described real property:

enter text

Dated this	day of	,	20

(Signature)

State of
County of

This instrument was acknowledged before me on
(date)

By

(Seal)
Notary Signature Line
Notary Printed Name
Notary Public for State of
Residing at:
My Commission Expires:	/	/	20