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FOR OFFICIAL USE ONLY: Received By: Date: Photo: Y N Received By: Date: Card Completed: Date: UPDATED 11/2020 STATE OF MONTANA, COUNTY OF BIG HORN Concealed Weapons Permit – Address Change MONTANA RESIDENTS ONLY To Be Completed by CCW card holder For valid permits issued by BHC: A replacement card with your new address can be printed for $5.00. PLEASE PRINT OR TYPE Name: (As printed on permit) Date of Birth: NTN: New Physical Address: Street/Apt # City State Zip Phone: / Home Message/Cell Signature Date