Montana county and state authorities reserve the right to reject any form that has been altered.
MV81B (6/19)
This form is available in alternate formats for people with disabilities.
Vehicle Services Bureau
Security Interest
Processing: New
Vehicle/Vessel Identification Number
File a New Security Interest
An $4.12 fee must accompany this form in order for the security interest to be processed. Fees
include 3% administration fee per MCA 61-3-111.
Borrower's (1)
Printed Legal Name: DL/FEIN/Tribal ID/Corp ID*:
Borrower's (2)
Printed Legal Name: DL/FEIN/Tribal ID/Corp ID*:
Borrower's (1) Mailing Address:
Secured Party's
Printed Name: DL/FEIN/Tribal ID/Corp ID*:
Secured Party's Mailing Address:
Date of Security Interest: Amount of Security Interest: $
Borrower’s Statement: 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. I
acknowledge the security interest noted above and that it will be recorded on the electronic record for the above-
described vehicle/vessel.
Borrower's Signature: Date:
This is my legal signature
*DL=Driver License No.; FEIN=Federal Employee Identification No.; Tribal ID=Tribal Identification Card No.; Corp ID=Corporate Identification No.
P.O. Box 201431, 302 N Roberts, Helena, MT 59620-1431
Phone (406) 444-3661 Fax (406) 444-0116 mvdtitleinfo@mt.gov
