1.	Project ID:	enter text	Project No.:	enter text

2.	Designation:	enter text	Parcel No.:	enter text

3.	Location of Property (Section, Township, Range, or Lot, Block and Subdivision, County):
enter text

4.	Property Choose an item	enter text

5.	Waiver by Property Choose an item.:

The undersigned Property Choose an item, having first been informed of the right of the property owner to receive compensation for land prior to granting possession of the land to the Montana Department of Transportation (MDT), hereby waives said right and voluntarily grants to MDT a right-of-entry for construction purposes. This right-of-entry is being granted so MDT can proceed with construction of the above referenced project while the necessary clearances (mortgages, liens, etc) are obtained.

Dated:

Witness Signature:

Property Owner(s):

Distribution:

Original to:	Montana Department of Transportation

Right-of-Way Bureau

PO Box 201001

Helena, MT 59601-1001

First Copy to Acquiring Organization (County or Field R/W Section)

Second Copy to Property Owner(s)