*DL=Driver License number; FEIN=Federal Employer Identification Number; Tribal ID=Tribal Identification; Corp ID=Corporate Identification number
Montana county and state authorities reserve the right to reject any form that has been altered.
MV12 (2/16) This form is available in alternate formats for people with disabilities.
Title and Registration Bureau
Application for
Title of a Vehicle by
Right of Survivorship
MVD Use Only
1003 Buckskin Drive, Deer Lodge, MT 59722-2375
Phone (406) 444-3661 Fax (406) 846-6039
mvdtitleinfo@mt.gov
This form is used when no executor or administrator is appointed, provided the value of the decedent's entire estate including the vehicle that
is the subject of the application, less liens and encumbrancesdoes not exceed $50,000 (MCA 72-3-1101).
For purposes of this document, a "vehicle" includes a motor vehicle, trailer, semi-trailer, pole trailer, camper, motorboat, personal watercraft,
sailboat, and snowmobile.
The appropriate title fee must be submitted with this application: $12 for light vehicles, trucks, and buses weighing less than one ton; $10 for all
other vehicles.
I,
Legal Name
DL/FEIN/Tribal ID/Corp ID*
Residential address
City
Zip code
Mailing address
City
Zip Code
certify that
Name of Vehicle Owner
who died on
at
Date
City County
Zip Code
and
Name of Vehicle Co-owner
who died on
at
Date
City County
Zip Code
is the registered owner of the following vehicle:
Year
Make/Manufacturer
Model
Body Style/Length
Ton
Identification Number
Title Number
Please read and check one box below
1. I am applying for a title and I do not intend to drive the vehicle. I understand registration and license plates currently assigned to the vehicle will
be cancelled with the processing of this application.
2. I am applying for title, registration, and license plates with the intent of driving the vehicle. By choosing this option, I may be directed to obtain
registration in my name and pay all applicable registration fees through the county treasurer’s office.
I further certify that:
The deceased left no estate necessitating administration, and no letter of administration or letters testamentary have been issued to any
person;
The vehicle has not been bequeathed by will to anyone other than myself, or in the absence of a will, I am the person entitled to the property by
operation of law;
All vehicles owned by the deceased do not have a combined value in excess of $50,000;
As (state relationship) of the deceased, my right to this property is superior to that of any other person surviving
the deceased.
Under penalty of law (MCA 45-7-203) the statements made and information contained on this form are true and correct to the best of my
knowledge, information, and belief, and if signing for a business entity or trust, I have full authority to do so.
Printed Name
DL/FEIN/Tribal ID/Corp ID*
Signature
This is my legal signature Date