Vehicle Services Bureau
Application for
Approval of
Off-Premise Sale
Montana Code Annotated 61-4-123(4) requires this application be completed and submitted to the
Vehicle Services Bureau, P.O. Box 201431, Helena, MT 59620-1431, prior to the opening date of the
off-premise sale. A dealer may not conduct more than 10 off-premise sales during a calendar year.
Except for motor homes (RVs), travel trailers, quadricycles, or motorcycles licensed for off-highway
use, snowmobiles, and boat/personal watercraft vehicles, an off-premise sale must be conducted within
the county of the dealer’s established place of business.
VSB approval of an off-premise sale must be displayed at the sale location.
Dealer Name: Dealer Number:
Dealer Street Address:
Dealer Mailing Address:
Email Address: Phone Number:
An off-premise sale may not exceed 10 consecutive days. Dates of off-premise sale (list exact days by date):
Location of off-premise sale*:
Street Address
City County
*Separate authorization may be required from the local land-use planning, zoning, or business-permitting agency to
ensure that the off-premise sale complies with local ordinances and regulations. In addition, separate verification may
be required from the dealer's franchisor (if applicable) to ensure that the franchisor authorizes the off-premise sale
location.
It is the dealer's responsibility to obtain such
authorization prior to conducting the off-premise sale.
I certify, under penalty of law (MCA 45-7-203), that the statements made and information contained on this
application are true and correct to the best of my knowledge, information, and belief, and I have full authority to
sign for the dealer named above.
Print Full Name of Applicant
Applicant’s Signature Title
*** Faxed copies of this application are acceptable. This form can be copied. ***
Indicate with an X the vehicle type(s) that you will be displaying at the off-premise sale.
___ New Motor Vehicles (to include cars, trucks, rugged terrain [sport utility], vans, and buses)
___
Used Motor Vehicles (to include cars, trucks, rugged terrain [sport utility], vans, and buses)
___
Snowmobiles ___ Quadricycles or Motorcycles (licensed for off-highway use)
___
Quadricycles or Motorcycles (street legal) ___ Motor homes (RVs) ___ Travel Trailers
___
Trailers ___ Boats / Personal watercraft ___ Mobile Homes ___ Special Mobile Equipment
Montana state authorities reserve the right to reject any form that has been altered.
MV68 (10/19)
This form is available in alternate formats for people with disabilities.
P.O. Box 201431, 302 N Roberts, Helena, MT 59620-1431
Phone (406) 444-3661 Fax (406) 444-0116 dojdealerinfo@mt.gov
Applicant agrees to comply with the provisions of the Mont. Code Ann., and rules and regulations promulgated
thereunder applicable to motor vehicle dealers, distributors and manufacturers in effect on the date of this
Application.
