Vehicle Services Bureau
Application for Certificate
of Title for a
Motor Vehicle
Fees: $12.36 for light vehicles, trucks and buses weighing
less than one ton; $10.30 for all othe
r
vehicles
(fees
include
3%
administration
fee per
MCA
61-3-111
).
Additional fees and taxes will be due upon registration.
Title Number:
A
Applicant
Section
Applicant's Legal Name (first, middle, last) or Firm Name:
DL/FEIN/Tribal ID/Corp ID*
Co-Applicant's Legal Name (first, middle, last): Please indicate if owner
or lessee: Owner
Lessee
DL/FEIN/Tribal ID/Corp ID*
Mailing Address: City: State: Zip Code: County:
Residential Address: City: State: Zip Code: County:
B
Vehicle
Section
Manufacturer's Suggested Retail
Price when new
(MCA 61-3-503): $_____________
Year:
Make: Model: Style:
Vehicle Identification Number: Color: Fuel Type: Unladen Weight:
2850 lbs or less Over 2850 lbs
Motor Home Class:
A B C
Trucks One Ton and Under:
1/4 ton 1/2 ton
3/4 ton 1 ton
Trucks Over One Ton:
Manufacturer's Rated
Capacity: _________
Trailer/Travel Trailer/Camper/
Motor Home:
Declared Weight: _________
Length: ________________
Motorcycle and Quadricycle:
CC: __________________
Wheel Base: ___________
Wheel Diameter: ________
Street rod Kit vehicle
Custom vehicle
Specially constructed vehicle
C
Is there a security interest or
lien against this vehicle?
No - go to Section D
Yes - complete this section and submit a filing fee of $8.24 for each security interest or lien.
Date of First Security
Interest: _________
$
Name of First Secured Party or Lienholder:
DL/FEIN/Tribal ID/Corp ID*
Mailing Address of First Secured Party or Lienholder:
City:
Date of 2nd Security
Interest: __________
$
Name of Second Secured Party or Lienholder:
DL/FEIN/Tribal ID/Corp ID*
Mailing Address of Second Secured Party or Lienholder:
City:
Odometer/Statement
Under penalty of law (MCA 45-7-203), I certify that:
The vehicle described above was sold new used to the applicant named in Section A on (date) _____________________ by (printed name of
seller) _____________________________________ Seller's Address:_____________________________________________________________
• 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:
UNLESS APPLICABLE
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.
• If signing for a business entity or trust, I have full authority to do so.
Dated this _____ day of __
________________ 20 _____ ____________________ __________________________________________________
Dealer’s License Number Signature of Dealer’s Agent – this is my legal signature
______________________________________________________________ __________________________________________________________
Dealer’s Firm Name Printed Name of Dealer’s Agent
Applicant's
Acknowledgement
Under penalty of law (MCA 45-7-203), I certify that:
• I am one of the applicants named in Section A;
• I am aware of the odometer certification made in Section D;
• I have provided the appropriate identification number to the Department;
• 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.
Dated this _____ day of __
________________ 20 _____ __________________________________________________________________________
Signature - this is my legal signature (only one signature is required)
________________________________________________________ _______________________________________________________________
If Applicant is a Business Entity, Give Full Name Printed Name of Applicant
*DL-Driver License Number; FEIN-Federal Employer Identification Number; Tribal ID-Tribal Identification card; Corp. ID-Corporate Identification; CID-Customer Identification number
MV1 (7/21) This form may be rejected if it has been altered and upon request 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
Email Address:
Applicant's Legal Name (first, middle, last):
Phone Number:
State Issued:
State Issued:
