Vehicle Services Bureau
Bill of Sale
Only
DL/FEIN/Tribal ID/Corp ID*
my right, title and interest to the following described vehicle/vessel:
Vehicle/Hull Identification No.
Salvage vehicle (must be 15 years old or older): Yes No
Sold for parts only: Yes No
Odometer Statement
The (check one) five or six digit odometer now reads (no tenths) ________________ miles, date read
and to the best of my knowledge it reflects the actual mileage unless one of the following statements is checked:
Purchaser’s printed name
Electronic title acknowledgement if electronic record transfer is required in accordance with MCA 61-3-220(1)(a) &
(2), I certify that:
• I am not in possession of the title.
• I am the owner of this vehicle and I authorize the transfer to the above-named purchaser.
• I have not previously transferred to another person for sale.
I further certify that:
• I have the right to sell the vehicle/vessel described above and will warrant and defend the title against the claims and demands
of all persons except the secured party noted on the Montana title application.
• Under penalty of law (MCA 45-7-203), I certify that the statements made and information contained on this form are true and
correct to the best of my knowledge, information, and belief; I am the person named on this form; and, if signing for a business
entity or trust, I have full authority to do so.
This is my legal signature (All owners must sign)
DL/FEIN/Tribal ID/Corp ID*
If signing for a business entity, give full entity name
*DL=Driver License No.; FEIN=Federal Employee Identification No.; Tribal ID=Tribal Identification Card No.; Corp ID=Corporate Identification No.
Signed before me on (date)
by (clearly print name of person requesting notary service)
Montana county and state authorities reserve the right to reject any form that has been altered.
MV24 (6/21)
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 mvdtitleinfo@mt.gov
Title Available: Yes No, I certify the vehicle is not in "mechanically functional" condition and the
current value is $ dollars.
This is my legal signature
I (purchaser) am aware of the odometer certification made by the seller above.
Purchaser’s signature
Date
UNLESS APPLICABLE
DO NOT CHECK The odometer reading reflects the amount of mileage in excess of its mechanical limits.
The odometer reading is not the actual mileage. Warning – odometer discrepancy.
*** This form must be completed in its entirety. ***
As recorded on this form, I received the sum of
($________________) and other valuable consideration to sell, transfer and deliver to
(Mechanically functional means needing only minor reconditioning.)
dollars
