Vehicle Services Bureau
Manufacturer
Application Addendum
Office Use Only
This addendum to the Application for Manufacturer, Importer, Distributor License (MV25MFG) is used to
notify the Vehicle Services Bureau of dealers authorized to sell your products in the State of Montana.
Complete the information and return this form to the address listed above.
Manufacturer Name: License Number:
Montana Dealer Number Dealer Name as Indicated on Montana Dealer License Business Street Address, City, Zip Code
Make(s) sold by Dealer
Montana Dealer Number Dealer Name as Indicated on Montana Dealer License Business Street Address, City, Zip Code
Make(s) sold by Dealer
Montana Dealer Number Dealer Name as Indicated on Montana Dealer License Business Street Address, City, Zip Code
Make(s) sold by Dealer
Montana Dealer Number Dealer Name as Indicated on Montana Dealer License Business Street Address, City, Zip Code
Make(s) sold by Dealer
Montana Dealer Number Dealer Name as Indicated on Montana Dealer License Business Street Address, City, Zip Code
Make(s) sold by Dealer
Montana Dealer Number Dealer Name as Indicated on Montana Dealer License Business Street Address, City, Zip Code
Make(s) sold by Dealer
Montana Dealer Number Dealer Name as Indicated on Montana Dealer License Business Street Address, City, Zip Code
Make(s) sold by Dealer
Montana Dealer Number Dealer Name as Indicated on Montana Dealer License Business Street Address, City, Zip Code
Make(s) sold by Dealer
Montana state and county authorities reserve the right to reject any form that has been altered.
MV25MFG-A (10/17)
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