Form Mv12 - Application For Title Of A Vehicle By Right Of Survivorship
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1Application for
Title of a Vehicle by
Right of Survivorship
Title and Registration Bureau
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 encumbrances – does 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. Make checks payable to State of Montana.
I,
Legal Name
DL/FEIN/Tribal ID/Corp ID*
Residential address
City
State
Zip code
Mailing address
City
State
Zip Code
certify that
Name of Vehicle Owner
who died on
at
Date
City
County
State
Zip Code
and
Name of Vehicle Co-owner
who died on
at
Date
City
County
State
Zip Code
is the registered owner of the following vehicle:
Year
Make/Manufacturer
Model
Body Style/Length
Ton
Identification Number
Title Number
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.
I make this application for the purpose of having the above-described vehicle registered in my name and a certificate of title issued to me;
I indemnify the Chief of the Title and Registration Bureau and all persons acting for him/her from any and all liability that may be incurred by
transferring the certificate of title and agree to defend at my own expense any suit brought against the Chief or any person acting for him/her as
a result of issuing this title;
Under penalty of law (MCA 45-7-203 Unsworn Falsification to Authorities) the statements made and information contained on this form are
true and correct to the best of my knowledge, information and belief, and I am the same person named above.
Printed Name
DL/FEIN/Tribal ID/Corp ID*
Signature
This is my legal signature
Date
*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 (10/12)
This form is available in alternate formats for people with disabilities.
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