Form Mv-1 - Application For Certificate Of Title For A Motor Vehicle

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Application for Certificate
of Title for a
Motor Vehicle
Title and Registration Bureau
P.O. Box 201431, 302 N Roberts, Helena, MT 59620-1431
Phone (406) 444-3661 Fax (406) 444-0116
mvdtitleinfo@mt.gov
Title Number:
Fees: $12 for light vehicles, trucks and buses weighing less than one ton;
$10 for all other vehicles. Additional fees and taxes will be due upon registration.
Applicant's Legal Name (first, middle, last) or Firm Name:
DL/FEIN/Tribal ID/Corp ID*
Applicant
A
Section
State where DL issued:
Co-Applicant's Legal Name (first, middle, last):
Please indicate if owner
DL/FEIN/Tribal ID/Corp ID*
or lessee:
Owner
State where DL issued:
Lessee
Mailing Address:
City:
State:
Zip Code:
County:
Residential Address:
City:
State:
Zip Code:
County:
Manufacturer's Suggested
Year:
Make:
Model:
Style:
Vehicle
B
Section
Retail Price: $___________
Vehicle Identification Number:
Color:
Fuel Type:
Unladen Weight:
Motor Home Class:
2850 lbs or less
Over 2850 lbs
A
B
C
Trucks One Ton and Under:
Trucks Over One Ton:
Trailer/Travel Trailer/Camper/
Motorcycle and Quadricycle:
Street rod
Kit vehicle
Motor Home:
1/4 ton
1/2 ton
Custom vehicle
Manufacturer's Rated
CC: __________________
3/4 ton
1 ton
Capacity: _________
Declared Weight: _________
Wheel Base: ___________
Specially constructed vehicle
Length: ________________
Wheel Diameter: ________
Is there a security interest or
C
No - go to Section D
lien against this vehicle?
Yes - complete this section and submit a filing fee of $8 for each security interest or lien.
Date of First Security
Amount
Name of First Secured Party or Lienholder:
DL/FEIN/Tribal ID/Corp ID*
$
Interest: _________
Mailing Address of First Secured Party or Lienholder:
State:
Zip Code:
City:
Date of 2nd Security
Amount
Name of Second Secured Party or Lienholder:
DL/FEIN/Tribal ID/Corp ID*
$
Interest: __________
Mailing Address of Second Secured Party or Lienholder:
City:
State:
Zip Code:
Odometer/Statement
D
Under penalty of law (MCA 45-7-203), I certify that:
of Sale Section
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:
DO NOT CHECK
The odometer reading reflects the amount of mileage in excess of its mechanical limits.
UNLESS APPLICABLE
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
E
Under penalty of law (MCA 45-7-203), I certify that:
Acknowledgement
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
This form may be rejected if it has been altered and upon request is available in alternate formats for people with disabilities.
MV1 (9/16)

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